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合理情绪疗法治疗原发性高血压伴焦虑的疗效观察

Effect of Rational-Emotion Therapy on Primary Hypertension With Anxiety

Theory and Practice of Psychological Counseling / 2021,3(9): 601-605 / 2021-09-02 609 619

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• Authors: 陈瑞芬 袁常艳 刘红茹 易晓庆 唐胜南 龚玲 周意
• Information:

  联保部队第921 医院，长沙

• Keywords:
  Reasonable-emotion therapy; Primary hypertension; Anxiety
  合理情绪疗法; 原发性高血压; 焦虑
• Abstract: Objective: To observe the effect of rational-emotion therapy in the treatment of primary hypertension with anxiety. Methods: 60 patients with primary hypertension with anxiety from 1 January 2018 to 31 December 2020 were randomly divided into observation and controls, with 30 each of the two groups. Routine care had been given to the control group, rational-emotion therapy had been carried to the observation group. Blood pressure, anxiety and nursing-satisfaction were compared before and after the intervention. Results: After treating, blood pressure in both groups decreased to different degrees, statistically significant, p<0.05; However, there was no significant differences between groups, p> 0.05;Compared with control groups, the observation groups showed higher nursing satisfaction, there was statistically significant differences in group-comparison, p<0.05. After psychological intervention, the two Hamiltonian anxiety scale(HAMA) scores decreased to varying degrees, and the contrasts were statistically significant, p<0.05. Conclusion: Rational-emotion therapy could treat primary hypertension with anxiety and , improved anxiety effectively, achieved better curative-effect. The blood-pressure of the observation group had been controled well than the control group, nursing-satisfaction had been improved also. That had certain clinical application value. 目的：观察合理情绪疗法治疗原发性高血压伴焦虑情绪的疗效。方法：选取于2018 年1 月1 日至2020 年12 月31 日在我院就医的原发性高血压伴焦虑患者60 例，随机分为观察组和对照组进行治疗，两组各30例。对照组予以常规护理，观察组在此基础上开展合理情绪疗法。比较两组干预前后患者血压、焦虑情绪及护理满意度情况。结果：治疗后，两组患者的血压均不同程度下降，差异有统计学意义，p<0.05；但组间比较差异无统计学意义，p>0.05；与对照组比较，观察组护理满意度更高，组间对比，差异有统计学意义，p<0.05。心理干预后，两组汉密顿焦虑量表（HAMA）评分不同程度下降，对比差异有统计学意义，p<0.05。结论：合理情绪疗法治疗原发性高血压伴焦虑患者，可取得较好的治疗疗效，可有效改善患者的焦虑情绪。观察组血压控制水平优于对照组，提升护理满意度，具有一定的临床应用价值。
• DOI: https://doi.org/10.35534/tppc.0309074
• Cite: 陈瑞芬，袁常艳，刘红茹，等．合理情绪疗法治疗原发性高血压伴焦虑的疗效观察［J］．心理咨询理论与实践，2021，3（9）：601-605．