摘要
目的:探讨心理因素对原发性高血压患者药物治疗效果的影响,以便于改善高血压患者的负性情绪,合理用药,提高高血压患者的治愈率。方法:采用对照研究的方法在武汉大学医院门诊患者中随机抽取药物治疗的136例原发性高血压患者,将治疗有效的患者纳入研究组(n=83),治疗无效的纳入对照组(n=53),应用症状自评量表、生活事件评定量表、焦虑自评量表进行心理测评。结果:136例原发性高血压患者焦虑情绪平均得分与全国常模相比差异有极显著性意义(52.57±11.54和33.80±5.90;U=9.25,P<0.01);而治疗有效组和治疗无效组差异有极显著性意义(36.68±8.76和55.68±23.36;U=5.60,P<0.01),显示药物治疗疗效不佳的患者心理测评时焦虑情绪多较高,其经历的负性生活事件的刺激量也较高,而相应的社会支持分值较低。经多元逐步判别分析发现:负性生活事件的刺激量、与家庭生活有关的问题、社会支持总分、焦虑自评量表等4个因子对治疗有效组和无效组有鉴别作用,归类正确率为78.69%。结论:对原发性高血压患者的治疗除常规用药外,还应注重患者心理社会方面的有关影响因素的调适。
AIM:To explore the effects of the psychological factors on drug treatment in patients with hypertension, to reduce harmful feelings of hypertension patients, and to raise cure rate of hypertension patients by reasonable cure. METHODS:136 hypertension patients under drug treatment in outpatient services of Hospital of Wuhan University,were randomly divided into two groups for control study.The patients with effective treatment were in the study group(n=83) , while others were in the control group(n=53). Symptom checklist(SCL) and life events rating scale and self rating anxiety scale(SAS) were used for psychological assessment. RESULTS:The average score of anxious feelings of 136 hypertension patients was significantly different from the national norm(52.57±11.54 and 33.80±5.90;U=9.25,P< 0.01);There was significant difference between effective treatment group and ineffective treatment group(36.68±8.76 and 55.68±23.36;U=5.60,P< 0.01).It showed that the anxious feeling was higher in patient with worse drug treatment when psychological assessed,their stimulative quantity of negative life events were higher,while the corresponding social supporting score were lower.It was found by multiple gradual discriminant analysis that stimulative quantity of negative life events, problems about family,total score of social support and self rating anxiety scale had differential effect for both groups.The correctness rate of classification was 78.69%.
出处
《中国临床康复》
CSCD
2003年第30期4092-4093,共2页
Chinese Journal of Clinical Rehabilitation
