认知干预对原发性高血压患者情绪障碍的影响

Effect of cognitive intervention on mood disorder of patients with essential hypertension

目的探讨认知干预对原发性高血压患者焦虑和抑郁状态的影响,以期更有效的控制患者的血压。方法采取病例对照方法,对我院收治的60例伴有焦虑和抑郁症状的门诊及住院原发性高血压患者随机分为干预组和对照组各30例。对照组采取常规药物治疗和护理,干预组在此基础上实施以健康教育为主的认知干预,进行3个月的追踪研究。运用SAS和SDS量表对两组患者进行评分并进行比较。结果经过为期3个月治疗后,对照组患者SAS评分为(41.51±9.62)分,SDS评分为(43.72±11.51)分;干预组患者SAS评分为(38.50±7.89)分,SDS评分为(40.18±8.25)分。治疗后对照组患者收缩压为(152.57±13.29)mmHg,舒张压为(88.95±8.07)mmHg;研究组患者收缩压为(144.78±11.03)mmHg,舒张压为(84.67±8.49)mmHg。两组患者SAS和SDS评分及血压控制情况差异均具有统计学意义(P<0.05)。结论实施全面认知干预可有效缓解原发性高血压患者抑郁、焦虑等情绪影响,消除不良心理障碍,有助于更好的控制患者血压,提高临床治疗效果。

Objective To investigate the effect of cognitive intervention on anxiety and depression in pa- tients with essential hypertension and then to effectively control blood pressure. Methods 60 patients with essential hypertension were randomized to the intervention group and control group, with 30 eases in each group. Control group taking conventional drug and care, the intervention group on the basis of the implementation of health education based cognitive intervention for three months. The SAS and SDS scales of two groups were compared. Results Three months after trealment, SAS score and SDS score in the control group were （41.51±9.62） points and （43.72±11.51） points, re- spectively, and in intervention group were （38.50±7.89） points, and （40.18±8.25） points, respectively. After treat- ment, systolic and diastolic blood pressure in the control group were （152.57±13.29） mmHg and （88.95 ±8.07） mmHg, respectively; in intervention group were （144.78±11.03） mmHg, and （84.67±8.49） mmHg, respectively. SAS and SDS scores and blood pressure control had statistically significant differences between two groups （P〈 0.05）. Conclusion Implementation of comprehensive cognitive intervention can effectively alleviate depression and anxiety in patients with essential hypertension, and hence can effectively control blood pressure.