常规降压药物联合渐进式肌肉放松训练改善社区高血压伴抑郁状态患者血压及抑郁的效果研究

发布时间：2018-07-31 07:26

【摘要】：目的探讨常规降压药物联合渐进式肌肉放松训练对改善社区高血压伴抑郁状态患者血压及抑郁的效果。方法选取2015年5月上海市浦东新区迎博社区卫生服务中心管理的经药物治疗血压控制未达标的高血压伴轻中度抑郁状态患者112例为研究对象,采用随机数字表法将患者分为干预组和对照组,各56例。两组患者均进行常规降压药物治疗及规范慢病管理,干预组在此基础上联合渐进式肌肉放松训练。干预组患者每周进行一次团体集中干预,依次从手、前臂、上臂、前额、眼周、下颌、颈、肩、胸、腹、腰、背、臀、大腿、小腿、足放松全身肌肉,30 min/次;患者在家进行渐进式肌肉放松训练,20~30 min/次,2次/d。分别于干预前、干预后1周及1、3、6个月时测量两组患者血压,采用汉密尔顿抑郁量表(HAMD)评价抑郁状态。结果两组干预后1周高血压疗效、血压达标率、抑郁状态改善情况比较,差异均无统计学意义(P0.05)。干预后1、3、6个月,干预组高血压疗效、血压达标率、抑郁状态改善情况均优于对照组(P0.05)。结论常规降压药物治疗联合渐进式肌肉放松训练,能有效降低社区高血压伴抑郁状态患者血压,提高血压达标率,改善抑郁情绪。
[Abstract]:Objective to investigate the effect of routine antihypertensive drugs combined with progressive muscle relaxation training on improving blood pressure and depression in patients with hypertension and depression in community. Methods 112 patients with mild to moderate depression who were managed by Yingbo Community Health Service Center in Pudong New District of Shanghai in May 2015 were selected as subjects. Patients were randomly divided into intervention group and control group with 56 cases each. Two groups of patients were treated with conventional antihypertensive drugs and standardized chronic disease management, and intervention group combined with progressive muscle relaxation training. The patients in the intervention group received group intervention once a week. The patients in the intervention group received 30 min/ of body muscle relaxation from hand, forearm, upper arm, forehead, eye, mandible, neck, shoulder, chest, abdomen, waist, back, buttock, thigh, lower leg and foot. The patient underwent progressive muscle relaxation exercises at home for 20 to 30 min/ d. Blood pressure was measured before intervention, 1 week, 1 day and 6 months after intervention. The depression was evaluated by Hamilton Depression scale (HAMD). Results there was no significant difference in the curative effect of hypertension, the rate of blood pressure reaching the standard and the improvement of depression state between the two groups at 1 week after intervention (P0.05). The curative effect of hypertension, the rate of blood pressure reaching the standard and the improvement of depression state in the intervention group were better than those in the control group (P0.05). Conclusion routine antihypertensive drugs combined with progressive muscle relaxation training can effectively reduce blood pressure, improve blood pressure and improve depression mood in patients with hypertension and depression in community.
【作者单位】：上海市浦东新区迎博社区卫生服务中心全科;复旦大学附属中山医院心理医学科;上海市浦东新区三林社区卫生服务中心预防保健科;
【基金】：上海市浦东新区科技发展基金(PKJ2013-Y51)
【分类号】：R544.1;R749.4

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