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心理情绪干预对高血压前期患者情绪及血压的影响研究

Effect of psychological and emotional intervention on mood and blood pressure in patients with prehypertension

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【作者】 潘海彦刘冬梅郑智非陈杰陈嘉妍

【Author】 PAN Haiyan;LIU Dongmei;ZHENG Zhifei;CHEN Jie;CHEN Jiayan;Zhanjiang Central People’s Hospital;

【机构】 广东省湛江中心人民医院

【摘要】 目的探究心理行为干预对高血压前期患者情绪及血压的影响。方法选取我院2016年4月~2018年5月我院收治的高血压前期患者中经过焦虑自评量表检测存在情绪障碍的其中100例为研究对象,并随机将所有患者分为药物常规降压组和药物及情绪干预组,每组各50例,常规组实施常规降压治疗,干预组在降压治疗同时实施心理情绪干预,观察并比较两组患者治疗前、后的情绪情况及血压水平。结果干预组实施心理情绪干预后,焦虑评分、DBP、SBP显著优于常规组,两组比较差异有统计学意义(P <0.05);治疗后,干预组的服药依从性、健康知识知晓率、血压控制率、合理生活率分别为90%、94%、92%、90%,常规组的服药依从性、健康知识知晓率、血压控制率、合理生活率分别为78%、76%、72%、70%,干预组显著高于常规组,两组比较差异有统计学意义(P<0.05)。结论对高血压前期患者在进行降压治疗同时实施心理情绪干预,能有效改善患者焦虑、不安等不良情绪,有效降低其血压水平,促进患者血压达标,值得临床推广使用。

【Abstract】 Objective To discuss the effect of psychological and emotional intervention on mood and blood pressure in patients with prehypertension. Methods A total of 100 patients with mood disorders detected by the anxiety self-rating scale in prehypertensive patients who admitted to our hospital from April 2016 to May 2018 were randomly divided into the conventional antihypertensive group and the drug and emotional intervention group,with 50 cases in each group.The conventional group received conventional antihypertensive therapy,while the intervention group received psychological and emotional intervention at the same time.The mood and blood pressure of the two groups before and after treatment were observed and compared. Results After psychological and emotional intervention,anxiety scores,DBP and SBP in the intervention group were significantly better than those in the conventional group,and the difference between the two groups was statistically significant(P < 0.05).After treatment,medication compliance,the rate of health knowledge awareness,blood pressure control,reasonable life of intervention group were 90%,94%,92%,90%,while of control group were78%,76%,72% and 70%,respectively.The intervention group was significantly higher than the conventional group,and the comparison between the two groups was statistically significant(P < 0.05). Conclusion Psychological and emotional intervention for patients with prehypertension can effectively improve their anxiety,anxiety and other adverse emotions,effectively reduce their blood pressure level,and promote their blood pressure to reach the standard,which is worthy of clinical promotion and use.

【基金】 广东省湛江市科技计划项目(2016B101)
  • 【文献出处】 中国医药科学 ,China Medicine and Pharmacy , 编辑部邮箱 ,2019年05期
  • 【分类号】R473.5
  • 【被引频次】7
  • 【下载频次】161
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