豁达放松治疗对中青年高血压病患者心身症状的影响

The study of improvement of young and middle-aged hypertensive psychological and physical status by magnanimous-relaxed therapy

目的研究豁达放松治疗改善中青年高血压病患者心身症状的效果。方法按照入组标准将90例中青年高血压病患者匹配分为干预组和对照组(按目前高血压病临床常规治疗),使用豁达放松治疗对干预组进行3个月治疗,治疗前后采用EPQ-RSC、MCMQ和高血压心身问卷进行测评,并测量血压值。结果干预组治疗后EPQ-RSC的P分和N分(2.20±1.12,3.09±1.65)比治疗前(2.47±1.10,4.20±2.54)显著降低(P<0.01);两组患者治疗后P分和N分差异有统计学意义(P<0.05);MCMQ的面对因子得分(21.20±2.06)比治疗前(20.33±2.24)显著提高(P<0.01);高血压心身问卷的社会功能、心理功能、生活习惯和躯体功能因子得分(10.40±2.59、26.49±6.19、18.27±5.77、16.42±5.01)比治疗前(12.93±5.06、29.73±7.26、18.87±5.98、18.20±6.04)显著降低(P<0.01);两组患者治疗后社会功能和心理功能得分差异有统计学意义(P<0.05);干预组治疗后收缩压和舒张压(130.58±7.90,74.84±9.34)比治疗前(133.02±8.84,80.07±9.69)显著降低(P<0.01);两组患者治疗后舒张压差异有统计学意义(P<0.05)。结论豁达放松治疗能有效改善中青年高血压患者心身症状。

Objective To study the improvement of young and middle - aged hypertensive psychological and physical status by magnanimous -relaxed therapy （MRT）. Methods According to the inclusion criteria, 90 young and middle -aged hypertensive patients were matched and grouped into treatment group and control group. Patients in treatment group were treated with MRT for 3 months. Before and after the intervention, EPQ - RSC, MCMQ and Hypertension Psychological and Physical Questionnaire were evaluated and blood pressure were measured. Results The scores in P （2. 20 ± 1.12） and N （3.09 ± 1.65） of EPQ - RSC in the treatment group were significantly lower than those （2. 47 ± 1.10 and 4. 20 ± 2. 54, respectively） before intervention （ P 〈 0. 01 ）. There was also significant differences in both P and N between the two groups after intervention （ P 〈 0. 05 ）. The score in Confrontation （ 21.20 ± 2.06 ） of MCMQ in the treatment group was significantly higher than that （20. 33 ± 2. 24 ） before intervention （P 〈 0. 01 ）. The scores in social function, mental function, habits and physical function （ 10. 40 ± 2. 59, 26. 49 ± 6. 19, 18.27 ± 5.77, and 16.42 ± 5.01, respectively） of Hypertension Psychological and physical Questionnaire in the treatment group were significantly lower than those （12.93 ±5.06, 29. 73 ±7. 26, 18. 87 ±5.98, and 18.20 ±6. 04, respectively） before intervention （P 〈0. 01 ）. There were significant differences in social function and mental function between two groups after intervention （P 〈 0. 05）. The SBP （130. 58 ± 7.90） of the treatment group after intervention was significantly lower than that （ 133.02 ± 8. 84） before intervention （P 〈 0. 01 ）, so was the DBP （74. 84 ± 9. 34 vs 80. 07 ± 9. 69, P 〈 0.01 ）. There was also significant difference in DBP between the two groups after intervention （ P 〈 0.05 ）. Conclusion MRT can effectively improve psychological and physical status of young and middle - aged hypertensive.