社区老年轻中度高血压患者冥想干预效果研究

摘要

目的 探讨冥想干预对社区老年轻中度高血压患者血压水平的影响,分析其可能的发生机制.方法 选择2011年4-9月在南通市某街道卫生服务中心就诊的高血压患者80例,随机分为实验组(n=38)与对照组(n=42),分别进行为期8周的冥想与健康教育讲座.两组分别于干预前和每周一下午0.5 h的干预结束后测量血压.实验组与对照组分别在干预前后进行焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分,同时检测肾上腺素与去甲肾上腺素的水平.结果 实验组干预后各个时间点的收缩压与舒张压均低于对照组,差异有统计学意义(P＜0.05).干预后,实验组SAS得分与干预前比较,差异均有统计学意义(P＜0.01);干预后实验组SAS得分低于对照组,差异有统计学意义(P＜0.01);两组干预后SDS得分间差异无统计学意义(P＞0.05).干预后,实验组的肾上腺素与去甲肾上腺素水平低于干预前,差异均有统计学意义(P＜0.05).实验组干预后的肾上腺素和去甲肾上腺素水平均低于对照组,差异有统计学意义(P＜0.05).结论 冥想干预对降低社区老年轻、中度高血压患者血压水平有效,这可能与其能降低焦虑、肾上腺素以及去甲肾上腺素水平有关.%Objective To explore the effect of meditation intervention on blood pressure ( BP ) in elderly patients with mild or moderate hypertension in communities.Methods A total of 80 hypertension patients visiting a certain community health service center from April to September 2011 were divided randomly into groups experiment ( n = 38 ) and control ( n = 42 ).Group experiment were given mediation intervention, control group given health education lectures.BP was determined before intervention and after 0.5 - hour intervention in the afternoon every Monday.Self - rating anxiety scale ( SAS ) and self - rating depression scale ( SDS ) were performed and epinephrine, norepinephrine levels detected before and after intervention.Results The systolic pressure and diastolic pressure at every time point were lower in experiment group than in control group after intervention , the difference was significant ( P < 0.05 ).In experiment group there was difference in SAS between pre - and post - intervention ( P <0.01 ), SAS was lower in experiment group than in control group after intervention ( P <0.01 ), and there was not difference in SDS ( P >0.05 ).In experiment group epinephrine and norepinephrine levels were lower after intervention than before ( P <0.05 ), and lower in experiment group than in control group, the difference was significant ( P <0.05 ).Conclusion Meditation intervention is effective for BP of elderly mild or moderate hypertensive patients, which may related to its ability to reduce depression, epinephrine and norepinephrine levels.