Title: The Influence of Emotional Interference on the effect of Hypertension Treatment
ABSTRACT
Background: Hypertension is one of the commonest cardiovascular system diseases, which is to seriously hurt people physically and mentally. Psychological and social elements are likely to matter at its beginning、 development and treatment. It may caused by genetic inheritance、metabolic orientaton、living habits and other emotional elements which mainly include anxiety and depression. Through systematic psychological nursing (making use of questionaire of common materials、psychological guidance and relaxation treatment,etc), the effect of hypertension treatment is observed, and it is speculated that anxiety and depression is one of the elements influencing the treatment of hypertension. Therefore, emphasis should be laid on the psychological treatment. It is suggested that the hypertension sufferers should be given effective psychological interference to reduce their blood pressure and improve their living quality. Objectives: To probe the relationship between the emotion of hypertension patients and the effect of its treatment Methods: Take 40 patients of primary hypertension with emotional disorder as the study objects. They were brought to hospital from June of 2005 to June of 2006, consisting of 24 men and 16 women sufferers with their ages ranging from 38 to 68. The shortest disease course lasts for 3 years and the longest 17 years. In this study group there are 4 critical hypertension and 1 acute hypertension, and the sufferers are made up of 15 old people, 12 farmers, 10 workers and 18 cadres, and with 2 illiterates, 3 graduating from primary school, 10 from junior secondary school, 15 from senior secondary school and 10 from colleges.The patients are excluded from secondary hypertension and serious complication of heart、 brain and kidney. They are divided into 2 groups at random: 20 cases in the contrast group and the experimental group respectively. The contrast group are given the routine hypertension treatment while the experimental group are additionally given systematical psychological nursing. The psychological check chart adopts SCL-90. The two groups are given 2 weeks’ treatment and the patients’ psychological behavior will be examined. Through the comparison of the psychological and physical index between the two groups, plus statistical method, the effects of hypertension treatment of the two groups are observed and compared. Results: Before treatment, SCL-90 of the two groups differs from that of healthy ones and the hypertension sufferers have emotional disorder, which mainly refers to anxiety while additional depression in some cases. After treatment, the SCL-90 level of anxiety and depression of the experimental group is obviously less than that of the contrast group（P〈0.01）.The effect of hypertension treatment of the experimental group is better than that of the contrast group（P〈0.01）. Conclusion: 1.The beginning、development and change of primary hypertension is obviously related with psychological conditions. The sufferers’ emotional disorder is mainly anxiety while some have both anxiety and depression, which has direct influence on hypertension treatment. 2.In In view of the emotional disorder, emphasis should be laid on the psychotherapeutics. The positive psychological behavior interference can help to improve the sufferers’ mental condition, to bring down their blood pressure and to upgrade their living quality. 3.Emotional interference has an obvious effect on the primary hypertension treatment.
