摘要
目的探讨回授法饮食管理联合认知行为干预在定期体检老年冠心病合并高血压患者中的应用效果。方法选取在本院定期体检的老年冠心病合并高血压患者92例,选取时间为2022年5月—2023年10月,根据信封法分为试验组和参照组,参照组采用常规护理干预措施,试验组给予回授法饮食管理联合认知行为干预,比较两组患者干预前后心功能、血压、营养状况指标。结果干预后试验组患者LVEF水平高于参照组,LVESD和LVEDD水平低于参照组(P<0.05)。干预后试验组患者舒张压和收缩压水平均低于参照组(P<0.05)。干预后试验组患者ALB和PA水平均高于参照组(P<0.05)。结论回授法饮食管理联合认知行为干预可改善定期体检老年冠心病合并高血压患者心功能和血压水平,改善营养状况,值得进一步推广应用。
Objective To explore the application effect of feedback diet management combined with cognitive behavior intervention in elderly patients with coronary heart disease combined with hypertension during regular physical examination.Methods Ninety-two elderly patients with coronary heart disease combined with hypertension who underwent regular physical examination in our hospital from May 2022 to October 2023 were selected and divided into experimental group and reference group.The reference group was given routine nursing intervention measures,and the experimental group was given feedback diet management combined with cognitive behavioral intervention.The indexes of cardiac function,blood pressure and nutritional status of the two groups were compared before and after intervention.Results After the intervention,the LVEF level of experimental group was higher than that of the reference group,and the LVESD and LVEDD levels were lower than that of the reference group(P<0.05).After intervention,the diastolic blood pressure and systolic blood pressure levels of experimental group were lower than control group(P<0.05).After intervention,the levels of ALB and PA in experimental group were higher than those in reference group(P<0.05).Conclusion Feedback diet management combined with cognitive behavior intervention can improve the cardiac function and blood pressure of elderly patients with coronary heart disease combined with hypertension,improve nutritional status,and enhance cognitive function and daily living ability,which is worthy of further promotion and application.
作者
朱玉婷
ZHU Yuting(Physical Examination Center of the Second Affiliated Hospital of Nanhua University,Hengyang,Hunan 421001)
出处
《智慧健康》
2025年第15期163-166,共4页
Smart Healthcare
关键词
回授法饮食管理
认知行为干预
定期体检
冠心病合并高血压
应用效果
Feedback diet management
Cognitive behavior intervention
Regular medical check-ups
Coronary heart disease with hypertension
Application effect
