系统护理干预对老年高血压患者治疗效果及生活质量的影响

The influence of systematic nursing intervention on treatment effect and quality of life in elderly patients with hypertension

目的:探讨系统护理干预对老年高血压患者治疗效果及生活质量的影响。方法:将120例原发性高血压患者随机分为观察组和对照组,每组60例。对照组根据患者病情给予内科治疗和常规护理,观察组在对照组基础上给予饮食、心理、运动干预、用药和随访护理等系统护理干预措施。出院后随访3个月,比较2组患者护理前后血压控制情况、服药依从性、疾病知识知晓情况、并发症发生率以及患者的生活质量。结果:观察组护理后血压控制情况、服药依从性、疾病知识知晓率均显著优于对照组(P<0.01);观察组并发症的发生率显著少于对照组(P<0.01);观察组患者的健康感觉、躯体感觉、睡眠状态、生活满足感和认知功能等生活质量评分均明显高于对照组(P<0.01)。结论:系统护理干预可以提高老年高血压患者的血压控制效果,改善生活质量。

Objective：To investigate the influence of systematic nursing intervention on treatment effect and quality of life in elderly patients with hypertension. Methods： One hundred and twenty elderly patients with primary hypertension were randomly divided into observation group and control group（60 cases each group）. The control group were treated with internal medicine combined with routine nursing measures according to the patients＇ condition. The observation group were treated with systematic nursing intervention on the basis of the control group. All patients were followed up for 3 months. The blood pressure, medication compliance, knowledge of disease awareness, occurrence rate of complication and quality of life in two groups were compared. Results： The blood pressure, medication compliance and knowledge of disease awareness in observation group were better than those in control group （ P 〈 0.01 ）. The occurrence rate of complication in observation group was significantly less than that in control group（ P 〈 0.01 ）. The healthy feeling, somatic sensation, sleep condition, life satisfaction and cognitive function and quality of life in observation group were significantly higher than those in the control group（ P 〈 0.01 ）. Conclusions： The systematic nursing intervention can significantly improve the blood pressure control and quality of life of elderly patients with hypertension.