摘要
目的 分析基于动态血压监测的认知行为疗法用于老年高血压护理的价值。方法 对2020年5月-2021年10月本科接诊老年高血压病人（n=82）进行随机分组，试验和对照组各41人，前者采取基于动态血压监测的认知行为疗法，后者行常规护理。对比依从性等指标。结果 关于依从性，试验组的数据97.56%，和对照组82.93%相比更高（P＜0.05）。关于收缩压和舒张压，在干预结束之时：试验组的数据分别是（121.35±6.97）mmHg、（82.53±3.62）mmHg，和对照组（135.42±8.31）mmHg、（87.59±5.31）mmHg相比更低（P＜0.05）。结论 老年高血压护理用基于动态血压监测的认知行为疗法，依从性提升更为迅速，血压改善更加明显。
关键词： 高血压；动态血压监测；护理；认知行为
Abstract
Objective: To analyze the value of cognitive behavioral therapy based on amBUlate blood pressure monitoring for elderly hypertension nursing. Methods: From May 2020 to October 2021, elderly patients with hypertension (n=82) were randomly divided into two groups: 41 patients in the trial and 41 in the control group. The former received cognitive behavioral therapy based on amBUlate monitoring, and the latter received routine nursing. Compliance and other indicators were compared. Results: Regarding compliance, the data of the experimental group was 97.56%, which was higher than that of the control group (82.93%) (P < 0.05). As for systolic and diastolic blood pressure, at the end of intervention, the data of the experimental group were (121.35±6.97) mmHg and (82.53±3.62) mmHg, respectively, which were lower than those of the control group (135.42±8.31) mmHg and (87.59±5.31) mmHg (P < 0.05). Conclusion : Cognitive behavioral therapy based on amBUlatory blood pressure monitoring can improve compliance more quickly and improve blood pressure more obviously.
Key words： Hypertension; Ambulatory Blood Pressure Monitoring; Nursing; Cognitive Behavior
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