心理行为干预对难治性高血压患者的影响

目的观察心理行为干预对难治性高血压患者的影响。方法按入院先后顺序将91例难治性高血压患者随机分为对照组(45例)和观察组(46例),对照组给予常规一般健康教育,观察组给予针对性的心理行为干预,在出院后第6个月、12个月通过随访了解两组患者血压、服药依从性、心理状态等情况,并作比较。结果干预后6个月和12个月时,观察组患者血压明显低于对照组(均P<0.05),观察组患者服药依从性、良好生活方式及心理状态改善情况明显优于对照组(均P<0.05)。结论心理行为干预能有效减轻患者焦虑抑郁状态、提高患者服药依从性、建立良好生活方式,从而达到有效控制血压的目的。

Objective To observe the effect of psychological and behavioral intervention on patients with refractory hypertension blood pressure. Methods According to the time sequence of admission, 91 cases of refractory hypertension were randomly divided into control group （n = 45） and observation group （n = 46）. In the control group, routine care was conducted, and in the observation group, psychological and behavioral intervention was given. After the first 6 months through 12 months of follow-up, comparisons on blood pressure, medication compliance, the mental status between the two groups. Result For the first 6 months and 12 months, blood pressure in the observation group was significantly lower than that of control group （P 〈 0.05）, and medication compliance and life style and mental status were better than those in the eontrel group （P 〈 0.05）. Conclusion Psychological and behavioral intervention can effectively reduce the anxiety in patients with depression, improve medication compliance, and establish a healthy lifestyle in order to effectively control blood pressure.