Psychocardiacology In The Treatment Of Hypertension

Objective:Common disease of cardiovascular disease, hypertension and coronary heart disease in the majority, and hypertension is a serious risk factor for coronary heart disease, stroke,heart failure, chronic kidney disease and other diseases. Our country has a higher hypertension prevalence rate.Every year, there are more than 3 million people get death from cardiovascular events caused by high blood pressure. However, with the change of social science and technology progress, the pace and the way of life, people’s social role of complex, leading to a growing number of psychological barriers.Studies have shown that the psychological problem has is the one of four biggest diseases in the world.It is expected the psychological disorder diseases will become a greatest burden of the society by 2020 [1]. With the emergence of these problems,the physical and mental diseases get more and more understanding in the clinical work, and these also promote the development of new medical model--- bio- psycho- social medical model. It is found that the majority of hypertensive patients with anxiety, depression. The negative psychological state has negative effect on hypertension, can increase the risk of coronary heart disease, stroke, heart failure and chronic kidney disease; and hypertension itself is also aggravate the patient’s psychological barrier, and the two form a vicious circle, go against the treatment of disease. This research focuses on the efficacy evaluation of hypertension patients with psychosomatic diseases such as anxiety, depression,and other psychosomatic diseases under the guidance of the " Psychocardiacology" model.To recognize the effect of the drug combined psychological for hypertension treatment and its prognosis.Methods:Select outpatient or hospitalization 102 patients from Shanxi cardiovascular hospital who have been diagnosed as hypertension with anxiety, depression,between the age of39-72 years old, grouped according to the order or willingness of patients,51 cases in each group.The general group had been given the traditional treatment of drug Losartan50 mg,once a day. Psychocardiacology group gave patients humanities concern,reasonable diet guidance, one-on-one instruction administration, cognitive behavioral normalization guidance except the same dose of losartan treatment. Blood pressure monitoring is given priority to ambulatory blood pressure and clinic blood pressure.Psychological assessment using GAD-7 scale and PHQ scale from Shanxi Provincial Cardiovascular Hospital.The evaluation of treatment of patients after continuous observation for at least 3 months.Results:The blood pressure were decreased after treatment in both groups.The psychocardiacology group drop in blood pressure is greater than the general group(p <0.05), and cholesterol, low density lipoprotein cholesterol(ldl-c) were also falling. The psychocardiacology group patients with varying degrees of anxiety, depression have been alleviated, quality of life was improved.Conclusions:1.The blood pressure of patients with hypertension can be controlled by traditional drug treatment. 2. The effect of blood pressure control in under the guidance of psychocardiacology medical model is significantly more than traditional drug treatment, inspired clinicians treat related diseases under the guidance of psychocardiacology.