基于全科理念的随访护理模式在高血压患者随访中的应用  

Application of general practice concept-based follow-up nursing mode in follow-up of patients with hypertension

作　　者：杜春 张凤妤 张海潮 陈月[1] 宋欢 Du Chun;Zhang Fengyu;Zhang Haichao;Chen Yue;Song Huan(The 958th Hospital of Army of PLA,Chongqing 400020,China)

机构地区：[1]中国人民解放军陆军第958医院,重庆400020

出　　处：《保健医学研究与实践》2023年第7期90-93,共4页Health Medicine Research and Practice

基　　金：重庆市科卫联合医学科研项目(2020FYYX166)。

摘　　要：目的探讨基于全科理念的随访护理模式在高血压患者随访中的应用效果,以期为临床治疗提供参考。方法本研究选取2020年1月—2021年12月中国人民解放军陆军第958医院收治的老年高血压患者100例为研究对象。采用随机数字表法将患者分为观察组与对照组,每组50例。对照组患者给予常规随访;观察组患者在此基础上,应用基于全科理念的随访护理模式。比较2组患者护理前、护理1个月、护理3个月时血压情况。护理3个月时,比较2组患者高血压病人自我管理行为测评量表(HPSMBRS)评分。比较2组患者护理前及护理3个月时生存质量测定表简表(QOL-BREF)评分。结果护理前,2组患者收缩压、舒张压比较,差异无统计学意义(P>0.05)。护理1个月、护理3个月时,2组患者收缩压、舒张压均低于护理前,且同时期观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组患者HPSMBRS中运动管理、饮食管理、用药管理、情绪管理、病情监测评分均高于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者QOLBREF中生理领域、心理领域、独立性领域、环境领域评分比较,差异无统计学意义(P>0.05)。护理3个月时,2组患者QOL-BREF中生理领域、心理领域、独立性领域、环境领域评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论基于全科理念的随访护理模式可提升高血压患者自我管理能力,有效提高血压控制效果,保持血压稳定,促进患者生活质量的改善,值得推广应用。Objective This paper aims to explore the effect of follow-up nursing mode based on the general practice concept in the follow-up of patients with hypertension to provide evidence for clinical treatment.Methods From January 2020 to December 2021,100 elderly patients with hypertension were enrolled in this study.The patients were randomly assigned to the observation group and control group,with 50 cases in each group.The patients in the control group received routine followup;the patients in the observation group,the general practice concept-based follow-up nursing mode on this basis.Blood pressure was compared between the two groups before nursing,one month after nursing,and three months after nursing.At three months of nursing,the scores of the Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS)were compared between the two groups.The Quality of Life-BREF(QOL-BREF)scores were compared between the two groups before nursing and at three months after nursing.Results Before nursing,no significant difference was observed in systolic blood pressure and diastolic blood pressure between the groups(P>0.05).At one month and three months of nursing,systolic blood pressure and diastolic blood pressure in the two groups were decreased,and those in the observation group at the same time were lower than those in control group,with statistical significance(P<0.05).The scores of exercise management,diet management,medication management,emotion management,and disease surveillance in HPSMBRS in the observation group were significantly higher than those in the control group(P<0.05).Before nursing,no significant difference was found in the scores of physical,psychological,independence,and environmental domains between the two groups(P>0.05).At three months of nursing,the scores of physical,psychological,independence and environmental domains in QOL-BREF in the two groups were significantly increased,and the observation group was significantly higher than the control group(P<0.05).Conclusion The general practice conce

关 键 词：老年高血压 全科理念 随访护理 

分 类 号：R473.5[医药卫生—护理学]