目的 研究豁达放松治疗改善中青年高血压病患者心身症状的效果.方法 按照入组标准将90例中青年高血压病患者匹配分为干预组和对照组(按目前高血压病临床常规治疗),使用豁达放松治疗对干预组进行3个月治疗,治疗前后采用EPQ-RSC、MCMQ和高血压心身问卷进行测评,并测量血压值.结果 干预组治疗后EPQ-RSC的P分和N分(2.20±1.12,3.09±1.65)比治疗前(2.47±1.10,4.20±2.54)显著降低(P<0.01);两组患者治疗后P分和N分差异有统计学意义(P<0.05);MCMQ的面对因子得分(21.20±2.06)比治疗前(20.33±2.24)显著提高(P<0.01);高血压心身问卷的社会功能、心理功能、生活习惯和躯体功能因子得分(10.40±2.59、26.49±6.19、18.27±5.77、16.42±5.01)比治疗前(12.93±5.06、29.73±7.26、18.87±5.98、18.20±6.04)显著降低(P<0.01);两组患者治疗后社会功能和心理功能得分差异有统计学意义(P<0.05);干预组治疗后收缩压和舒张压(130.58±7.90,74.84±9.34)比治疗前(133.02±8.84,80.07±9.69)显著降低(P<0.01);两组患者治疗后舒张压差异有统计学意义(P<0.05).结论 豁达放松治疗能有效改善中青年高血压患者心身症状.%Objective To study the improvement of young and middle - aged hypertensive psychological and physical status by magnanimous -relaxed therapy (MRT). Methods According to the inclusion criteria, 90 young and middle - aged hypertensive patients were matched and grouped into treatment group and control group. Patients in treatment group were treated with MRT for 3 months. Before and after the intervention, EPQ - RSC, MCMQ and Hypertension Psychological and Physical Questionnaire were evaluated and blood pressure were measured. Results The scores in P (2. 20 ± 1. 12) and N (3. 09 ± 1. 65) of EPQ - RSC in the treatment group were significantly lower than those (2. 47 ± 1. 10 and 4. 20 ±2. 54, respectively) before intervention (P <0. 01). There was also significant differences in both P and N between the two groups after intervention ( P < 0. 05 ) . The score in Confrontation ( 21. 20 ± 2. 06 ) of MCMQ in the treatment group was significantly higher than that (20. 33 ±2. 24) before intervention ( P < 0. 01 ) . The scores in social function, mental function, habits and physical function (10.40 ±2.59, 26.49 ±6. 19, 18.27 ±5.77, and 16.42 ± 5. 01, respectively) of Hypertension Psychological and physical Questionnaire in the treatment group were significantly lower than those ( 12. 93 ± 5. 06, 29. 73 ± 7. 26, 18. 87 ± 5. 98 , and 18. 20 ± 6. 04, respectively) before intervention ( P < 0. 01 ). There were significant differences in social function and mental function between two groups after intervention (P < 0. 05). The SBP (130.58 ±7.90) of the treatment group after intervention was significantly lower than that ( 133. 02 ± 8. 84 ) before intervention ( P < 0. 01) , so was the DBP ( 74. 84 ± 9. 34 vs 80. 07 ± 9. 69, P < 0. 01) . There was also significant difference in DBP between the two groups after intervention ( P < 0. 05 ) . Conclusion MRT can effectively improve psychological and physical status of young and middle - aged hypertensive.
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