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目的探讨心理干预对于社区老年慢性病患者的临床应用效果,以期为老年慢性病患者的治疗和康复提供依据。方法以某社区老年病门诊100例老年慢性病患者作为研究对象,随机分为观察组和对照组。对照组采用对症常规治疗方法进行治疗,而观察组在对照组基础上进行心理干预治疗。治疗6个月后,对比组间焦虑评分(SAS)、抑郁评分(SDS)、收缩压(SBP)、舒张压(DBP)、空腹血糖(FBG)、餐后2 h血糖(2h PG)等指标。结果在治疗前两组间SAS评分、SDS评分、SBP、DBP、FPG以及2h PG等指标差异均无统计学意义(均P>0.05);治疗6个月时,观察组上述指标水平均低于对照组(均P<0.05)。结论对于社区老年慢性病患者采取心理干预治疗的方法,可以有效缓解患者的焦虑和抑郁心理,改善血压和血糖指标,起到健康促进的作用。
Objective To investigate the clinical effect of psychological intervention on elderly patients with chronic diseases in the community in order to provide evidence for the treatment and rehabilitation of elderly patients with chronic diseases. Methods A total of 100 elderly patients with chronic diseases in a geriatric outpatient in a community were selected as study subjects and randomly divided into observation group and control group. The control group was treated with conventional symptomatic treatment, while the observation group was treated with psychological intervention on the basis of the control group. Six months after treatment, SAS, SDS, SBP, DBP, FBG and 2h PG were compared between the two groups . Results There was no significant difference in SAS score, SDS score, SBP, DBP, FPG and 2h PG between the two groups before treatment (all P> 0.05). At 6 months, the above indexes in the observation group were all lower than Control group (all P <0.05). Conclusion Psychological intervention therapy for elderly patients with chronic diseases in the community can effectively alleviate anxiety and depression in patients, improve blood pressure and blood glucose, and play a role in promoting health.