摘要
目的通过比较动态血压监测结果,研究认知行为治疗(cognitive-behavioral therapy,CBT)在老年高血压患者护理中的应用效果。方法选取2019年8月至12月山东省青岛疗养院收治的老年高血压患者86例,采取随机对照方法,分为研究组和对照组,每组43例。对照组患者给予常规护理,研究组患者在常规护理基础上加用认知行为治疗干预,疗程为4周,在治疗开始和结束时对患者进行24 h动态血压监测,同时观察患者的服药依从性。结果研究组血压控制率为97.67%,对照组为76.74%。研究组服药依从性90.70%,对照组为60.47%。研究组血压控制率、服药依从性明显优于对照组。结论在老年高血压患者中应用认知行为治疗能显著提高患者服药依从性和血压控制率,从而有效减少靶器官的损害。
Objective To study the application effect of cognitive behavioral therapy in elderly patients with hypertension by comparing the results of ambulatory blood pressure monitoring.Methods A total of 86 elderly patients with hypertension admitted to Qingdao Sanatorium in Shandong Province from August to December 2019 were selected and divided into study group and control group by randomized control method,with 43 patients in each group.Patients in the control group were given routine nursing,and patients in the research group were given cognitive behavioral therapy intervention on the basis of routine nursing.The course of treatment was 4 weeks.24 h ambulatory blood pressure monitoring was performed at the beginning and end of treatment,and the medication compliance of patients was observed.Results The blood pressure control rate was 97.67%in the study group and 76.74%in the control group.The medication compliance of the study group was 90.70%and 60.47%of the control group.The blood pressure control rate and medication compliance of the study group were better than those of the control group.Conclusion Application of cognitive behavioral therapy in elderly patients with hypertension can significantly improve medication compliance and blood pressure control rate,thus effectively reducing the damage of target organs.
作者
顾盟盟
吴依晴
Gu Mengmeng;Wu Yiqing
出处
《中国疗养医学》
2021年第12期1297-1298,共2页
Chinese Journal of Convalescent Medicine
关键词
动态血压监测
认知行为治疗
老年高血压
护理
Ambulatory blood pressure monitoring
Cognitive behavioral therapy
Elderly hypertension
Nursing
