Effects of cognitive behavior intervention under the guidance of health ecology on mental state and health behavior of elderly patients with hypertension and coronary heart disease
Objective To observe the effects of cognitive behavior intervention under the guidance of health ecology on mental state and health behavior of elderly patients with hypertension and coronary heart disease.Methods The subjects were 212 elderly patients with hypertension and coronary heart disease who were treated in First Affiliated Hospital of Air Force Mili-tary Medical University from August 2020 to August 2023.They were divided into observation group and control group accord-ing to random number table method,with 106 cases in each group.The control group received routine nursing,and the obser-vation group received cognitive behavior intervention under the guidance of health ecology on the basis of the control group.The blood pressure,disease cognition,mental state and health behavior before and after intervention and the incidence of cardi-ovascular accidents within 6 months after discharge were compared between the two groups.Results After intervention,the systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group(all P＜0.05).The scores of disease pathogenesis,diet cognition,medical knowledge,exercise knowledge and daily life knowledge in the observation group were higher than those in the control group(P＜0.05).The scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(all P＜0.05).The health behavior scores of the observation group were higher than those of the control group(P＜0.05).The incidence of cardiovascular accidents in the observation group was lower than that in the control group(P＜0.05).Conclusion The cogni-tive behavior intervention under the guidance of health ecology can significantly improve the blood pressure level of elderly pa-tients with hypertension and coronary heart disease,improve their disease cognition level,significantly relieve anxiety and de-pression,improve health behavior level,and thereby reduce the incidence of cardiovascular accidents.It has certain clinical ap-plication value.
万方数据
维普
