摘要
目的探讨针对性护理干预对农村老年高血压患者的影响。方法选取2018年4月—2019年5月在攀枝花中西医结合医院诊治的农村老年高血压患者94例为研究对象。采用随机数字表法将其分为对照组和观察组,各47例。在接受相同治疗的基础上,对照组患者给予常规护理干预,观察组给予针对性护理干预。记录并比较两组干预前、后自我管理行为量表各维度得分及其总分,干预前、后舒张压、收缩压及并发症发生情况,干预前、后世界卫生组织生活质量测定量表简表(WHO-QOL-BREF)各维度得分及其总分。结果干预后,观察组饮食管理、用药管理、情绪管理、劳动与休息管理、病情监测、运动管理得分及自我管理行为量表总分高于对照组(P<0.05)。对照组、观察组干预后饮食管理、用药管理、情绪管理、劳动与休息管理、病情监测、运动管理得分及自我管理行为量表总分分别高于本组干预前(P<0.05)。干预后,观察组舒张压、收缩压低于对照组(P<0.05)。对照组、观察组干预后舒张压、收缩压分别低于本组干预前(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。干预后,观察组生理、心理、独立性、社会关系、环境、生活信念得分及WHO-QOL-BREF总分高于对照组(P<0.05)。观察组干预后生理、心理、独立性、社会关系、环境、生活信念得分及WHO-QOL-BREF总分低于本组干预前(P<0.05)。结论对农村老年高血压患者给予针对性护理干预,可有效提高患者自我管理行为能力、血压控制效果,降低并发症发生率,同时提高患者生活质量。
Objective To evaluate the effect of targeted nursing intervention on elderly patients with hypertension in rural areas.Methods A total of 94 elderly patients with hypertension in rural areas diagnosed and treated at the Panzhihua Integrated Traditional Chinese and Western Medicine Hospital from April 2018 to May 2019 were selected as the research subjects.The patients were randomly divided into control group and observation group,47 cases in each group.On the basis of the same treatment,the patients in the control group were given routine nursing intervention and the patients in the observation group were given targeted nursing intervention.The item scores and total scores of self-management behavior scale before and after intervention,diastolic blood pressure and systolic blood pressure before and after intervention and complications,item scores and total scores of WHO-QOL-BREF before and after intervention were recorded and compared between the two groups.Results After intervention,the scores of diet management,medication management,emotion management,labor and rest management,disease monitoring,exercise management and the total score of self-management behavior scale in the observation group were higher than those in the control group(P<0.05).The scores of diet management,medication management,emotion management,labor and rest management,disease monitoring,exercise management and the total score of self-management behavior scale after intervention were higher than those before intervention in the control group and the observation group,respectively(P<0.05).After intervention,the diastolic blood pressure and systolic blood pressure of the observation group were lower than those of the control group(P<0.05).The diastolic blood pressure and systolic blood pressure after intervention were lower than those before intervention in the control group and the observation group,respectively(P<0.05).The complication rate of the observation group was lower than that of the control group(P<0.05).After intervention,the scores of physiology,psychology,independence,social relationship,environment,life belief and total score of WHO-QOL-BREF in the observation group were higher than those in the control group(P<0.05).The scores of physiology,psychology,independence,social relationship,environment,life belief and total score of WHO-QOL-BREF after intervention were lower than those before intervention in the observation group(P<0.05).Conclusion Targeted nursing interventions for elderly patients with hypertension in rural areas can effectively improve their self-management behavior and blood pressure control effects,reduce the incidence of complications,and improve the quality of life of patients.
作者
闫玉九
YAN Yujiu(Panzhihua Integrated Traditional Chinese and Western Medicine Hospital,Panzhihua 617000,China)
出处
《实用心脑肺血管病杂志》
2020年第S01期130-133,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
高血压
老年人
农村人口
针对性护理
自我管理行为
并发症
生活质量
Hypertension
Aged
Rural population
Targeted nursing
Self-management behavior
Complications
Quality of life
