针对性护理干预对老年冠心病合并高血压患者代谢指标的影响
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摘要
目的:探讨针对性护理干预对老年冠心病合并高血压患者代谢指标的影响。方法:选择我院收治的120例老年冠心病合并高血压患者为研究对象,按照随机数字表法分为对照组和观察组各60例,对照组给予常规护理,观察组给予针对性护理干预。比较两组临床疗效、血压、心绞痛、血脂指标,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、心力衰竭生活质量调查表(Li HFe)评价两组不良情绪和生活质量。结果:观察组总有效率高于对照组(P<0.05);观察组血压控制率高于对照组(P<0.05),而心绞痛发生率低于对照组(P<0.05);观察组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)均低于对照组(P<0.05),而高密度脂蛋白(HDL-C)高于对照组(P<0.05)。观察组SAS、SDS和Li HFe评分均低于对照组(P<0.05)。结论:针对性护理干预可提高老年冠心病合并高血压患者临床疗效,改善血压、心绞痛和血脂指标,降低不良情绪,提高生活质量。
Objective: To explore the effect of targeted nursing intervention on metabolic indicators in elderly patients with coronary heart disease and hypertension. Methods: A total of 120 cases of elderly patients with coronary heart disease complicated with hypertension were selected as the research object. According to the random number table method,they were divided into control group and observation group,60 cases in each group. The control group was given routine nursing,while the observation group was given targeted nursing intervention. The clinical efficacy,blood pressure,angina pectoris and blood lipids were compared between the two groups. The depression self-rating scale( SDS),anxiety self-rating scale( SAS) and heart failure quality of life questionnaire( Li HFe) were used to evaluate the two groups' adverse emotions and quality of life. Results: The total effective rate of the observation group was higher than that of the control group( P <0. 05). The blood pressure control rate of the observation group was higher than that of the control group( P < 0. 05),and the incidence of angina pectoris was lower than that of the control group( P < 0. 05). The total cholesterol( TC),triglyceride( TG) and low density lipoprotein( LDL-C) in the observation group were lower than those in the control group( P < 0. 05),while high-density lipoprotein( HDL-C) was higher than the control group( P < 0. 05). The SAS,SDS and Li HFe scores of the observation group were lower than those of the control group( P < 0. 05). Conclusion: Targeted nursing intervention can improve the clinical efficacy of elderly patients with coronary heart disease and hypertension,improve blood pressure,angina pectoris and blood lipid index,reduce bad mood and improve the quality of life.
Objective: To explore the effect of targeted nursing intervention on metabolic indicators in elderly patients with coronary heart disease and hypertension. Methods: A total of 120 cases of elderly patients with coronary heart disease complicated with hypertension were selected as the research object. According to the random number table method,they were divided into control group and observation group,60 cases in each group. The control group was given routine nursing,while the observation group was given targeted nursing intervention. The clinical efficacy,blood pressure,angina pectoris and blood lipids were compared between the two groups. The depression self-rating scale( SDS),anxiety self-rating scale( SAS) and heart failure quality of life questionnaire( Li HFe) were used to evaluate the two groups' adverse emotions and quality of life. Results: The total effective rate of the observation group was higher than that of the control group( P <0. 05). The blood pressure control rate of the observation group was higher than that of the control group( P < 0. 05),and the incidence of angina pectoris was lower than that of the control group( P < 0. 05). The total cholesterol( TC),triglyceride( TG) and low density lipoprotein( LDL-C) in the observation group were lower than those in the control group( P < 0. 05),while high-density lipoprotein( HDL-C) was higher than the control group( P < 0. 05). The SAS,SDS and Li HFe scores of the observation group were lower than those of the control group( P < 0. 05). Conclusion: Targeted nursing intervention can improve the clinical efficacy of elderly patients with coronary heart disease and hypertension,improve blood pressure,angina pectoris and blood lipid index,reduce bad mood and improve the quality of life.
引文
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[10]张蔚,雷雪贞,梁艳,等.系统化失眠护理干预对冠心病合并高血压失眠患者睡眠质量及临床并发症的改善效果[J].中国现代医生,2017,55(16):145-148.
[11]刘红梅.综合护理干预对高血压合并冠心病患者血压控制效果及护理满意度的影响[J].世界临床医学,2016,10(9):210.
[12]吴叶佳.针对性护理干预对脑卒中患者焦虑和抑郁情绪的影响[J].齐鲁护理杂志,2017,23(23):92-94.
[13]周小琴,冯姝娴,胡平,等.针对性护理对老年冠心病患者负面心理状态及生活质量的影响评价[J].中国医药科学,2017,7(24):149-151.
[14]张杨.针对性健康教育和心理护理应用于冠心病心绞痛患者的临床效果[J].中国医药指南,2017,15(30):240-241.
[15]李小娟,韩小宏.针对性护理干预措施对冠心病介入治疗患者术后并发症的预防效果[J].实用临床医药杂志,2017,21(20):47-49,56.
[16]潘晓蒙.针对性心理干预对老年冠心病患者心理状态及健康行为的影响[J].首都食品与医药,2017,24(18):157-158.
[17]代丽琴.高血压合并冠心病患者实施护理干预对其血压控制率的影响研究[J].心理医生,2017,23(5):164-165.
[18]冯燕.针对性护理对冠心病患者生活质量和护理满意度的影响[J].心血管病防治知识,2016,5(5):109-111.
[19]董湘云,王春霞,宋苗苗,等.针对性护理对老年冠心病患者负面精神状态及生活质量的影响分析[J].中国卫生标准管理,2018,9(4):181-183.
[20]左玉姣,刘厂辉,王春兰,等.针对性心理干预对行运动康复治疗的老年冠心病心衰患者负性情绪及心功能的影响[J].中国老年学杂志,2016,36(15):3684-3685.
[2]卢长林,杨进刚.充分重视冠心病患者的症状管理-2011年美国冠心病和高血压医疗质量评估标准评析[J].中国循环杂志,2012,27(z1):51-54.
[3]张倩倩,陶琳琳,聂玉梅,等.高血压合并冠心病的危险因素及相关性[J].实用医学杂志,2017,33(21):3566-3569.
[4]王华.系统化失眠护理对冠心病合并高血压失眠患者的影响观察[J].中国医药指南,2018,16(2):195-196.
[5]马先莉.综合评估的针对性护理在老年冠心病合并高血压患者中的应用[J].国际护理学杂志,2018,37(3):360-363.
[6]中华中医药学会.中医内科常见病诊疗指南(西医疾病部分)冠心病心绞痛[J].中国中医药现代远程教育,2011,9(18):143-145.
[7]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
[8]康琳,李艳,陈晨,等.基于老年综合评估的针对性护理干预对老年冠心病合并高血压患者代谢指标的影响[J].现代医学,2016,44(4):553-556.
[9]杨斌武,张璐,韩冰,等.高血压合并冠心病患者血压变异性及其与靶器官损害的关系[J].中国老年学杂志,2017,37(14):3447-3449.
[10]张蔚,雷雪贞,梁艳,等.系统化失眠护理干预对冠心病合并高血压失眠患者睡眠质量及临床并发症的改善效果[J].中国现代医生,2017,55(16):145-148.
[11]刘红梅.综合护理干预对高血压合并冠心病患者血压控制效果及护理满意度的影响[J].世界临床医学,2016,10(9):210.
[12]吴叶佳.针对性护理干预对脑卒中患者焦虑和抑郁情绪的影响[J].齐鲁护理杂志,2017,23(23):92-94.
[13]周小琴,冯姝娴,胡平,等.针对性护理对老年冠心病患者负面心理状态及生活质量的影响评价[J].中国医药科学,2017,7(24):149-151.
[14]张杨.针对性健康教育和心理护理应用于冠心病心绞痛患者的临床效果[J].中国医药指南,2017,15(30):240-241.
[15]李小娟,韩小宏.针对性护理干预措施对冠心病介入治疗患者术后并发症的预防效果[J].实用临床医药杂志,2017,21(20):47-49,56.
[16]潘晓蒙.针对性心理干预对老年冠心病患者心理状态及健康行为的影响[J].首都食品与医药,2017,24(18):157-158.
[17]代丽琴.高血压合并冠心病患者实施护理干预对其血压控制率的影响研究[J].心理医生,2017,23(5):164-165.
[18]冯燕.针对性护理对冠心病患者生活质量和护理满意度的影响[J].心血管病防治知识,2016,5(5):109-111.
[19]董湘云,王春霞,宋苗苗,等.针对性护理对老年冠心病患者负面精神状态及生活质量的影响分析[J].中国卫生标准管理,2018,9(4):181-183.
[20]左玉姣,刘厂辉,王春兰,等.针对性心理干预对行运动康复治疗的老年冠心病心衰患者负性情绪及心功能的影响[J].中国老年学杂志,2016,36(15):3684-3685.
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