心理干预对老年餐后低血压患者焦虑抑郁情绪和生活质量的影响

Effect of Psychological Intervention on Anxiety,Depression and Quality of Life in Elderly Patients with Postprandial Hypotension

目的：探讨心理干预对老年餐后低血压患者焦虑抑郁情绪和生活质量的影响。方法：选取2015年1月至2016年1月我院收治的182例老年餐后低血压患者作为研究对象,按随机数字表法将其分为对照组85例和研究组97例,对照组患者予以常规干预,研究组在对照组的基础上予以心理干预。干预结束后比较两组患者其焦虑抑郁得分、症状自评量表（SCL-90）评分、健康调查简表（SF-36）评分等具体情况,并记录两组患者对干预的满意度情况。结果：（1）干预后,两组患者SAS、SDS评分均较干预前降低,且研究组降低程度明显大于对照组（t=27.771,23.992;P〈0.001）;（2）研究组患者抑郁、焦虑、恐惧、敌对以及偏执等SCL-90项目评分均低于对照组,比较差异间具有统计学意义（t=4.897,6.260,2.761,6.951,3.009;P〈0.01）;（3）研究组患者生理职能、躯体疼痛、一般健康、精力、社会功能、情感职能以及精神健康评分均高于对照组（t=3.887,6.615,5.576,4.144,4.728,3.857,4.004;P〈0.001）;（4）研究组干预总满意度（98.97%）明显高于对照组（91.76%）（P〈0.05）。结论：心理干预对老年餐后低血压患者具有一定的干预效果,可明显减轻患者其焦虑和抑郁程度,提高其生活质量,且更易被患者所接受。

Objective：To investigate the effect of psychological intervention on anxiety,depression and quality of life in elderly patients with postprandial hypotension.Methods：Between January 2015 and January 2016,a total of 182 elderly patients with postprandial hypotension admitted in our hospital were selected and divided into the control group（n=85）and the study group（n=97）according to the random number table method.Patients in the control group were given routine interventions,based on this,the observation group received the psychological intervention.Then the scores of SAS,SDS,Symptom Check-List 90（SCL-90）and 36-item short form（SF-36）were compared between groups.Moreover,the intervention satisfaction of two groups was also recorded.Results：（1） After the intervention,the SAS and SDS scores of two groups were decreased,which were lower in the study group than in the control group（t=27.771,23.992;P〈0.001）;（2） The scores of SCL-90 items such as depression,anxiety,fear,hostility and paranoia in the study group were lower than those in the control group（t=4.897,6.260,2.761,6.951,3.009;P〈0.01）;（3） The physiological role,bodily pain,general health,vigor,social function,emotional role,and mental health scores of the study group were higher than those of the control group（t=3.887,6.615,5.576,4.144,4.728,3.857,4.004;P〈0.001）;（4） The total satisfaction of study group intervention was significantly higher than that of control group（98.97% vs 91.76%,P〈0.05）.Conclusion：Psychological intervention can significantly reduce the degree of anxiety and depression,improve their quality of life,and is more easily accepted by elderly patients with postprandial hypotension.