摘要
目的探讨认知行为治疗社区高血压患者心理情绪障碍对血压、血脂、血糖的影响。方法将社区599名高血压患者按照随机数字表达方法分为干预组(n=302)和对照组(n=297)。干预组采用药物加认知行为技术的综合治疗,对照组采用常规降压药物治疗,疗程6个月。症状自评量表(SCL-90)评价治疗前后的心理健康、血糖、低密度脂蛋白、总胆固醇、收缩压、舒张压的生理变化。结果干预组患者干预后SCL-90的躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、恐怖评分[分别为(1.44±0.29)分,(1.78±0.39)分,(1.66±O.38)分,(1.63±0.48)分,(1.43±O.35)分,(1.37±0.52)分,(1.28±0.41)分]均低于干预前[分别为(2.01±0.59)分,(2.04±0.68)分,(1.88±0.38)分,(1.84±0.59)分,(1.92±0.54)分,(1.61±0.53)分,(1.60±0.50)分]均差异有统计学意义(P〈0.01)。干预组患者干预后血糖、低密度脂蛋白、总胆固醇、收缩压、舒张压[分别为(4.65±0.811)mmol/L,(2.97±0.702)rnmoL/L,(4.86±0.884)mmol/L,(134.11±13.39)mmHg(1mrnHg=0.133kPa),(93.73±7.61)mmHg],低于干预前[分别为(5.09±0.710)mmol/L,(3.234±0.584)mmol/L,(5.36±1.138)mmo]/L,(150.13±12.23)mmHg,(89.64±8.35)mmHg],均差异有统计学意义(p〈0.05)。结论认知行为综合干预能改善社区高血压患者生理心理状况,利于血压、血脂、血糖控制。
Objective To investigate the influence of psychological intervention in emotional disorder on blood pressure,lipids and glucose in hypertensive patients in community. Methods 599 hypertensive in commu- nity were divided to intervention group ( n = 302) and control group ( n = 297 ) by randomization. The control group received routine medication. Additionally the intervention group got another psychological intervention which lasted 6 months. An SCL-90 scale was adopted to evaluate patients psychological change of mental health, blood sugar, low density lipoprotein cholesterol, total cholesterol, systolic pressure and diastolic blood pressure before and after treatment. Results Somatization, compulsion, interpersonal relationship, depression, anxiety, hostility and terror in intervention group((1.44 ± 0.29), (1.78 ± 0.39), (1.66 ± 0.38), (1.63 ± 0.48), ( 1.43 ± 0.35 ), ( 1.37 ± 0.52) and ( 1.28 ±0.41 ) respectively) had a lower score than control group ( ( 2.01 ± 0.59 ), (2.04±0.68),(1.88±0.38),(1.84 ±0.59),(1.92±0.54),(1.61 ±0.53)and(1.60 ±0.50)). The differences were significant (P 〈 0.01 ). After intervention, blood glucose, low density lipoprotein, total cholesterol, systolic pressure, and diastolic pressure were ( (4.65 ±0.811 ) mmol/L, ( 2.97 ± 0. 702 ) mmol/L, ( 4.86 ± 0. 884 ) mmol/L, ( 134.11 ± 13.39 )mm Hg( 1 mm Hg = 0.133 kPa) and (93.73 ± 7.61 )mm Hg respectively) and before intervention ( ( 5.09 ± 0.710) mmol/L, ( 3.23 ± 0.584) mmol/L, ( 5.36 ± 1. 138 ) mmol/L, ( 150.13 ± 12.23 ) rnm Hg and ( 89.64 ± 8.35 ) mm Hg respectively). The differences were significant (P 〈 0.05 ). Conclusion Cognitive behavioral therapy can improve community hypertension patients' physiology and psychology, which is good for blood pressure, lipids, glucose control.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2013年第4期335-337,共3页
Chinese Journal of Behavioral Medicine and Brain Science
基金
基金项目:昆山市2010年社会发展资助项目(ksl039)
关键词
认知行为综合干预
高血压
生理
心理
Cognitive behavioral therapy Hypertension Physiology Psychology