心理干预对原发性高血压患者遵医行为的影响

Effects of mental intervention for the treatment compliance of primary hypertensive patients

目的探讨心理干预对高血压患者遵医行为影响。方法 152例高血压患者随机分成两组,均给予药物治疗,干预组同时予每周1次的心理干预,4周后用遵医行为量表评定两组病人遵医行为变化。结果两组患者遵医行为基线调查均为较低水平,经心理干预治疗,干预组遵医行为改善前后有显著性差异,且改善提高明显好于对照组,差异有显著性意义(P<0.01),对照组无显著性改善(P>0.05)。结论心理干预能显著改善高血压患者的遵医行为。

Objective To discuss the effects of mental intervention for the treatment compliance of primary Hypertensive patients.Methods 152 Hypertensive patients were randomly divided into two groups and give the same medical treatment.Besides,one group was treated with the mental intervention once a week.4 weeks later,the behavior changes of treatment compliance was evaluate with the scale of treatment compliance.Results The baseline investigation of these two groups of Hypertensive patients was both in a comparative low level.The treatment compliance of group with mental intervention was obviously improved than that of the other group.The discrepancy is absolutely meaningful（P0.01） while the contrapositive group does not have any remarkable improving（P0.05）.Conclusion Mental intervention can observably improve the treatment compliance of primary Hypertensive patients.