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目的：观察心理干预对老年高血压患者血压及并发症的影响。方法将68例老年原发性高血压患者随机分为对照组和实验组，每组34例。对照组，给予常规高血压病护理；实验组，在常规护理的基础上，给予心理护理。随访2年，比较两组患者血压变化及高血压并发症的发生率。结果实验组收缩压和舒张压较对照组明显降低，差异有显著意义（P＜0.05）；实验组血肌酐升高、心律失常、脑卒中发生率显著低于对照组，差异有显著意义（P＜0.05）。结论准确的心理状态分析和针对性的护理干预，有助于老年高血压患者的血压控制，减少并发症的发生，提高患者的生活质量。“,”Objective To investigate impacts of psychosocial nursing on hypertension and complications in elderly patients with hypertension.Methods 68 cases of elderly patients with essential hypertension were randomly divided into two groups(control and experimental group) equally.Control group were given conventional hypertension care and the experimental group,on the basis of conventional nursing care,were given psychological nursing.Two groups of patients with blood pressure change and the incidence of hypertension complications were compared within 2 years of follow-up.Result Systolic and diastolic blood pressure in the experimental group were reduced signiifcantly and had a sig niifcant difference(P<0.05) as compared with control group.Besides,the incidence of increased serum creatinine, arrhythmia,and stroke in the experimental group was signiifcantly lower either,and had a significant difference(P<0.05).Conclusion Accurate analysis of the psychological state and corresponding nursing intervention contribute to control blood pressure in elderly patients with hypertension, reduce the complications,and improve life quality of the patients.