医学毕业认知行为心理干预对高血压病人的康复效果研究.docxVIP

认知行为心理干预对高血压病人的康复效果研究 【摘要】目的探讨认知行为心理干预对高血压病人负性情绪、血压 及睡眠质量的影响。方法选择符合入组条件的60例住院高血压患 者,分成对照组和硏究组，各30例，硏究组患者实施认知行为心理干 预，对照组仅实施高血压常规护理,比较两组患者的负性情绪、血压 及睡眠质量的改善效果。结果干预后，两组比较，研究组患者的主 观感觉、匹兹堡睡眠指数(PSQI)较对照组差异有显著性(Plt;0.01), 血压控制优于对照组(Plt;0.01)，焦虑抑郁情绪的改善程度优于对照 组(Plt;0.01)o结论认知行为心理干预能够缓解高血压病人的焦虑 抑郁情绪，改善睡眠质量，降低血压，对促进身心康复有积极的作用。 □【关键词】认知行为沁理干预;高血压;焦虑抑郁;睡眠质量 □ □ [Abstract] Objective To explore the effect of the cognitive behavior psychological intervention for negativity emotion in blood pressure and sleep quality of the paitient with hyperte nsion. Methods 60 hospitalized patie nts with hypertension who accorded with the group condition were divided into observation group (30 patients) and the control group (30 patients), the observation group were given the cognitive behavior psychological intervention, the control group were only implemented of hypertension convention nurses. The improvement effect of negativity emotion in blood pressure and sleep quality of two groups were compared.Results After intervention z two groups were compared, there were contrast in subjective feeling and PSQI index (Plt;0.01),the blood pressure control of observation group was better than the control group (Plt;0.01), the improve degree of anxiety, depression of observation group was better than the control group (Plt;0.01). Conclusion Cognitive behavior, psychological intervention could relieve hypertension patient anxiety depression, improve sleep quality, lower blood pressure, it would has positive function for mental and body rehabilitation . □ [Key words] cognitive behavior; psychological intervention; hypertension; anxiety and depression; sleep quality □ □ 高血压病是一种常见的心血管疾病,我国高血压患病率呈逐年 上升趋势,给病人带来生理和心理上的不利影响，严重威胁着病人的 身心健康。为减轻疾患对病人的身心伤害，促进疾病康复，笔者对 2009年10月—2010年2月期间在我院内科住院治疗的60例高血 压患者进行了认知行为心理干预，并进行了对比观察，效果令人满意, 现报告如下。 □ 1资料与方法 □ □ 1.1 一般资料选取2009年10月一2010年2月在本院内科 住院患者60例，男48例，女12例;年龄39-68岁，平均52岁; 文化程度:小学6例，初中21例，高中(中专)20例,大专及以上 13例职业农民16例工人28例，干部16例;高血压I期4例(6%), II期22例(38%) , DI期34例(56%)0入组条件：⑴符合WH