个体化护理干预对老年高血压患者血压及自我管理行为的影响
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摘要
目的:探讨个体化护理干预对老年高血压患者血压及自我管理行为的影响。方法:选取本院2015年2月-2018年2月收治的80例老年高血压患者为研究对象,按照随机数字表法分为观察组和对照组,每组各40例。对照组住院期间进行常规护理,观察组在对照组的基础上采用个体护理干预。记录并比较干预前和干预后3个月两组的血压水平,并对两组进行问卷调查,以评估两组的自我管理行为。结果:干预后,观察组收缩压和舒张压均明显低于干预前,差异均有统计学意义(P<0.05)。对照组干预后收缩压明显低于干预前,差异有统计学意义(P<0.05),但舒张压干预前后比较,差异均无统计学意义(P>0.05)。干预后,观察组收缩压和舒张压控制情况均明显优于对照组,差异均有统计学意义(P<0.05)。干预后,观察组各维度评分及自我管理总分均明显高于干预前,差异均有统计学意义(P<0.05)。对照组各维度评分及自我管理总分与干预前后比较,差异均无统计学意义(P>0.05)。干预后,观察组各维度评分及自我管理总分均高于对照组,差异均有统计学意义(P<0.05)。结论:个体化护理方案能有效改善患者自我管理行为,进而改善了患者的血压控制情况和预后。
Objective:To explore the effect of individualized nursing intervention on blood pressure and self-management behavior of elderly patients with hypertension.Method:80 elderly patients with hypertension in our hospital from February 2015 to February 2018 were selected as the research objects.According to the random number table method,the cases were divided into observation group and control group,40 cases in each group.The control group was given routine nursing during hospitalization,and the observation group was given individual nursing intervention on the basis of the control group.Before and 3 months after the intervention,the blood pressure levels of the elderly patients in the two groups were recorded and compared,and a questionnaire survey was conducted on the patients in the two groups to evaluate the self-management behavior of the patients in the two groups.Result:After intervention,systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than before intervention,the differences were statistically significant(P<0.05).The systolic blood pressure in the control group after intervention was significantly lower than that before intervention(P<0.05),but the diastolic blood pressure before and after intervention,the difference was not statistically significant(P>0.05).After intervention,the control of systolic and diastolic blood pressure in the observation group were significantly better than those in the control group(P<0.05).After intervention,the scores of each dimension and the total score of self-management in the observation group were significantly higher than before the intervention,and the differences were statistically significant(P<0.05).The scores of each dimension and the total score of self-management in the control group before and after intervention were compared,the difference were not statistically significant(P>0.05).After intervention,the overall scores of each dimension and self-management in the observation group were higher than those in the control group(P<0.05).Conclusion:Individualized nursing program can effectively improve the patients' self-management behavior,then improve the patients' blood pressure control and prognosis.
Objective:To explore the effect of individualized nursing intervention on blood pressure and self-management behavior of elderly patients with hypertension.Method:80 elderly patients with hypertension in our hospital from February 2015 to February 2018 were selected as the research objects.According to the random number table method,the cases were divided into observation group and control group,40 cases in each group.The control group was given routine nursing during hospitalization,and the observation group was given individual nursing intervention on the basis of the control group.Before and 3 months after the intervention,the blood pressure levels of the elderly patients in the two groups were recorded and compared,and a questionnaire survey was conducted on the patients in the two groups to evaluate the self-management behavior of the patients in the two groups.Result:After intervention,systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than before intervention,the differences were statistically significant(P<0.05).The systolic blood pressure in the control group after intervention was significantly lower than that before intervention(P<0.05),but the diastolic blood pressure before and after intervention,the difference was not statistically significant(P>0.05).After intervention,the control of systolic and diastolic blood pressure in the observation group were significantly better than those in the control group(P<0.05).After intervention,the scores of each dimension and the total score of self-management in the observation group were significantly higher than before the intervention,and the differences were statistically significant(P<0.05).The scores of each dimension and the total score of self-management in the control group before and after intervention were compared,the difference were not statistically significant(P>0.05).After intervention,the overall scores of each dimension and self-management in the observation group were higher than those in the control group(P<0.05).Conclusion:Individualized nursing program can effectively improve the patients' self-management behavior,then improve the patients' blood pressure control and prognosis.
引文
[1]朱慧敏,张佩华,凌浩青.社区护理干预对高血压患者血压控制效果的观察[J].中国社区医师,2016,32(10):147-148,150.
[2]李小红.老年高血压患者社区护理干预效果分析[J].中国社区医师,2016,32(3):153-156.
[3]宫海林.高血压门诊个体化护理健康教育的研究[J].中外医学研究,2014,12(5):87-88.
[4]张瑞芹,朱丽丽,张会敏,等.个体化积极心理干预对社区老年高血压患者心理健康及生活质量的影响[J].广东医学,2016,37(11):1741-1744.
[5]李玉花.个体化护理对老年高血压患者血压及并发症的作用探讨[J].医学理论与实践,2016,29(4):541-543.
[6]刘宁,张婧珺,鱼星锋,等.高血压病人自我管理量表的研制与信效度检验[J].护理研究,2015,29(5):1764-1767.
[7]李晓慧.个体化延续护理对老年高血压患者血压控制及不良事件预防效果研究[J].实用临床医药杂志,2017,21(4):14-16.
[8]李艳萍,陈君,杨淑华.自我管理模式对高血压患者治疗依从性的影响[J].齐鲁护理杂志,2014,20(9):118-119.
[9]张弛.延续性护理对老年高血压患者健康行为及血压控制的影响[J].齐鲁护理杂志,2016,22(13):88-90.
[10]计婧,王颖,顾明,等.个体化护理干预方法对老年高血压患者院后血压、生活质量和遵医行为情况的影响研究[J].贵州医药,2016,40(11):1227-1229.
[11]陶珍霞,翁鸿.人文护理在高血压病老年患者中的应用探讨[J].重庆医学,2016,45(17):2440-2442.
[12]宋惠琴,苏惠仪,华青霞.个体化护理对老年高血压患者血压及并发症的影响分析[J].中国实用医药,2016,11(30):231-232.
[13]胡艳粉,李领侠,张莹,等.微信随访对青壮年2型糖尿病患者治疗依从性及生活质量的影响[J].中华现代护理杂志,2017,23(10):1387-1391.
[14]陈海燕,曾小贞,张超丽,等.个体护理干预对糖尿病出院患者血糖控制水平及自我效能的影响[J].岭南急诊医学杂志,2017,22(5):502-503.
[15]Bosworth H B,DubardC A,Ruppenkamp J,et al.Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid[J].Transl Behav Med,2011,1(1):191-199.
[16]Kaambwa B,Bryan S,Jowett S,et al.Telemonitoring and selfmanagement in the control of hypertension(TASMINH2):a cost-effectiveness analysis[J].Eur J Prev Cardiol,2014,21(12):1517-1530.
[17]杨建平.延续性护理对老年高血压患者自我管理行为的影响[J].实用心脑血管病杂志,2014,21(8):153-156.
[18]张晓颖,张志云.出院后个体化护理干预对老年糖尿病患者用药依从性的影响[J/OL].中华损伤与修复杂志(电子版),2016,11(2):155-158.
[19]曹晓荷.个性化延续护理对原发性高血压患者生存质量影响的观察[J].中国药物与临床,2016,16(6):924-926.
[20]陆秋英,杨丽芳.个体化护理对老年高血压患者血压及并发症的影响[J].中国急救医学,2016,36(z1):254-255.
[21]马玉青.观察个体化护理对老年高血压病患者血压及并发症的作用[J/OL].中西医结合心血管病电子杂志,2014,2(12):142,144.
[2]李小红.老年高血压患者社区护理干预效果分析[J].中国社区医师,2016,32(3):153-156.
[3]宫海林.高血压门诊个体化护理健康教育的研究[J].中外医学研究,2014,12(5):87-88.
[4]张瑞芹,朱丽丽,张会敏,等.个体化积极心理干预对社区老年高血压患者心理健康及生活质量的影响[J].广东医学,2016,37(11):1741-1744.
[5]李玉花.个体化护理对老年高血压患者血压及并发症的作用探讨[J].医学理论与实践,2016,29(4):541-543.
[6]刘宁,张婧珺,鱼星锋,等.高血压病人自我管理量表的研制与信效度检验[J].护理研究,2015,29(5):1764-1767.
[7]李晓慧.个体化延续护理对老年高血压患者血压控制及不良事件预防效果研究[J].实用临床医药杂志,2017,21(4):14-16.
[8]李艳萍,陈君,杨淑华.自我管理模式对高血压患者治疗依从性的影响[J].齐鲁护理杂志,2014,20(9):118-119.
[9]张弛.延续性护理对老年高血压患者健康行为及血压控制的影响[J].齐鲁护理杂志,2016,22(13):88-90.
[10]计婧,王颖,顾明,等.个体化护理干预方法对老年高血压患者院后血压、生活质量和遵医行为情况的影响研究[J].贵州医药,2016,40(11):1227-1229.
[11]陶珍霞,翁鸿.人文护理在高血压病老年患者中的应用探讨[J].重庆医学,2016,45(17):2440-2442.
[12]宋惠琴,苏惠仪,华青霞.个体化护理对老年高血压患者血压及并发症的影响分析[J].中国实用医药,2016,11(30):231-232.
[13]胡艳粉,李领侠,张莹,等.微信随访对青壮年2型糖尿病患者治疗依从性及生活质量的影响[J].中华现代护理杂志,2017,23(10):1387-1391.
[14]陈海燕,曾小贞,张超丽,等.个体护理干预对糖尿病出院患者血糖控制水平及自我效能的影响[J].岭南急诊医学杂志,2017,22(5):502-503.
[15]Bosworth H B,DubardC A,Ruppenkamp J,et al.Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid[J].Transl Behav Med,2011,1(1):191-199.
[16]Kaambwa B,Bryan S,Jowett S,et al.Telemonitoring and selfmanagement in the control of hypertension(TASMINH2):a cost-effectiveness analysis[J].Eur J Prev Cardiol,2014,21(12):1517-1530.
[17]杨建平.延续性护理对老年高血压患者自我管理行为的影响[J].实用心脑血管病杂志,2014,21(8):153-156.
[18]张晓颖,张志云.出院后个体化护理干预对老年糖尿病患者用药依从性的影响[J/OL].中华损伤与修复杂志(电子版),2016,11(2):155-158.
[19]曹晓荷.个性化延续护理对原发性高血压患者生存质量影响的观察[J].中国药物与临床,2016,16(6):924-926.
[20]陆秋英,杨丽芳.个体化护理对老年高血压患者血压及并发症的影响[J].中国急救医学,2016,36(z1):254-255.
[21]马玉青.观察个体化护理对老年高血压病患者血压及并发症的作用[J/OL].中西医结合心血管病电子杂志,2014,2(12):142,144.