摘要
目的:探讨延续护理联合中医体质辨识在高血压疾病患者中的应用效果。方法:选取2018年4月—2020年7月河南省中医院收治的94例高血压患者作为研究对象,按随机数表法分为对照组和观察组,每组各47例。对照组采用常规护理,观察组在常规护理基础上实施延续护理联合中医体质辨识护理干预。比较两组患者遵医行为、血压水平及生活质量、护理满意度及心血管不良事件发生率。结果:观察组遵医率为93.62%,高于对照组的78.72%,差异有统计学意义(χ^(2)=4.374,P<0.05)。干预6个月后,观察组血压水平低于对照组,差异有统计学意义(t=5.820、7.396,P<0.05)。干预6个月后,观察组WHOQOL-BREF中的各领域评分高于对照组,差异有统计学意义(t=4.598、6.531、6.092、7.355,P<0.05)。观察组干预后护理满意度为95.74%,高于对照组的82.98%,差异有统计学意义(χ^(2)=4.029,P<0.05)。观察组心血管不良事件发生率为2.13%,低于对照组的17.02%,差异有统计学意义(χ^(2)=4.424,P=0.014)。结论:延续护理联合中医体质辨识护理用于高血压患者中,有利于提升患者遵医行为,稳定其血压水平,减少心血管不良事件的发生,从而提高其生活质量,获得更高的护理满意度。
Objective:To explore the effect of continuous nursing combined with TCM constitution identification in patients with hypertension.Methods:94 hypertensive patients admitted to the hospital from April 2018 to July 2020 were selected as study subjects and divided into control and observation groups according to the random number table method,with 47 cases in each group.The control group used conventional care,and the observation group implemented extended care combined with TCM physical identification care intervention on the basis of conventional care.The compliance behavior,blood pressure levels and quality of life,satisfaction with care,and incidence of adverse cardiovascular events were compared between the two groups.Results:The compliance rate of the observation group was 93.62%,which was higher than 78.72%of the control group,and the difference was statistically significant(χ^(2)=4.374,P<0.05).After 6 months of intervention,the blood pressure level in the observation group was lower than that in the control group,and the difference was statistically significant(t=5.820,7.396,P<0.05).After 6 months of intervention,the observation group had higher scores in the domains of WHOQOL-BREF than the control group,with statistically significant differences(t=4.598,6.531,6.092,7.355,P<0.05).The post-intervention nursing satisfaction of the observation group was95.74%,which was higher than 82.98%of the control group,and the difference was statistically significant(χ^(2)=4.029,P<0.05).The incidence of cardiovascular adverse events in the observation group was 2.13%,which was lower than 17.02%in the control group,and the difference was statistically significant(χ^(2)=4.424,P=0.014).Conclusion:The use of extended care combined with TCM physical identification care in hypertensive patients is conducive to improving patients’compliance behavior,stabilizing their blood pressure levels,and reducing the occurrence of adverse cardiovascular events,thereby improving their quality of life and achieving higher nursing satisfaction.
作者
彭莉普
Peng Li-pu(Department of Cardiovascular Medicine,Henan Provincial Hospital of Traditional Chinese Medicine,Second Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou,Henan,462300,China)
出处
《黑龙江医学》
2022年第24期3040-3042,共3页
Heilongjiang Medical Journal
关键词
高血压
延续护理
中医体质辨识
血压水平
遵医行为
心血管不良事件
生活质量
Hypertension
Continuing care
TCM Constitution identification
Blood pressure level
Medical compliance
Adverse cardiovascular events
Quality of life
