Title: Elderly patients with hypertension clinical study of psychological intervention ABSTRACT Objective：Observation of nurses after the implementation of psychological interventions in elderly patients with hypertension antihypertensive effect of． Methods：From January 2007 to April 2009 in my inpatient treatment of 106 cases of elderly patients with hypertension. Inclusion criteria: ① the clinical diagnosis hypertension (1999 WHO / International Society of Hypertension of new diagnostic criteria for hypertension are: Before taking the case of anti-hypertensive drugs, systolic blood pressure> 140 mmHg and (or) diastolic blood pressure > 90 mmHg namely, high blood pressure), to exclude secondary hypertension, severe hepatic and renal dysfunction; ② are given the same category (AECI class) antihypertensive drug treatment; ③ aged 60 or over patients. Patients were randomly divided into two groups to observe the group of 56 cases of the same drug treatment and then under the joint psychological intervention in the control group of 50 patients do not take psychological intervention, the two groups in gender, age, duration, etc. There was no significant difference (P> 0105), comparable to the patients were randomly divided into two groups, under similar circumstances in the drug treatment, respectively intervention method (56 cases) and conventional method (50 cases) for care, the antihypertensive effect observed after 4 weeks． Results：From January 2007 to April 2009 in my inpatient treatment of 106 cases of elderly patients with hypertension. Inclusion criteria: ① the clinical diagnosis in the implementation of psychological interventions after 4 weeks were observed in blood pressure, observation of group total effective antihypertensive efficacy of 94.6%, effective in 28.6%, respectively, higher than 76% and 16%, The class rank and test data, P = 0.015, difference between the two groups was significant (P <0.05)． Conclusion：1. Particularities of psychological intervention in the elderly, a single model of psychological care for all patients is not able to work on different subsets of patients need to take a different psychological care. 2. Nurses, patients and their families with the right education, psychological counseling can get more with less effect. The effect of a direct impact on education, health patterns in patients with hypertension. And correct health beliefs are conducive to patient medication compliance. 3. By raising blood pressure effects of psychological interventions to change the patient's knowledge, attitudes, improve patient compliance, thereby improving hypertension treatment and control rates, reduce complications and improve patient quality of life, thereby enhancing blood pressure the clinical effect of combined treatment．
