加强护理干预对老年原发性高血压患者的影响  

Influence of Intensive Nursing Intervention on Elderly Patients with Essential Hypertension

作　　者：崔清芳 孟庆香 郝秀[1] Cui Qingfang;Meng Qingxiang;Hao Xiu(The Affiliated Hospital of Binzhou Medical College,Binzhou 256600,Shandong Province,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600

出　　处：《中外医药研究》2024年第15期126-128,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析加强护理干预对老年原发性高血压患者的影响。方法:选取2021年3月—2023年3月滨州医学院附属医院收治的老年原发性高血压患者86例为研究对象,采用随机数字表法分为观察组和对照组,各43例。两组均接受常规降压治疗,对照组接受常规护理,观察组在对照组基础上加强护理干预。比较两组收缩压、舒张压、遵医率、自我护理能力量表(ESCA)及医院焦虑抑郁量表(HADS)评分。结果:干预前,两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05);干预后,两组收缩压、舒张压水平低于干预前,观察组低于对照组,差异有统计学意义(P<0.05)。观察组遵医率高于对照组,差异有统计学意义(P=0.044)。干预前,两组ESCA、HADS评分比较,差异无统计学意义(P>0.05);干预后,两组ESCA评分高于干预前,HADS评分低于干预前,观察组ESCA评分高于对照组,HADS评分低于对照组,差异有统计学意义(P<0.05)。结论:加强护理干预有助于降低老年原发性高血压患者的血压水平,提高遵医率及自我护理能力,改善心理状态。Objective:To analyze the influence of intensive nursing intervention on elderly patients with essential hypertension.Methods:A total of 86 elderly patients with essential hypertension admitted to the Affiliated Hospital of Binzhou Medical College from March 2021 to March 2023 were selected as the study objects,and were divided into observation group and control group by random number table method,with 43 cases in each group.Both groups received routine antihypertensive treatment,the control group received routine nursing,and the observation group received intensive nursing intervention based on the control group.Systolic blood pressure,diastolic blood pressure,compliance rate,Exercise of Self-care Agency(ESCA)Scale and Hospital Anxiety and Depression Scale(HADS)scores were compared between the two groups.Results:Before intervention,there was no significant difference in systolic and diastolic blood pressure between the two groups(P>0.05);after intervention,the systolic blood pressure and diastolic blood pressure of the two groups were lower than before intervention,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The compliance rate of observation group was higher than that of control group,and the difference was statistically significant(P=0.044).Before intervention,there was no significant difference in ESCA and HADS scores between the two groups(P>0.05);after intervention,ESCA score of the two groups was higher than before intervention,HADS score was lower than before intervention,ESCA score of the observation group was higher than that of the control group,and HADS score was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Intensive nursing intervention is helpful to reduce the blood pressure level of elderly patients with essential hypertension,improve the compliance rate and self-care ability,and improve psychological status.

关 键 词：原发性高血压 加强护理干预 自我护理能力 心理状态 

分 类 号：R473.5[医药卫生—护理学]