基于“治未病”理念在高血压患者健康管理中的应用效果

Application Effect of "Preventive Treatment" Concept in Health Management of Patients with Hypertension

目的探讨基于“治未病”理念在高血压患者健康管理中的应用效果。方法选取本院2020年7月-2021年6月收治的高血压患者112例作为研究对象,采用随机数字表法将患者分为观察组56例,对照组56例。对照组患者给予常规健康管理,观察组患者给予“治未病”理念健康管理。比较干预前后两组患者血压,高血压病自我管理行为评分,及干预后患者对高血压知识知晓率及对护理满意度。结果干预前,两组患者的收缩压、舒张压、脉压无显著差异(P>0.05);干预后两组患者的收缩压、舒张压、脉压均降低,观察组患者的各血压指标均低于对照组(P<0.05)。干预前,两组患者的运动管理、饮食管理、情绪管理、用药管理、病情监测、工作与休息管理、总分高血压病自我管理行为评分,无显著差异(P>0.05);干预后,两组患者的各高血压病自我管理行为评分均升高,且观察组高于对照组(P<0.05)。观察组患者高血压知识知晓率(96.43%)及对护理满意度(98.21%)均高于对照组83.93%,78.57%(P<0.05)。结论“治未病”理念健康管理可明显改善高血压患者的血压水平,提升患者的自我管理行为能力,值得临床推广应用。

Objective To explore the prevention of disease based on"treatment"The application effect of concept in health management of patients with hypertension.Methods 112 patients with hypertension treated in our hospital from July 2020 to June 2021 were selected as the research object.The patients were randomly divided into 56 cases in the observation group and 56 cases in the control group.The patients in the control group were given routine health management,and the patients in the observation group were given the concept of"prevention of disease".The blood pressure,self-management behavior score of hypertension,awareness rate of hypertension knowledge and nursing satisfaction were compared between the two groups before and after the intervention.Results Before intervention,systolic blood pressure,diastolic blood pressure There was no significant difference in pulse pressure(P>0.05);after the intervention,the systolic blood pressure,diastolic blood pressure and pulse pressure of the two groups decreased,and the blood pressure indexes of the observation group were lower than those of the control group,(P<0.05).Before the intervention,there was no significant difference in the scores of exercise management,diet management,emotion management,medication management,condition monitoring,work and rest management,total score and self-management behavior of hypertension between the two groups,(P>0.05);after the intervention,the scores of self-management behavior of hypertension in the two groups increased,and the observation group was higher than that in the control group,(P<0.05).The awareness rate of hypertension knowledge(96.43%)and nursing satisfaction(98.21%)in the observation group were higher than 83.93%and 78.57%in the control group(P<0.05).Conclusion The concept of"prevention of disease"and health management can significantly improve the blood pressure level of patients with hypertension and improve their self-management ability,which is worthy of clinical application.