治疗原发性高血压的心理方法

Pub Date : 2021-01-25 DOI:10.5603/AH.A2021.0002
Paweł Larionow
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引用次数: 1

摘要

背景。本文介绍了高血压患者治疗中最常用的心理支持方法的研究结果,包括放松和冥想技术、正念训练、音乐疗法、瑜伽、芳香疗法和生物反馈技术。选择的心理方面,坚持抗高血压治疗进行审查。提出了在高血压治疗中人格导向咨询和心理治疗的一些注意事项。材料和方法。在搜索高质量研究时,主要使用PubMed和EBSCO数据库,以及Elsevier、Hindawi和American Psychological Association等出版商的期刊。结果。由于缺乏对干预的长期效果的评估,以及研究对象的复杂性,对高血压治疗中心理支持方法的研究大多存在争议。最有说服力的是使用基于心理自我调节技能发展的个人选择方法(雅各布森放松技术、冥想、生物反馈疗法和正念训练)。音乐疗法、瑜伽和芳香疗法对参与降压治疗的患者也有帮助。使用心理帮助的方法时,应考虑到限制和禁忌症,并采取一些预防措施。为了提高降压治疗的有效性,建议为高血压患者开展健康和教育方案,并为保健工作者举办沟通技巧的短期培训班。结论。负责任地使用个人选择的辅助治疗心理方法可以帮助人们与动脉高血压。
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Psychological methods in treatment of essential hypertension
Background. The article presents the results of research into the most commonly used methods of psychological support in the treatment of hypertensive patients, including relaxation and meditation techniques, mindfulness training, music therapy, yoga, aromatherapy and biofeedback techniques. Selected psychological aspects of adherence to the antihypertensive treatment are reviewed. Some notes about personality-oriented counselling and psychotherapy in the treatment of hypertension are raised. Material and methods. In the search for high quality studies, mainly PubMed and EBSCO databases were used, and the journals of such publishers as Elsevier, Hindawi and the American Psychological Association. Results. Studies on methods of psychological support in hypertensive treatment are mostly controversial due to the lack of assessment of the long-term effects of the intervention, and the complexity of the subject of the study. The most convincing is to use individually selected methods based on the development of mental self-regulation skills (Jacobson’s relaxation technique, meditation, biofeedback therapy and mindfulness training). Music therapy, yoga and aromatherapy can also be helpful for patients involved in antihypertensive treatment. Using methods of psychological help, one should take into account restrictions and contraindications, as well as take some precautions. In order to increase the effectiveness of the antihypertensive therapy, it is proposed to conduct health and educational programmes for hypertensive patients, as well as short training courses on communication skills for health care workers. Conclusion. Responsible use of individually selected assistive treatment psychological methods can be helpful for people with arterial hypertension.
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