Journal of International Psychiatry

【Abstract】 Objective To observe the concept of companion for elderly hypertensive patients with depression. Methods 96 patients with hypertension and depression were randomly divided into intervention group and control group according to random number table method, 48 cases in both group. The control group was treated with routine care. The intervention group was integrated into the companion concept on the basis of the control group. The systolic blood pressure (SBP), diastolic blood pressure (DBP), depression self-rating scale (SDS) score and NOSIE score were observed before intervention, intervening for 4 weeks, intervening for 8 weeks in the two groups were compared. Results There was no significant difference in SBP, DBP, SDS scores and NOSIE scores before treatment between the two groups (P>0.05). The SBP and DBP of the two groups after 4 weeks and 8 weeks of intervention were significantly lower than those before intervention (P<0.001). The SBP and DBP in the intervention group after 4 weeks and 8 weeks of intervention were lower than theose in the control group (P<0.001). The SDS scores in intervention group were significantly decreased after 4 weeks and 8 weeks of intervention (P<0.001), while the NOSIE score were significantly increased (P<0.001). There was no significant change in the control group (P>0.05). The SDS scores in the intervention group after 4 weeks and 8 weeks of intervention were lower than those in the control group (P<0.001), and the NOSIE score was higher than those in the control group (P<0.001). Conclusion Companion concept for high blood pressure with depression patients can provide a good emotional experience, relieve depression, while strengthening the antihypertensive effect, it is worth promoting.

【Keywords】Elderly hypertension, Depression, Companion concept, Nosocomial emotion, Blood pressure control