【摘要】 目的 探讨认知行为心理干预对高血压病人负性情绪、血压及睡眠质量的影响。方法 选择符合入组条件的60例住院高血压患者,分成对照组和研究组，各30例,研究组患者实施认知行为心理干预，对照组仅实施高血压常规护理，比较两组患者的负性情绪、血压及睡眠质量的改善效果。结果 干预后，两组比较，研究组患者的主观感觉、匹兹堡睡眠指数(PSQI)较对照组差异有显著性(P<0.01)，血压控制优于对照组(P<0.01)，焦虑抑郁情绪的改善程度优于对照组(P<0.01)。结论 认知行为心理干预能够缓解高血压病人的焦虑抑郁情绪，改善睡眠质量，降低血压，对促进身心康复有积极的作用。
【关键词】 认知行为;心理干预;高血压;焦虑抑郁;睡眠质量
Study on rehabilitation effect of the cognitive behavior psychological intervention on the paitient with hypertension
ZHAO Hai-yan.120 Rescue Center of Zoucheng City of Shandong,Zoucheng 272000 ,China
[Abstract] Objective To explore the effect of the cognitive behavior psychological intervention for negativity emotion in blood pressure and sleep quality of the paitient with hypertension.Methods 60 hospitalized patients with hypertension who accorded with the group condition were divided into observation group (30 patients) and the control group (30 patients), the observation group were given the cognitive behavior psychological intervention, the control group were only implemented of hypertension convention nurses. The improvement effect of negativity emotion in blood pressure and sleep quality of two groups were compared.Results After intervention , two groups were compared, there were contrast in subjective feeling and PSQI index (P<0.01),the blood pressure control of observation group was better than the control group (P<0.01), the improve degree of anxiety, depression of observation group was better than the control group (P<0.01). Conclusion Cognitive behavior, psychological intervention could relieve hypertension patient anxiety depression, improve sleep quality, lower blood pressure, it would has positive function for mental and body rehabilitation .
[Key words] cognitive behavior; psychological intervention; hypertension; anxiety and depression; sleep quality
高血压病是一种常见的心血管疾病，我国高血压患病率呈逐年上升趋势，给病人带来生理和心理上的不利影响，严重威胁着病人的身心健康。为减轻疾患对病人的身心伤害，促进疾病康复，笔者对2009年10月—2010年2月期间在我
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