Basler H D, Baumann H, Beckers H H, Bergdolt H, Deschner W, Ebschner K J, Hasper M, Kies H K, Nüssel E, Wenzel G
Institut für Medizinische Psychologie, Philipps-Universität Marburg.
Soz Praventivmed. 1988;33(1):46-50. doi: 10.1007/BF02084006.
The programme "Discussions on Hypertension" is a programme for group treatment of obese essential hypertensives in medical practices on the basis of behavioural therapy. A co-operation model was developed between the Department for General Medicine of the "Medizinische Hochschule Hannover", the Institute for Medical Psychology of the "Philipps-Universität Marburg" and the company Galenus Mannheim and was offered to doctors in general practice. The effects of the programme on the modifying of the risk profile for coronary heart disease was investigated in a controlled study in 137 patients by nine general practitioners. 81 patients were enrolled in the experimental group and 56 patients were assigned to a control group that was not using the programme. The experimental and control groups were comparable with respect to sociodemographic, psychological and medical parameters. Three months after completing the programme, the results of the study was shown in specific effect both on the psychological criteria of success (well-being, health knowledge, healthy behaviour, salt use and compliance) and in a reduction of the diastolic blood pressure in spite of a reduction of the antihypertensive drug treatment. The blood lipid levels (cholesterol and triglycerides) and the blood glucose level were also favourably affected. Patients in the experimental group had reduced their weight by an average of 5.6 kg. The patients in the control group only by 0.8 kg. Overall, there was a marked reduction in the proportion of patients with several risk factors in the experimental group, so that the programme can be attributed a preventive effect.
“高血压讨论”项目是一个基于行为疗法在医疗实践中对肥胖原发性高血压患者进行集体治疗的项目。汉诺威医学院普通医学部、马尔堡菲利普斯大学医学心理学研究所和盖伦努斯曼海姆公司共同开发了一种合作模式，并提供给普通科医生。9名普通科医生对137名患者进行了一项对照研究，以调查该项目对改善冠心病风险状况的效果。81名患者被纳入实验组，56名患者被分配到未使用该项目的对照组。实验组和对照组在社会人口统计学、心理和医学参数方面具有可比性。项目完成三个月后，研究结果表明，该项目在成功的心理标准（幸福感、健康知识、健康行为、盐摄入和依从性）方面产生了特定效果，并且尽管减少了降压药物治疗，但舒张压仍有所降低。血脂水平（胆固醇和甘油三酯）和血糖水平也受到了有利影响。实验组患者平均体重减轻了5.6千克。对照组患者仅减轻了0.8千克。总体而言，实验组中具有多种风险因素的患者比例显著降低，因此该项目可被认为具有预防作用。
