冥想综合干预对社区老年高血压患者心理状况的影响

Influence of meditation-based interventions on psychological condition of elderly community residents with hypertension

目的探讨冥想综合干预改善社区老年轻中度高血压患者心理状况的效果。方法将90例社区老年轻中度高血压患者随机分为干预组与对照组各45例。两组均实施社区高血压常规管理,干预组在此基础上实施冥想综合干预措施,包括对高血压的认知、行为、家庭应对干预以及应用冥想训练干预,共持续8周。运用焦虑、抑郁自评量表分别测量干预前后两组患者焦虑、抑郁水平并进行分析。结果老年轻中度高血压患者存在焦虑,干预组实施干预8周后焦虑评分显著低于对照组(P<0.01)。结论冥想综合干预措施可以改善老年轻中度高血压患者的心理状况,有利于稳定患者的病情,提高其生存质量。

Objective To explore the influence of meditation-based interventions on psychological condition of elderly community residents with hypertension. Methods Totally, 90 elderly community residents with mild to moderate hypertension were randomly divided into a control group and an intervention group, with 45 cases in each group. Both group received routine management of hypertension. The intervention group additionally received meditation-based interventions, which included cognitive, behavioral and family interventions, and meditation training. The intervention lasted 8 weeks. The Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） were used to measure the effect before and after intervention. Results The elderly community residents with mild to moderate hypertension all had anxiety. After 8 weeks, the anxiety scores of the intervention group were significantly lower than the control group （P〈0.01）. Conclusion Meditation-based interventions could improve psychological condition of the elderly community residents with mild to moderate hypertension, stabilize their condition, and improve their quality of life.