老年综合评估及干预对老年高血压患者生存质量的影响
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摘要
目的探讨老年综合评估(CGA)及干预对老年高血压患者生存质量的影响。方法选取住院的老年原发性高血压患者118例,随机分为干预组(57例)和对照组(61例),并对2组患者实施CGA。对照组给予改善生活方式及口服降压药物治疗;干预组在给予上述治疗的同时,针对CGA发现的问题进行合理干预。在干预前及干预半年后使用SF-36生存质量调查表分别进行1次生存质量评估,对评估结果进行统计分析。结果 2组患者干预前收缩压、舒张压及生存质量比较无明显差别(P> 0.05),干预后干预组收缩压、舒张压较对照组改善显著,差异有统计学意义(P <0.05)。与干预前比较,干预后2组患者生存质量均有所改善,其中在躯体疼痛、情感职能、精神健康、社会功能4个方面干预组效果明显,差异有统计学意义(P <0.05)。结论 CGA及干预能改善老年高血压患者生存质量。
Objective To investigate into the effect of comprehensive geriatric assessment(CGA)and intervention on the quality of life in elderly patients with hypertension. Methods 118 hospitalized elderly patients with primary hypertension were randomly divided into an intervention group(57 cases) and control group(61 cases), and two groups were given CGA. Then the control group was given improved lifestyle and oral antihypertensive drugs, the intervention group reasonable intervention for the problems found at the same time as the above treatment, the SF-36 quality of life questionnaire was used for a quality of life assessment before and half a year after the CGA and intervention. The results were statistically analyzed. Results There was no significant difference in systolic blood pressure, diastolic blood pressure and quality of life between the twogroups before the intervention(P > 0.05). After the intervention, the systolic blood pressure and diastolic blood pressure in the intervention group improved significantly, compared with the control group(P < 0.05).Compared with pre-invention, the quality of life of the two groups improved after the study. Of them, the intervention group had obvious effects in the four aspects of physical pain, emotional function, mental health and social function, and the difference was statistically significant(P < 0.05). Conclusion CGA and intervention can improve the quality of life of elderly patients with hypertension.
Objective To investigate into the effect of comprehensive geriatric assessment(CGA)and intervention on the quality of life in elderly patients with hypertension. Methods 118 hospitalized elderly patients with primary hypertension were randomly divided into an intervention group(57 cases) and control group(61 cases), and two groups were given CGA. Then the control group was given improved lifestyle and oral antihypertensive drugs, the intervention group reasonable intervention for the problems found at the same time as the above treatment, the SF-36 quality of life questionnaire was used for a quality of life assessment before and half a year after the CGA and intervention. The results were statistically analyzed. Results There was no significant difference in systolic blood pressure, diastolic blood pressure and quality of life between the twogroups before the intervention(P > 0.05). After the intervention, the systolic blood pressure and diastolic blood pressure in the intervention group improved significantly, compared with the control group(P < 0.05).Compared with pre-invention, the quality of life of the two groups improved after the study. Of them, the intervention group had obvious effects in the four aspects of physical pain, emotional function, mental health and social function, and the difference was statistically significant(P < 0.05). Conclusion CGA and intervention can improve the quality of life of elderly patients with hypertension.
引文
[1]清议.更加积极应对人口老龄化[J].中国人力资源社会保障, 2018(12):51
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[4]中华医学会心血管病学分会,中国老年学学会心脑血管病专业委员会.老年高血压的诊断与治疗中国专家共识(2011版)[J].中国医学前沿杂志:电子版, 2012, 4(2):31—39
[5] Burholt V, Nash P. Short form 36(SF-36)health survey questionnaire:normative data for wales[J]. Journal of Public Health, 2011, 33(4):587—603
[6] Minneboo M, Lachman S, Snijder MB, et al. Risk factor control in secondary prevention of cardiovascular disease:results from the multi-ethnic HELIUS study[J]. Netherlands Heart Journal, 2017, 25(4):250—257
[7] Ayala C, Tong X, Neeley E, et al. Home blood pressure monitoring among adults:American heart association cardiovascular health consumer survey, 2012[J]. Journal of Clinical Hypertension, 2017, 19(6):584—591
[8]朱宇清,龙杞,王辰,等.睡眠呼吸暂停综合征患者睡眠结构与血压变化的关系[J].中华医学杂志, 2016, 96(28):2220—2223
[9]王军威,袁琼嘉,杨澎湃,等.运动疗法对我国原发性高血压干预效果的Meta分析[J].中国康复医学杂志, 2017,32(4):454—460
[10]袁木祥.饮食与运动干预对社区老年高血压患者生活质量的影响[J].中国老年学, 2012, 32(13):2823—2824
[11] Aaron KHO, Thorpe CT, Pandhi N, et al. Association of anxiety and depression with hypertension control:a US multi-disciplinary group practice observational study[J]. Journal of Hypertension, 2015, 33(11):2215—2222
[12]刘靖.认知干预对高血压病患者生活方式及血压的影响[J].安徽医学, 2014, 35(7):1009—1011
[2] Poulter NR, Prabhakaran D, Caulfield M. Hypertension[J].The Lancet, 2015, 386(9995):801—812
[3]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
[4]中华医学会心血管病学分会,中国老年学学会心脑血管病专业委员会.老年高血压的诊断与治疗中国专家共识(2011版)[J].中国医学前沿杂志:电子版, 2012, 4(2):31—39
[5] Burholt V, Nash P. Short form 36(SF-36)health survey questionnaire:normative data for wales[J]. Journal of Public Health, 2011, 33(4):587—603
[6] Minneboo M, Lachman S, Snijder MB, et al. Risk factor control in secondary prevention of cardiovascular disease:results from the multi-ethnic HELIUS study[J]. Netherlands Heart Journal, 2017, 25(4):250—257
[7] Ayala C, Tong X, Neeley E, et al. Home blood pressure monitoring among adults:American heart association cardiovascular health consumer survey, 2012[J]. Journal of Clinical Hypertension, 2017, 19(6):584—591
[8]朱宇清,龙杞,王辰,等.睡眠呼吸暂停综合征患者睡眠结构与血压变化的关系[J].中华医学杂志, 2016, 96(28):2220—2223
[9]王军威,袁琼嘉,杨澎湃,等.运动疗法对我国原发性高血压干预效果的Meta分析[J].中国康复医学杂志, 2017,32(4):454—460
[10]袁木祥.饮食与运动干预对社区老年高血压患者生活质量的影响[J].中国老年学, 2012, 32(13):2823—2824
[11] Aaron KHO, Thorpe CT, Pandhi N, et al. Association of anxiety and depression with hypertension control:a US multi-disciplinary group practice observational study[J]. Journal of Hypertension, 2015, 33(11):2215—2222
[12]刘靖.认知干预对高血压病患者生活方式及血压的影响[J].安徽医学, 2014, 35(7):1009—1011