个性化护理在老年高血压临床治疗中对患者并发症和血压的影响

The Individualized Nursing Effect on Patients with Complications and Blood Pressure in Clinical Treatment of Elderly Hypertension

目的:探讨个性化护理干预对老年高血压患者并发症和血压的影响。方法:将收治入院的80例老年高血压患者按照随机数字表法分为对照组和观察组,各40例。对照组给予常规护理模式,观察组在常规护理的基础上给予个性化护理干预,比较两组患者护理后的血压变化、并发症的发生率和心理状态改善情况。结果:护理干预后,观察组患者的平均收缩压为(120.56±30.14)mm Hg、平均舒张压为(81.43±20.36)mmHg,均明显低于对照组的(141.48±35.37)mmHg和(98.37±24.59)mmHg,差异均有统计学意义(P<0.05);观察组肾功能损害、心律失常、脑卒中及心绞痛的发生率分别为22.50%、17.50%、5.00%、7.50%,均明显低于对照组的47.50%、42.50%、32.50%、37.50%,差异均有统计学意义(P<0.05);观察组的焦虑和抑郁评分分别为(31.47±7.87)分和(29.86±7.47)分,均明显低于对照组的(48.29±12.08)分和(49.37±12.35)分,差异均有统计学意义(P<0.05)。结论:给予老年高血压患者个性化护理干预,能有效控制血压的上升,降低并发症的发生率,改善患者的不良心理状态,对患者的身心康复和预后情况具有重要的意义。

Objective： To investigate the effect of individualized nursing intervention on the complications and blood pressure in elderly hypertensive patients.Method： 80 elderly hypertensive patients admitted were randomly divided into control group and observation group according to random number table, 40 eases in each group.The control group was given routine nursing mode, the observation group was given individualized nursing intervention on the basis of routine nursing, the changes of blood pressure, the incidence of complications and the improvement of mental state were compared between the two groups.Result： After nursing intervention, the average systolic blood pressure was （ 120.56 ± 30.14 ） mm Hg and mean diastolic blood pressure was （ 81.43±20.36 ） mm Hg of the observation group, which were significantly lower than （ 141.48 ±35.37 ）mm Hg and （ 98.37 ± 24.59 ）mm Hg of the control group, the differences were statistically significant （ P〈0.05 ） ; the incidence of renal dysfunction, arrhythmia, stroke and angina pectoris in the observation group were 22.50%, 17.50%, 5.00%, 7.50%, significantly lower than 47.50%, 42.50%, 32.50%, 37.50% of the control group, the differences were statistically significant （ P〈0.05 ） ; the anxiety and depression scores of the observation group were （ 31.47± 7.87 ） points and （ 29.86 ± 7.47 ） points, which were significantly lower than （ 48.29 ± 12.08 ） points and （ 49.37 ±12.35 ） points in control group, the differences were statistically significant （ P〈0.05 ） .Conclusion： Given the individualized nursing intervention in elderly hypertensive patients, can effectively control blood pressure rise, reduce the incidence of complications, improve the poor mental state of patients, has important significance to the rehabilitation and prognosis of patients.