疾病管理师实施个体化健康管理对高血压患者血压改善、生活质量及睡眠质量的影响  

Effects of individualized health management by disease managers on the improvement of blood pressure,quality of life and quality of sleep in patients with hypertension

作　　者：李彩霞[1] 马淑美 曹俊强[1] 耿慧 李林林 Li Caixia;Ma Shumei;Cao Junqiang;Geng Hui;Li Linlin(Binzhou Central Hospital,251700,China)

机构地区：[1]滨州市中心医院,251700

出　　处：《国际护理学杂志》2020年第19期3467-3471,共5页international journal of nursing

摘　　要：目的探讨疾病管理师实施个体化健康管理对高血压患者血压改善、生活质量及睡眠质量的影响研究。方法选取2016年10月至2018年10月该院心血管内科收治的88例高血压患者作为研究对象,使用数字随机法分为对照组和观察组各44例。对照组行常规护理干预,观察组在对照组基础上实施个体化健康管理干预。对两组患者的血压水平、生活质量及睡眠质量进行统计分析。结果干预后,观察组患者收缩压及舒张压指数均小于对照组,比较差异有统计学意义(P<0.05)。观察组患者的躯体功能、躯体角色、肌体疼痛、活力、社会功能、情绪角色、健康状况及心理健康评分均高于对照组,差异有统计学意义(均P<0.05)。观察组患者的睡眠质量评分显著低于对照组,比较差异有统计学意义(P<0.05)。结论个体化健康管理通过根据患者自身条件和水平建立个体化方案,对患者的饮食习惯进行规划,重视患者的心理状态,有效地提高了患者对疾病管理师的信任感,同时提高了患者的生活质量和治疗依从性,在高血压的日常治疗过程具有重要意义,值得临床推广使用。Objective To investigate the effect of individualized health management by disease managers on the improvement of blood pressure,quality of life and quality of sleep in patients with hypertension.Methods A total of 88 patients with hypertension admitted to the department of cardiovascular medicine of the hospital from October 2016 to October 2018 were selected as the research objects,and were divided into the control group and the observation group with 44 cases each by numerical randomization.The control group received routine nursing intervention,while the observation group received individualized health management intervention on the basis of the control group.Blood pressure,quality of life and quality of sleep were statistically analyzed in the two groups.Results After intervention,systolic blood pressure and diastolic blood pressure index in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of physical function,physical role,physical pain,vitality,social function,emotional role,health status and mental health of the observation group were all higher than those of the control group,and the differences were statistically significant(P<0.05).The sleep quality score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Individualized health management through the establishment of individualized programs according to the patient's own condition and the level,the eating habits of patients with planning,attaches great importance to the patient's mental state,effectively improve the trust of the patients to disease management division,at the same time to improve the quality of life and treatment compliance,is of great significance in daily treatment process of high blood pressure,worth clinical promotion.

关 键 词：疾病管理 个体化健康管理 高血压 生活质量 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]