摘要
目的 探究《黄帝内经》阴阳五行思想应用于老年高血压患者中的效果及对血压控制、自我效能感的影响。方法 选取2024年1—10月于南京市高淳中医院就诊的76例老年高血压患者为研究对象,根据随机数字表法将其划分为对照组(n=38)和试验组(n=38)。对照组实施常规高血压患者三级管理模式干预,试验组采用《黄帝内经》阴阳五行思想实施干预,观察两组干预前及干预后30 d血压控制情况、自我效能感评分、自我管理能力评分。结果 干预后30 d,两组DBP和SBP均下降(P<0.05),且试验组低于对照组(P<0.05);两组症状管理、疾病通用管理评分及自我效能感总分均上升(P<0.05),且试验组高于对照组(P<0.05);两组自我管理能力各项评分均升高(P<0.05),且试验组高于对照组(P<0.05)。结论 《黄帝内经》中的阴阳五行思想通过调节阴阳平衡、改善生活方式、调整心理状态等多种途径,有效改善了患者的血压状况,并提升了其自我效能感水平和自我管理能力。
Objective To explore the effect of applying the Yin-Yang and the Five Elements Thought in the Yellow Emperor's Canon of Internal Medicine to elderly patients with hypertension,as well as its impact on blood pressure control and self-efficacy.Methods 76 elderly patients with hypertension who visited Nanjing Gaochun Hospital of Traditional Chinese Medicine from January to October of 2024 were selected as the research subjects.They were randomly divided into a control group(n=38)and an experimental group(n=38)by a random number table method.The control group received a three-level management model intervention for patients with conventional hypertension,while the experimental group received intervention of Yin-Yang and the Five Elements Thought from the Yellow Emperor's Canon of Internal Medicine.The blood pressure control,self-efficacy score,and self-management ability score were observed before and 30 days after the intervention in both groups.Results After 30 days of intervention,DBP and SBP in both groups decreased(P<0.05),and the experimental group were lower than the control group(P<0.05).The total scores of symptom management,general disease management,and self-efficacy in both groups are increased(P<0.05),and the experimental group were higher than the control group(P<0.05).The scores of self-management ability in both groups increased significantly(P<0.05),and the experimental group was higher than the control group(P<0.05).Conclusion The Yin-Yang and the Five Elements Thought in the Yellow Emperor's Canon of Internal Medicine effectively improve patients'blood pressure status and enhance their self-efficacy and self-management abilities through various means such as regulating Yin-Yang balance,improving lifestyle,and adjusting psychological states.
作者
马秀荣
杨菲菲
MA Xiurong;YANG Feifei(Nanjing Gaochun Hospital of Traditional Chinese Medicine,Nanjing City,Jiangsu Province,China211300)
出处
《卫生职业教育》
2026年第4期105-108,共4页
HEALTH VOCATIONAL EDUCATION
关键词
阴阳五行思想
老年高血压
血压控制
自我效能感
Yin-Yang and Five Elements Thought
Elderly hypertension
Blood pressure control
Self-efficacy
