延续性护理对高血压脑出血术后血压控制、生命质量以及睡眠质量的影响

Explore the Effects of Continuous Nursing on Blood Pressure Control,Life Quality and Sleep Quality After Hypertensive Intracerebral Hemorrhage

目的:探讨延续性护理对高血压脑出血术后血压控制、生命质量以及睡眠质量的影响。方法:选取2016年1月至2018年2月福建医科大学附属第一医院收治的高血压脑出血患者86例,按照随机数字表法分为对照组和观察组,每组43例,入院确诊后均行手术治疗,对照组采用常规护理,出院后仅定期电话随访,不做过多干预,观察组在对照组的护理基础上实施延续性护理干预,比较2组患者干预前后血压变化情况以及生命质量、睡眠质量水平。结果:干预前,2组血压水平比较,差异无统计学意义(P> 0. 05);干预后,观察组收缩压与舒张压均低于对照组,差异有统计学意义(P <0. 05);干预前,2组GQOL-74与PSQI评分比较,差异无统计学意义(P> 0. 05);干预后观察组GQOL-74评分明显高于对照组,PSQI评分明显低于对照组,差异有统计学意义(P <0. 05)。结论:延续性护理的实施有助于控制血压水平,提高生命质量与睡眠质量,值得在临床推广实施。

Objective： To explore the effects of continuous nursing on blood pressure control, life quality and sleep quality after hypertensive intracerebral hemorrhage. Methods： The treated 86 cases of hypertensive cerebral hemorrhage patients admitted to our hospital from January 2016 to February 2016 were selected as the research object and received sur-gical treatment after diagnosis. The, objects were divided into two groups according to random number table method, namely the control group and observation group 43 cases, control group using conventional care, only regular telephone follow-up after discharge, do not do too much intervention, the observation group in the control group nursing, nursing implementation based on the continuity of the compared two groups of patients＇ blood pressure changes before and after the intervention, and the quality of life, sleep quality level. Results Before the intervention, there was no significant differ-ence in blood pressure level between the two groups （P 〉 0. 05） . After the intervention, both systolic and diastolic blood pressure in the observation group were lower than that in the control group, and the difference was statistically significant （P 〈 0. 05） . Before the intervention, there was no statistically significant difference in gqol-74 and PSQI scores between the two groups （ P 〉 0. 05 ）. After intervention, the gqol-T4 score of the observation group was significantly higher than that of the control group, and the PSQI score was significantly lower than that of the control group, with statistically signif-icant differences （P 〈 0. 05）. Conclusion： The implementation of continuous nursing can help to control blood pressure and improve the quality of life and sleep.