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目的:探讨心身整合行为技术对社区高血压病患者的干预效果和作用机理。方法:在赤岗街道选取三个社区,其中两个社区开展心身整合干预为观察组,一个社区不做任何干预为对照组,干预10周后测定评估血压、超敏C反应蛋白、肿瘤坏死因子-α等指标。结果:观察组20例,对照组11例,观察组干预后较干预前收缩压(SBP)与舒张压(DBP)均降低,差异有统计学意义(P<0.05)。干预后观察组较对照组SBP与DBP均降低,差异有统计学意义(P<0.05)。干预后观察组的超敏C反应蛋白较对照组降低,差异有统计学意义(P<0.05),干预后观察组的肿瘤坏死因子-α较对照组降低,但差异无统计学意义(P>0.05)。结论:10周的心身整合行为干预对于社区高血压有一定的改善作用,且可能通过降低超敏C反应蛋白等炎性因子而发挥作用。
Objective: To investigate the intervention effect and mechanism of psychosomatic integration technique on community-based hypertensive patients. Methods: Three communities were selected in Chigang street. Two of the communities participated in the integration of psychosomatic intervention as the observation group. One community did not make any intervention as the control group. After intervention for 10 weeks, the blood pressure, high sensitivity C-reactive protein, tumor necrosis factor -α and other indicators. Results: There were 20 cases in the observation group and 11 cases in the control group. The SBP and DBP in the observation group were significantly lower than those in the observation group after intervention (P <0.05). After intervention, SBP and DBP in observation group were lower than those in control group, the difference was statistically significant (P <0.05). After intervention, the Hs-CRP in the observation group was lower than that in the control group (P <0.05). After the intervention, the tumor necrosis factor-α in the observation group was lower than that in the control group (P < 0.05). CONCLUSION: The 10-week intervention of psychosomatic integration has some effect on the improvement of community hypertension and may play its role by reducing the inflammatory factors such as hypersensitive C-reactive protein.