摘要
目的观察帕罗西汀联合共情技术对不同年龄高血压合并焦虑抑郁患者身心状态的影响。方法选取高血压合并焦虑抑郁患者120例,根据年龄分为中青年组与老年组,每组60例。2组均采用帕罗西汀联合共情技术干预,比较2组治疗依从性、干预前后血压[收缩压(special boiling point,SBP)、舒张压(diastolic blood pressure,DBP)]、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密顿抑郁量表(Hamilton depression scale,HAMD)评分、共情能力、生活质量和满意度。结果中青年组的治疗总依从性(95.00%)与老年组(91.67%)比较差异无统计学意义(P>0.05);与干预前比较,干预后2组的SBP、DBP均显著降低(P<0.05),但组间比较差异无统计学意义(P>0.05);干预后2组的HAMA、HAMD评分均显著降低,且中青年组的HAMA、HAMD评分均低于老年组(P<0.05);干预后2组的共情能力、生活质量评分均显著升高,且中青年组的评分高于老年组(P<0.05);中青年组的满意度(93.33%)与老年组(86.67%)比较差异无统计学意义(P>0.05)。结论帕罗西汀联合共情技术应用于高血压合并焦虑抑郁患者,可促使患者积极配合治疗,有效控制血压,改善患者的焦虑抑郁情绪,提高患者的共情能力及生活质量,且患者满意度良好。中青年患者焦虑抑郁、共情能力及生活质量的改善情况优于老年患者。
Objective To observe the influence of paroxetine combined with empathy technique on the physical and mental health of hypertensive patients with anxiety and depression at different ages.Methods 120 patients with hypertension complicated with anxiety and depression in the hospital were divided into middle-aged and young group(n=60)and elderly group(n=60).The both groups were intervened with paroxetine combined with empathy technology.The treatment compliance,blood pressure(SBP,DBP),Hamilton anxiety scale(HAMA)level,Hamilton depression scale(HAMD)level,empathy ability,quality of life,and satisfaction before and after intervention were compared between the 2 groups.Results There was no statistically significant difference in the treatment compliance of 95.00%in the young and middle-aged group compared with 91.67%in the elderly group(P>0.05).Compared with before intervention,the SBP and DBP levels of the 2 groups were significantly reduced after intervention(P<0.05),but there was no significant difference between the groups after intervention(P>0.05).Compared with before intervention,the HAMA and HAMD scores of the 2 groups were significantly reduced after intervention,and the HAMA and HAMD scores of the young and middle-aged group were lower than those of the elderly group(P<0.05).Compared with before intervention,the empathy ability and quality of life scores of the 2 groups were significantly increased after intervention,and the empathy ability and quality of life scores of the young and middle-aged group were higher than those of the elderly group(P<0.05).Comparing 93.33%of nursing satisfaction in the young and middle-aged group with 86.67%in the elderly group,the difference was not statistically significant(P>0.05).Conclusion The empathy technique combined with paroxetine in patients with hypertension combined with anxiety and depression can promote the patients to actively cooperate with the treatment,effectively control the blood pressure level,improve the patients’anxiety and depression mood,improve the patients’empathy ability and quality of life,and the patient’s nursing satisfaction is good.The improvement of anxiety and depression,empathy and quality of life in young and middle-aged patients is better than that of elderly patients.
作者
王敏
罗彩东
戴闽
施剑
黄莉莉
WANG Min;LUO Caidong;DAI Min;SHI Jian;HUANG Lili(Department of Cardiology,Mianyang Central Hospital,Mianyang 621000,China;Department of Neurology,Mianyang Central Hospital,Mianyang 621000,China)
出处
《西北药学杂志》
CAS
2024年第4期166-170,共5页
Northwest Pharmaceutical Journal
基金
四川省医学会高血压疾病(施慧达)专项科研课题(编号:2017SHD018)。
关键词
帕罗西汀
共情技术
高血压
不同年龄
焦虑
抑郁
paroxetine
empathy technique
hypertension
different ages
anxiety
depression
