对出院高血压患者进行延续性护理的临床效果评价

Evaluation on Clinical Effect of Continuous Nursing of Discharged Hypertension Patients

目的比较延续护理与常规患者对出院高血压患者相关指标上的差异,探讨延续护理的临床价值。方法该院内科2014年1月—2016年10月诊治140例高血压患者,随机分为观察组和对照组各70例,出院时对照组患者给予常规用药指导和健康教育,观察组患者实施下列延续护理措施:成立延伸护理小组、建立档案进行病情评估、确定延伸护理方式、完善延伸护理内容。观察指标:血压、高血压知识掌握、健康行为、护理满意度。结果两组高血压患者出院时DBP、SBP、掌握高血压知识掌握、保持健康行为、患者及家属护理满比较差异无统计学意义(P>0.05);出院6个月以后实施延续护理的观察组DBP(122.80±6.65)mmHg、SBP(79.27±6.02)mmHg低于对照组的(128.56±7.27)mmHg、(84.79±5.98)mmHg(t=2.98、3.23,P<0.05);掌握高血压知识75.71%、保持健康行为85.71%、护理满意92.86%高于对照组的60.00%、2.86%、85.71%(χ~2=6.48、5.64、4.86,P<0.05)。结论延续护理应用于出院高血压患者中,能提高患者对高血压知识的掌握,保持健康行为,有效控制血压,提高患者对护理人员满意度,值得临床应用。

Objective To compare the differences in the related indicators of continuous nursing and routine nursing of discharged hypertension patients and study the clinical value of continuous nursing.Methods 140 cases of hypertension patients diagnosed in our hospital from January 2014 to October 2016 were selected and randomly divided into two groups with 70 cases in each,the control group used the routine medication guidance and health education at discharge,while the control group used the continuous nursing measures,including establishing the extensive nursing group,establishing the files for disease evaluation,ensuring the extensive nursing method,and improving the extensive nursing contents,and the blood pressure,mastery of hypertension knowledge,health behavior and nursing satisfactory degree were observed.Results The differences in the DBP,SBP,mastery of hypertension knowledge,healthy behavior and satisfactory degree of patients and their family between the two groups were not statistically significant(P>0.05),after six-month discharge,the DBP and SBP in the observation group were lower than those in the control group[(122.80±6.65)mmHg,(79.27±6.02)mmHg vs(128.56±7.27)mmHg,(84.79±5.98)mmHg](t=2.98,3.23,P<0.05),and the mastery rate of hypertension knowledge,healthy behavior and nursing satisfactory rate in the observation group were higher than those in the control group(75.71%,85.71%,92.86%vs 60.00%,2.86%,85.71%)(χ2=6.48,5.64,4.86,P<0.05).Conclusion The application of continuous nursing in the discharged hypertension patients can improve the mastery of hypertension knowledge,keep the healthy behavior,effectively control the blood pressure and improve the satisfactory degree of patients to nursing staff,which is worth clinical application.