PAC心理弹性理论模型联合运动康复训练对老年原发性高血压患者的影响

Effect of PAC Psychological Resilience Theoretical Model Combined with Exercise Rehabilitation Training on Elderly Patients with Essential Hypertension

目的:探讨PAC心理弹性理论模型联合运动康复训练对老年原发性高血压患者的影响。方法:选取2022年1月—2023年1月于厦门大学附属第一医院就诊的98例老年原发性高血压患者,利用掷硬币法分为研究组与对照组,各49例。对照组采用常规健康教育,研究组在常规健康教育基础上给予PAC心理弹性理论模型联合运动康复训练。评价两组干预前后的血压水平、治疗依从性、心理状态、知觉压力和生活质量。结果:干预前,两组血压水平、心理状态和知觉压力及生活质量比较,差异无统计学意义(P>0.05);干预后,研究组血压水平、心理状态评分和知觉压力评分低于对照组,治疗依从性总分和生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:PAC心理弹性理论模型联合运动康复训练可降低老年原发性高血压患者的血压水平和知觉压力,调节心理状态,提高治疗依从性和生活质量。

Objective:To explore the influence of PAC psychological resilience theoretical model combined with exercise rehabilitation training on elderly patients with essential hypertension.Method:A total of 98 elderly patients with essential hypertension treated in the First Affiliated Hospital of Xiamen University from January 2022 to January 2023 were selected and divided into study group and control group by coin toss method,with 49 cases in each group.The control group was treated with routine health education,the study group was given PAC psychological resilience theoretical model combined with exercise rehabilitation training on the basis of routine health education.Blood pressure level,treatment compliance,mental state,perceived stress and quality of life were evaluated of two groups before and after intervention.Result:Before intervention,there were no significant differences in blood pressure level,mental state,perceived pressure and quality of life between two groups(P>0.05);after intervention,the blood pressure level,mental state score and perceived pressure score of the study group were lower than those of the control group,and the total compliance score and quality of life score were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:PAC psychological resilience theoretical model combined with exercise rehabilitation training can reduce the blood pressure level and perceived pressure of elderly patients with essential hypertension,regulate the mental state,and improve the treatment compliance and quality of life.