分层护理在高血压合并心脑血管危险因素中的应用

Application of stratified nursing in hypertensive patients with cardiovascular and cerebrovascular risk factors

目的探究分层次护理管理在高血压合并心脑血管危险因素患者中的效果。方法将2015年1月-2017年1月在天津中医药研究院附属医院接受治疗的高血压合并心脑血管危险因素患者60例,随机分为干预组和对照组各30例。对照组给予常规护理,干预组在对照组基础上加用分层次护理管理,比较两组患者护理后血压、血脂等达标情况,心脑血管危险因素改善情况以及护理前后生活质量。结果干预组患者护理后的血压、血脂及糖耐量达标率均明显高于对照组,差异有统计学意义(P<0.05);干预组护理后患者的吸烟、肥胖、高钠盐等心脑血管危险因素与对照组比较差异有统计学意义(P<0.05);干预组护理后的生理功能、躯体功能等生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论分层次护理管理在高血压合并心脑血管危险患者中的应用,能够提升血压、血脂达标率,改善心脑血管危险因素水平,值得推广应用。

Objective To explore the clinical effect of hierarchical nursing management in patients with hypertension and cardiovascular and cerebrovascular risk factors.Methods Sixty patients with hypertension and cardiovascular and cerebrovascular risk factors who were treated in Affiliated Hospital of Tianjin Institute of Traditional Chinese Medicine from January 2015 to January 2017 were randomly divided into intervention group and control group with 30 cases in each group.The control group was given routine nursing.The intervention group was given hierarchical nursing management on the base of,routine nursing. The level ofblood pressure,blood lipid and other factors,the improvement of cardiovascular and cerebrovascular risk :factors and the quality of life before and after the nursing of the two group were compared.Results The control rates of blood pressure,blood lipid and glucose tolerance of the patients in the intervention group were significantly higher than those in the control group,the differences were statistical significance (P<0.05).There were statistically significant differences in cardiovascular and cerebrovascular risk factors such as smoking,obesity and high sodium after nursing between the intervention group and the control group (P<0.05).The quality of life score such as physiological function and physical function of the intervention group were higher than those of the control group,the differences were statistical significance(P<0.05).Conclusion The applicationofhierarchicalnursingmanagementinhypertensive patients with cardiovascular and cerebrovascular risk can improve control rates of the blood pressure and blood lipid and improve the cardiovascular and cerebrovascular risk factors.It is worthy to be popularized and applied.