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目的探讨心理干预在社区老年高血压病治疗中的作用。方法将 5 0例老年高血压患者随机分为实验组和对照组各2 5例 ,实验组采取心理干预结合躯体治疗 ,对照组仅采用单纯躯体治疗 ,对两组患者进行为期半年的观察 ,对患者的血压变化以及90项症状自评量表 (symptomchecklist 90 ,SCL 90 )评价的结果进行比较。 结果老年高血压患者的心理状态明显比一般人群差 ,实验组患者的心理状态改善和血压稳定性与对照组均有显著性差异 (P <0 .0 1)。结论加强社区老年高血压病患者的心理干预对其治疗具有积极意义
Objective To explore the role of psychological intervention in the treatment of elderly hypertension in the community. Methods Fifty cases of elderly patients with hypertension were randomly divided into experimental group and control group, 25 cases in each group. Psychological intervention combined with somatic treatment was used in the experimental group. The control group was treated with only somatic treatment for two weeks. The changes in patients’ blood pressure and the results of 90 symptom checklist 90 (SCL 90) evaluations were compared. Results The mental state of elderly hypertensive patients was significantly worse than that of the general population. The psychological status and the stability of blood pressure in the experimental group were significantly different from those in the control group (P <0.01). Conclusion It is of great significance to strengthen the psychosocial intervention in elderly hypertensive patients in community