摘要
目的 探讨团体认知行为干预改善社区高血压患者心理健康的效果.方法 选取84名高血压患者随机分配到对照组与观察组.对照组37人,采用健康教育常规护理模式;观察组47人,在常规护理的基础上接受8周的团体认知行为治疗.使用患者健康问卷抑郁量表、广泛性焦虑量表、匹兹堡睡眠质量指数量表、慢性病管理自我效能感量表得分作为主要因变量指标.结果 观察组47名患者经过团体认知行为干预后,相比于对照组,抑郁和焦虑水平显著下降(P＜0.05),睡眠质量和自我效能感显著提高(P＜0.05).结论 团体认知行为干预可以有效改善高血压患者的心理健康水平.
Abstract
Objective To explore the effects of group cognitive behavioral interventions on improving the mental health of community-dwelling hypertensive patients.Methods Eighty-four hypertensive patients were randomly assigned to the control group or the observation group.The control group,consisting of 37 individuals,received standard health education and routine care;the observation group,consisting of 47 individuals,received 8 weeks of group cognitive be-havioral therapy in addition to routine care.The primary outcome measures included scores from the Patient Health Ques-tionnaire Depression Scale,the Generalized Anxiety Disorder Scale,the Pittsburgh Sleep Quality Index,and the Self-Efficacy for Managing Chronic Disease Scale.Results After the group cognitive behavioral intervention,the 47 patients in the observation group exhibited significant reductions in levels of depression and anxiety(P＜0.05),and significant improvements in sleep quality and self-efficacy(P＜0.05),compared to the control group.Conclusion Group cognitive behavioral interventions can effectively improve the mental health of patients with hypertension.
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