综合性心理干预在高血压病防治中的应用

Comprehensive psychological intervention and its clinical effects on patients with hypertension

目的探讨综合性心理干预对高血压病患者治疗效果的影响。方法选取126例原发性高血压患者,按自愿参与的原则分为2组,干预组64例,对照组62例。两组患者均接受内科常规药物治疗,干预组患者同时给予综合性心理干预,3个月后观察两组患者干预前后的血压变化情况,并用症状自评量表(SCL-90)进行心理状况评估。结果干预前两组患者Scl-90各因子评分间差异无统计学意义(>0.05);干预后SCL-90评分中的躯体化、强迫症状、抑郁、焦虑、恐怖、敌对等6项因子分较对照组低,差异有统计学意义(<0.05);干预后干预组患者血压控制优于对照组,差异有统计学意义(<0.01)。结论综合性心理干预可以改善患者血压,对提高高血压患者心理健康水平有显著效果。

Objective To investigate comprehensive psychological intervention and its clinical effects on patients with hypertension. Methods 126 hypertension cases were collected, These cases were divided into two groups, intervention group 64, and comparison group 62. Both groups received routine medical treatments with comprehensive psychological intervention applied specifically to the intervention group for three months continuously. After three months, Blood pressure in both groups was observed aider the psychological intervention, and the results were evaluated by the attached Symptom Check List （Scl-90）. Results Blood pressure control of intervention group is more preferable. Results reviewed the changes of somatization, compulsive symptom, depression, anxiety, fear, and hostility, etc before and after the intervention. According to the statistic analysis, the differences have statistical significance （P〈0.05）. Conclusion Comprehensive psychological intervention can improve patients＇ blood pressure, and have positive clinical effects on patients＇ mental health.