心理行为干预对原发性高血压患者疗效的影响

Effect of the psychological and behavioral intervention on patients with essential hypertension

目的：研究心理行为干预对原发性高血压患者依从性、心理健康、血压控制情况的影响。方法：将102例原发性高血压患者按住院顺序分为对照组52例和观察组50例，对照组给予一般护理，观察组给予针对性的心理行为干预，干预后6个月对2组患者依从性、心理状态、血压等情况进行随访分析。结果：心理行为干预6个月后，观察组患者血压显著低于对照组（P〈0.01），观察组患者心理健康状态改善均优于对照组（P〈0.05~P〈0.01）。结论：心理行为干预能有效控制患者血压，提高患者依从性和心理健康水平。

Objective：To observe the effects of the psychological and behavioral intervention on the compliance,mental health and blood pressure control of patients with essential hypertension. Methods：One hundred and two patients with essential hypertension were randomly divided into the control group（n=52） and observation group（n=50）,the control group were treated with routine nursing and the observation group were treated with and psychological and behavior intervention according to the patients, respectively. The compliance,mental health and blood pressure control between two groups were analyzed in 6 months after treatment. Results： After 6-month psychological and behavioral intervention, the blood pressure in the observation group was significantly lower than that in the control group（P〈0. 01）,the mental health improvement in the observation group was significantly better than that in the control group （P〈0. 05 to P〈0. 01）. Conclusions：Psychological and behavioral intervention for patients can effectively control the blood pressure, improve compliance and level of mental health.