中医养生教育护理在老年原发性高血压患者中的应用效果  

Application effect of traditional Chinese medicine health education and nursing in elderly patients with essential hypertension

作　　者：黄淑琴[1] 秦素娟[1] 王峥 HUANG Shuqin;QIN Sujuan;WANG Zheng(Department of Traditional Chinese Medicine and Geriatrics,Xuzhou Central Hospital,Xuzhou,Jiangsu,221009,China)

机构地区：[1]徐州市中心医院中医老年科,江苏徐州221009

出　　处：《中西医结合护理（中英文）》2022年第11期50-53,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨在老年原发性高血压患者中应用中医养生教育护理所产生的效果和价值。方法回顾性分析徐州市中心医院2020年1月至2021年12月收治的80例老年原发性高血压患者的临床资料,按护理方法的不同分入对照组(41例)和观察组(39例)。对照组患者接受常规护理,观察组患者运用中医养生教育护理。比较2组的中医症候积分、血压水平和血脂指标。结果出院时和出院3个月后,2组的主症和次症积分均较入院时降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05);2组的舒张压(DBP)和收缩压(SBP)水平均较入院时降低(P均<0.05),且观察组的DBP和SBP水平均较同期对照组更低(P均<0.05)。出院3个月后,2组的总胆固醇(TCH)、甘油三酯(TG)和低密度脂蛋白胆固醇(LDL-C)水平均较入院时降低(P均<0.05),且观察组的TCH、TG、LDL-C水平均较对照组更低(P均<0.05);2组的高密度脂蛋白胆固醇(HDL-C)水平均较入院时升高(P均<0.05),且观察组较对照组更高(P<0.05)。结论中医养生教育护理可降低老年原发性高血压患者的中医症候积分,且对其血压和血脂水平的控制和改善均可起到积极作用。Objective To evaluate the effect and value of the traditional Chinese medicine(TCM)health education and nursing in elderly patients with essential hypertension.Methods The clinical data of 80 elderly patients with essential hypertension at Xuzhou Central Hospital from January 2020 to December 2021 were retrospectively analyzed.They were divided into a control group(41 cases)and an observation group(39 cases)according to different nursing methods.The control group received routine nursing,and the observation group carried out TCM health education and nursing.The TCM symptom scores,blood pressure level,and lipid parameters of the two groups were compared.Results At discharge and 3 months after discharge,the scores of primary and secondary symptoms in both groups were lower than those at admission(all P<0.05),and the observation group had lower scores than the control group(all P<0.05).The levels of diastolic blood pressure(DBP)and systolic blood pressure(SBP)in both groups were lower than those at admission(all P<0.05),and the observation group had lower DBP and SBP levels than the control group(all P<0.05).At 3 months after discharge,the levels of total cholesterol(TCH),triglyceride(TG),and low-density lipoprotein cholesterol(LDL-C)in both groups were lower than those at admission(all P<0.05),and the observation group had lower TCH,TG,and LDL-C levels than the control group(all P<0.05).The high-density lipoprotein cholesterol(HDL-C)level in both groups was higher than that at admission(both P<0.05),and the observation group had a higher HDL-C level than the control group(P<0.05).Conclusion TCM health education and nursing can reduce the TCM symptom scores of elderly patients with essential hypertension,and play a positive role in the control and improvement of blood pressure level and lipid parameters.

关 键 词：原发性高血压 中医养生教育护理 中医症候积分 血压水平 

分 类 号：R248[医药卫生—中医临床基础]