Effect of psychological intervention on blood pressure of stress reaction and long-term prognosis in patients with hypertension
ZHANG Ying1,YANG Chunmei2,LIU Baichuan3,CAO Lei1,ZHOU Lei1, HE Yan4
1. Department of Mental Health Division,2. Department of Cardiovascular Diseases,3.Medical Department,Jilin Provincal Corps Hospital,Chinese People’s Armed Police Forces,Changchun 130052,China; 4.The Third Department of Internal Medicine,Beijing Municipal Corps Hospital,Chinese People’s Armed Police Forces,Beijing 100027,China
Abstract：Objective To study the effect of psychological intervention on hypertension in patients with stress reaction, dynamic blood pressure and long-term effect. Methods 80 hospitalized patients with hypertension were randomly divided into two groups: of psychological intervention group and control group,40 patients in each group. The former group were treated with antihypertensive drugs,psychological intervention for patients in the use of antihypertensive drugs at the same time, professional psychological intervention. The control group received antihypertensive drugs as treatment,but did not receive professional psychological intervention. For the two groups, ambulatory blood pressure, personality,stress reaction of blood pressure change were observed,and comparison and statistical analysis were carried on. Results Blood pressure in drug treatment groups were significantly decreased,indicating effective treatment (P<0.01);under stress reaction,in the study group, blood pressure increasing and decreasing speed and magnitude were greater than those in the control group; in study group, patients SCL-90 scale results significantly better than the pre-treatment group (P<0.01). Long-term prognosis in the study group was better than in the control group.Conclusion Psychological intervention to hypertensive patients receiving anti hypertensive drugs leads to improvement and recovery of blood pressure,reduces the occurrence of resistant hypertension, cerebral vascular accident,reduces stroke mortality, and improves clinical prognosis.
2015, Vol. 26 
