以问题为导向的护理干预结合目标血压管理模式在老年高血压脑出血术后护理中的应用效果  

Application effect of problem-oriented nursing intervention combined with target blood pressure management model in postoperative nursing of elderly patients with hypertensive cerebral hemorrhage

作　　者：范红杰 殷宗莉 FAN Hongjie;YIN Zongli(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000,China)

机构地区：[1]陕西省核工业二一五医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2025年第10期142-145,共4页Clinical Research and Practice

摘　　要：目的探究以问题为导向的护理干预结合目标血压管理模式在老年高血压脑出血术后护理中的应用效果。方法选择2021年2月至2023年4月我院收治的120例老年高血压脑出血患者为研究对象,以随机数字表法将其分为对照组、观察组,每组60例。对照组术后接受常规护理,观察组在对照组基础上施加以问题为导向的护理干预结合目标血压管理模式干预。比较两组的干预效果。结果干预后,观察组的一般自我效能感量表(GSES)、自我护理能力测定量表(ESCA)评分均高于对照组(P<0.05)。干预后,观察组的24 h平均收缩压(mSBP)、24 h平均舒张压(mDBP)均低于对照组(P<0.05)。干预后,观察组的自我感受负担量表(SPBS)评分低于对照组,中国心血管患者生活质量评定问卷(CQQC)评分高于对照组(P<0.05)。结论以问题为导向的护理干预结合目标血压管理模式用于老年高血压脑出血术后护理中,可提高患者自我效能感及自护能力,增强血压控制效果,缓解疾病自我感知压力,提高生活质量,值得推广。Objective To explore the application effect of problem-oriented nursing intervention combined with target blood pressure management model in postoperative nursing of elderly patients with hypertensive cerebral hemorrhage.Methods A total of 120 elderly patients with hypertensive cerebral hemorrhage admitted in our hospital from February 2021 to April 2023 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine nursing after operation,while the observation group received problem-oriented nursing intervention combined with target blood pressure management model intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of General Self-Efficacy Scale(GSES)and Exercise of Self-Care Agency(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the 24 h mean systolic blood pressure(mSBP)and 24 h mean diastolic blood pressure(mDBP)in the observation group were lower than those in the control group(P<0.05).After intervention,the score of Self-Perceived Burden Scale(SPBS)in the observation group was lower than that in the control group,and the score of China Questionnaire of Quality of Life Inpatients with Cardiovascular Diseases(CQQC)was higher than that in the control group(P<0.05).Conclusion The problem-oriented nursing intervention combined with target blood pressure management model applied in postoperative nursing of elderly patients with hypertensive cerebral hemorrhage can improve patients'self-efficacy and self-care ability,enhance blood pressure control effect,relieve disease self-perception pressure and improve quality of life,which is worthy of promotion.

关 键 词：以问题为导向的护理干预 目标血压管理模式 老年 高血压脑出血 自我效能感 

分 类 号：R473[医药卫生—护理学]