Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1897-1900
YANG Tao, QIU Zhong-min, HUANG Lei, ZHOU Rong, YU Min-jie, TENG Bin, XU Dan-dan, SHAO Dan-dan, WANG Chao-xin. The influence of family doctors' intensive psychological counseling on the anxiety and depression of patients with essential hypertension contracted by '1+1+1' in the community[J]. Chinese Journal of General Practice, 2022, 20(11): 1897-1900. doi: 10.16766/j.cnki.issn.1674-4152.002730
Citation: YANG Tao, QIU Zhong-min, HUANG Lei, ZHOU Rong, YU Min-jie, TENG Bin, XU Dan-dan, SHAO Dan-dan, WANG Chao-xin. The influence of family doctors' intensive psychological counseling on the anxiety and depression of patients with essential hypertension contracted by "1+1+1" in the community[J]. Chinese Journal of General Practice, 2022, 20(11): 1897-1900. doi: 10.16766/j.cnki.issn.1674-4152.002730
shu

The influence of family doctors' intensive psychological counseling on the anxiety and depression of patients with essential hypertension contracted by "1+1+1" in the community

doi: 10.16766/j.cnki.issn.1674-4152.002730
  • 1.

    Tongji University School of Medicine, Shanghai 200438, China

Funds:

 沪卫计人事[2019]72号

 HKW201932

  • Received Date: 2021-06-03
    Available Online: 2022-12-30
    Abstract
  •   Objective  To explore the effect of family doctors' intensive psychological intervention on anxiety and depression of patients with essential hypertension contracted by "1+1+1" in the community.  Methods  A total of 116 patients with essential hypertension with anxiety and depression who received the "1+1+1" community contract service from February 2018 to February 2020 were divided into control group (58 cases) and observation group (58 cases) according to the random number table method. The control group was given routine intervention by family doctors, while the observation group was given intensive psychological counseling intervention by family doctors. The symptom checklist 90 (SCL-90), Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD), and social support revalued scale (SSRS) were used to compare the anxiety and depression of the two groups of patients before the intervention and the 6th and 12th months after the intervention, and the changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the two groups were observed.  Results  With the extension of time after the intervention, the scores of the SCL-90, HAMD and HAMA of the two groups decreased, and the observation group was always lower than the control group (all P < 0.05), the scores of the two groups of SSRS increased, and the observation group was always higher than the control group (all P < 0.05). With the extension of the intervention time, SBP and DBP of the two groups decreased, and the decrease in the observation group was more obvious than that in the control group (all P < 0.05).  Conclusion  Family doctors' intensive psychological counseling for patients with essential hypertension contracted by the community "1+1+1" can help control their blood pressure level, and improve their anxiety and depression, improve the quality of life, which has a high clinical value.

     

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    • References(17)
  • [1]
    GARJÓN J, SAIZ L C, AZPARREN A, et al. First-line combination therapy versus first-line monotherapy for primary hypertension[J]. Cochrane Database Syst Rev, 2020, 2(2): CD010316. DOI: 10.1002/14651858.CD010316.
    [2]
    ITO S, ITOH H, RAKUGI H, et al. Double-blind randomized phase 3 study comparing esaxerenone (CS-3150) and eplerenone in patients with essential hypertension (ESAX-HTN Study)[J]. Hypertension, 2020, 75(1): 51-58. doi: 10.1161/HYPERTENSIONAHA.119.13569
    [3]
    ZHANG H L, JIANG X M, DA H X, et al. Effect of comprehensive psychosomatic promotion in hypertension patients with anxiety and depression based on community: A randomized parallel controlled trial[J]. Medicine (Baltimore), 2020, 99(33): e21451. DOI: 10.1097/MD.0000000000021451.
    [4]
    RANJAN R, NATH S, SARKAR S. Association between depression, anxiety and quality of life among patients with diabetes mellitus and/or hypertension in a tertiary care railway hospital in India: A cross-sectional study[J]. Indian J Psychiatry, 2020, 62(5): 555-558. doi: 10.4103/psychiatry.IndianJPsychiatry_794_19
    [5]
    《中国高血压防治指南》修订委员会. 中国高血压防治指南2018年修订版[J]. 心脑血管病防治, 2019, 19(1): 1-44. doi: 10.3969/j.issn.1009-816X.2019.01.001

    Revision Committee of Chinese Guidelines on Hypertension Prevention and Treatment. The 2018 Revision of the Chinese Guidelines for Hypertension Prevention and Treatment[J]. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 2019, 19(1): 1-44. doi: 10.3969/j.issn.1009-816X.2019.01.001
    [6]
    陈艳珍. 2013—2016年金华市中心医院轻度妊娠期高血压患者心理健康状况及影响因素调查[J]. 中国妇幼保健, 2018, 33(5): 1134-1138. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201805059.htm

    CHEN Y Z. Investigation on mental health status and influencing factors of patients with mild hypertension during pregnancy in Jinhua Central Hospital from 2013 to 2016[J]. Maternal and Child Health Care of China, 2018, 33(5): 1134-1138. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201805059.htm
    [7]
    顾芬, 李玉梅, 侯黎莉. 轻度肺高血压住院患者焦虑状况及影响因素分析[J]. 护理学报, 2016, 23(4): 18-21. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201604007.htm

    GU F, LI Y M, HOU L L. Current status of anxiety of mild pulmonary hypertension inpatients and its influence factors[J]. Journal of Nursing, 2016, 23(4): 18-21. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201604007.htm
    [8]
    张蓉华, 何玉蓉, 杨晓华, 等. 高血压脑出血后抑郁患者的心理支持护理效果观察[J]. 国际精神病学杂志, 2017, 44(1): 151-154. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201701044.htm

    ZHANG R H, HE Y R, YANG X H, et al. The effect of psychological support nursing strategies to patients with depression after hypertensive cerebral hemorrhage[J]. Journal of International Psychiatry, 2017, 44(1): 151-154. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201701044.htm
    [9]
    王春燕, 张学平. 焦点解决模式对老年焦虑障碍共病高血压患者的心理护理作用[J]. 中华全科医学, 2020, 18(10): 1779-1782. doi: 10.16766/j.cnki.issn.1674-4152.001617

    WANG C Y, ZHANG X P. Psychological nursing effect of the solution-focused model on elderly patients with hypertension and generalized anxiety disorder[J]. Chinese Journal of General Practice, 2020, 18(10): 1779-1782. doi: 10.16766/j.cnki.issn.1674-4152.001617
    [10]
    中国老年医学学会高血压分会, 国家老年疾病临床医学研究中心中国老年心血管病防治联盟. 中国老年高血压管理指南2019[J]. 中国心血管杂志, 2019, 24(1): 1-23. doi: 10.3969/j.issn.1007-5410.2019.01.001

    Hypertension Branch of Chinese Geriatrics Society, National Clinical Research Center for Geriatric Diseases - Chinese Alliance of Geriatric Cardiovascular Disease. 2019 Chinese guidelines for the management of hypertension in the elderly[J]. Chinese Journal of Cardiovascular Medicine, 2019, 24(1): 1-23. doi: 10.3969/j.issn.1007-5410.2019.01.001
    [11]
    王静, 孙彦豹, 刘艳成, 等. 老年高血压合并腔隙性脑梗死患者发生焦虑抑郁的因素分析[J]. 河北医学, 2019, 25(7): 1177-1182. doi: 10.3969/j.issn.1006-6233.2019.07.033

    WANG J, SUN Y B, LIU Y C, et al. Analysis of Anxiety and Depression in Elderly Patients with Hypertension Complicated with Lacunar Infarction[J]. Hebei Medicine, 2019, 25(7): 1177-1182. doi: 10.3969/j.issn.1006-6233.2019.07.033
    [12]
    BRUNO R M, MASI S, TADDEI M, et al. Essential hypertension and functional microvascular ageing[J]. High Blood Press Cardiovasc Prev, 2018, 25(1): 35-40. doi: 10.1007/s40292-017-0245-9
    [13]
    刘晓云, 黄晓琴. 原发性高血压与焦虑情绪的相关性研究[J]. 实用老年医学, 2017, 31(4): 477-480. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA201704023.htm

    LIU X Y, HUANG X Q. Study on relationship between primary hypertension and anxiety[J]. Practical Geriatrics, 2017, 31(4): 477-480. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA201704023.htm
    [14]
    孙兰, 叶为民, 易强, 等. 家庭医生制度下社区高血压患者血压控制现状及影响因素分析[J]. 中华全科医学, 2017, 15(9): 1536-1538. doi: 10.16766/j.cnki.issn.1674-4152.2017.09.026

    SUN, YE W M, YI Q, et al. The status and influencing factors of hypertension control under the family doctor system[J]. Chinese Journal of General Practice, 2017, 15(9): 1536-1538. doi: 10.16766/j.cnki.issn.1674-4152.2017.09.026
    [15]
    朱国利. 家庭医生签约服务在老年高血压患者社区护理管理中的应用效果评价[J]. 中国急救医学, 2018, 38(2): 201. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202104085.htm

    ZHU G L. Application effect evaluation of family physician contract service in community nursing management of elderly patients with hypertension[J]. Chinese Journal of Critical Care Medicine, 2018, 38(2): 201. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202104085.htm
    [16]
    邱菊香, 张月娟. 家庭护理模式对高血压脑出血患者服药依从性、负性情绪及生活质量的影响[J]. 实用心脑肺血管病杂志, 2018, 26(1): 151-153. https://www.cnki.com.cn/Article/CJFDTOTAL-SYXL201801046.htm

    QIU J X, ZHANG Y J. Effects of family nursing mode on medication compliance, negative mood and quality of life in patients with hypertensive cerebral hemorrhage[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2018, 26(1): 151-153. https://www.cnki.com.cn/Article/CJFDTOTAL-SYXL201801046.htm
    [17]
    丁育钧. 早期抗焦虑抑郁治疗对伴焦虑抑郁情绪的老年原发性高血压病人动态血压及心率变异性的影响[J]. 实用老年医学, 2019, 33(1): 56-58. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA201901017.htm

    DING Y J. Effect of early anti-anxiety and depression therapy on ambulatory blood pressure and heart rate variability in elderly patients with essential hypertension with anxiety and depression[J]. Practical Geriatrics, 2019, 33(1): 56-58. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA201901017.htm
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