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目的观察认知行为疗法(CBT)对飞行人员高血压患者的血压及心理状况的影响。方法采用随机数字表法将52例飞行人员高血压患者分为研究组和对照组各26例,两组均给予降压药物和健康教育;研究组在上述治疗基础上给予认知行为疗法,于治疗前和治疗后6周末,监测动态血压值并采用症状自评量表(SCL-90)评定疗效。结果治疗前两组动态血压值及SCL-90各因子评分及总评分差异无统计学意义(P>0.05),两组治疗6周末动态血压值和SCL-90各因子评分及总评分均较治疗前低(P<0.05),治疗后研究组的动态血压值和SCL-90各因子评分及总评分均低于对照组(P<0.05)。结论在降压药物治疗和健康教育基础上联合CBT可能有助于改善飞行人员高血压患者的血压水平及心理状况。
Objective To observe the effect of cognitive behavioral therapy (CBT) on the blood pressure and psychological status of pilots with hypertension. Methods Totally 52 hypertensive patients were divided into study group and control group, with 26 cases in each group. All patients were given antihypertensive drugs and health education. The study group was given cognitive behavioral therapy on the basis of the above treatment. Before treatment and after 6 weeks of treatment, ambulatory blood pressure was monitored and the efficacy was assessed using the Self-rating Symptom Inventory (SCL-90). Results There was no significant difference between the two groups in the dynamic blood pressure before the treatment and SCL-90 scores and the total score (P> 0.05). The dynamic blood pressure and SCL-90 score and the total score of the two groups after treatment for 6 weeks (P <0.05). After treatment, the dynamic blood pressure and score of SCL-90 and the total score of SCL-90 in the study group were lower than those in the control group (P <0.05). Conclusions The combination of CBT with antihypertensive drug therapy and health education may help to improve the blood pressure level and psychological status in pilots with hypertension.