行为干预对A型性格高血压病患者生活质量影响的临床研究

The effect of behavioral intervention on the quality of life of hypertension patients with type A personality

目的探讨行为干预对A型性格高血压病患者生活质量的影响。方法将188例A型性格高血压病患者按入院先后顺序随机分为研究组96例和对照组92例。研究组在常规药物治疗的同时给予行为干预，而对照组只给予常规药物治疗，分别应用中文版SF-36量表对两组病患者进行测定，评价两组患者的生活质量（QOL），并记录两组患者的血压正常控制率。结果研究组患者SF-36量表的各项评分均明显高于对照组，两组比较，差异有统计学意义（P〈0．01）；研究组患者血压正常控制率为72．92％，而对照组患者血压正常控制率为52．17％，两者比较，差异有统计学意义（P〈0．01）。结论行为干预可有效控制高血压，提高高血压的控制率和降低高血压的危害，从而促进康复，达到提高A型性格高血压病患者生活质量的目的。

Objective To explore the effect of behavioral intervention on the quality of life of hypertension patients with type A personality. Methods A total of 188 hypertension patients with type A personality were divided into experiment group （96 cases） and con- trol group （92 cases）. The patients of experiment group were received behavioral intervention on the basis of normal medicine treatment and the patients of control group were received normal treatment of medicine only. The SF - 36 Measurement Form in Chinese version was used to test the patients. The QOL of the patients was assessed and normal blood pressure control rates of two groups were recorded. Results All the scores of experiment group were higher than those of control group （ P 〈 0.01 ）. The blood pressure control rate of experiment group was 72. 92% and that of control group was 52. 17%. There was significant difference （ P 〈 0.01 ） . Conclusions Behavioral intervention can control high blood pressure effectively, raise the control rate of high blood pressure and reduce the damage from high blood pressure, so as to promote health and improve the life quality of hypertension patients with type A personality.