【摘要】 目的探讨心理干预对高血压患者降压效果及心理状态的影响。方法选取2013年3月至12月门诊高血压患者100例,根据患者就诊登记顺序分为干预组(n=50,单号)和对照组(n=50,双号),两组患者均给予常规药物治疗,干预组同时采取认知行为疗法进行心理干预。采用"症状自评量表(Sc L-90)"对两组患者干预后的效果进行评价。结果干预组患者血压临床控制有效率优于对照组(P<0.05),差异有显著性。高血压患者存在不同程度的心理障碍,在进行认知行为心理干预的同时给予药物治疗,治疗效果明显好于单纯药物治疗。结论对高血压患者采取认知行为疗法,能够明显缩短降压治疗时间,显著改善治疗质量和患者的认知水平,可以有效地解决患者的心理障碍;心理状态改善的高血压患者就诊率下降,血压较前更平稳,而且可以减轻照料者的负担。更多还原

【Abstract】 OBJECTIVE To explore the effect of psychological intervention on hypertensive effect and mental state of patients with hy-pertension. METHODS 100 patients with essential hypertension who were treated in the outpatient department of the hospital fromMarch 2013 to December 2013 were selected and divided into experimental group(n=50) and control group(n=50 even numbers), ac-cording to their medical registration order. The patients in the two groups received routine drug therapy, and the patients in the experi-mental group were treated with psychological intervention by means of cognitive behavior therapy(CBT). Symptom checklist 90(Sc L-90) was used to evaluate the effects in the two groups before and after intervention. Results: The total effective rate of hyperten-sive effect in experimental group was superior to that in control group(P<0.05). Hypertensive patients had psychological barriers invarious degrees, so the treatment effect of psychological intervention as well as drug therapy was obviously better than the single drugtreatment. Conclusion: Treating hypertensive patients with psychological intervention could effectively shorten the duration of antihy-pertensive treatment, improve the quality of treatment and the patients’ cognitive performance, and remove their psychological barri-er. The patients with improved psychological state had more stable blood pressure and visted hospital less than before, and the bur-den of caregiver was relieved.更多还原