八段锦对社区老年高血压患者负性情绪和自我效能的影响

Influence of Baduanjin on Negative Emoti on and Self-efficacy of Elderly Hypertensive Patients in Community

目的分析八段锦在社区老年高血压患者中的应用效果。方法便利选取2019年8月—2021年3月70例社区中的老年高血压患者,采用随机数字表法将研究对象分为观察组和对照组,各35例。对照组采用常规护理,观察组在对照组的基础上进行八段锦干预,分别在入组时和干预12周末观察患者的血压变化,并采用抑郁自评量表(SDS)、焦虑自评量表(SAS)对患者负性情绪进行评价,用一般自我效能量表(GSES)对患者的自我效能进行评价和观察。结果在干预12周后,观察组脱落2例(n=33),对照组脱落1例(n=34),观察组患者的SAS量表评分(42.00±3.00)分、收缩压和舒张压水平(139.00±5.00)、(91.00±2.50)mmHg均低于对照组(44.00±2.00)分、(144.00±4.00)mmHg、(93.00±2.25)mmHg,差异有统计学意义(t=3.220、4.527、3.444,P<0.05);观察组的GSES量表评分(28.00±2.50)分高于对照组(25.50±2.25)分,差异有统计学意义(t=4.305,P<0.05)。结论采用八段锦干预对社区老年高血压患者的焦虑情绪和血压水平均有改善作用,并能提高患者的自我效能。

Objective To analyze the application effect of Baduanjin in elderly hypertensive patients in community.Methods A total of 70 elderly hypertensive patients in the community from August 2019 to March 2021 were conveniently selected. The subjects were divided into observation group and control group with 35 cases each by random number table method. The control group received routine nursing care, and the observation group received Baduanjin intervention on the basis of the control group. The blood pressure changes of the patients were observed at the time of enrollment and at the end of the intervention 12 weeks, and the self-rating depression scale(SDS) and self-rating anxiety were used. The table(SAS) evaluates the patients’ negative emotions, and the general self-efficacy energy table(GSES) was used to evaluate and observe the patients’ self-efficacy. Results After 12 weeks of intervention, 2 cases fell of in the observation group(n=33), 1 case in the control group(n=34), SAS scale score(42.00±3.00) points, systolic and diastolic blood pressure levels(139.00 ±5.00) mm Hg,(91.00±2.50) mm Hg of the observation group were lower than the control group(44.00±2.00) points,(144.00 ±4.00) mm Hg,(93.00±2.25) mm Hg, and the difference was statistically significant(t=3.220, 4.527, 3.444, P<0.05). The GSES scale score(28.00±2.50) points of the observation group was higher than that of the control group(25.50 ±2.25) points, and the difference was statistically significant(t=4.305, P<0.05). Conclusion The use of Baduanjin intervention can improve the anxiety and blood pressure level of elderly hypertensive patients in the community, and can improve the self-efficacy of the patients.