Application of transcutaneous electric nerve stimulation combined with cognitive behavior intervention in the elderly coronary disease patients with hypertension

Objective To explore the effects of transcutaneous electric nerve stimulation (TENS) combined with cognitive behavior intervention in the elderly coronary disease patients with hypertension. Methods From May 2017 to May 2019, we selected 90 elderly coronary disease patients with hypertension in the Second Affiliated Hospital of Harbin Medical University as subjects by convenience sampling. All of patients were divided into control group and observation group with the method of random number table, 45 cases in each group. Control group carried out cognitive behavior intervention, while observation group implemented the TENS combined with cognitive behavior intervention. We compared the angina pectoris symptom control, blood pressure control and the self-perceived burden with the Self-perceived Burden Scale (SPBS) of patients between two groups. Results After intervention, the effective rate of angina pectoris control of observation group was higher than that of control group with a statistical difference (P<0.05) ; the diastolic pressure and systolic pressure of observation group were lower than those of control group with statistical differences (P<0.05) ; the score of SPBS of patients in control group was higher than that in control group also with a statistical difference (P<0.001) . Conclusions TENS combined with cognitive behavior intervention for elderly coronary disease patients with hypertension contributes to angina pectoris symptom control and reducing the blood pressure as well as self-perceived burden. Key words: Aged; Transcutaneous electric nerve stimulation; Cognitive behavior intervention; Coronary disease; Self-perceived burden