个体化护理干预对老年高血压患者血压及自我管理行为的影响

Effects of Individualized Nursing Intervention on Blood Pressure and Self-management Behavior in Elderly Patients with Hypertension

目的:探讨个体化护理干预对老年高血压患者血压及自我管理行为的影响。方法:选取本院2015年2月-2018年2月收治的80例老年高血压患者为研究对象,按照随机数字表法分为观察组和对照组,每组各40例。对照组住院期间进行常规护理,观察组在对照组的基础上采用个体护理干预。记录并比较干预前和干预后3个月两组的血压水平,并对两组进行问卷调查,以评估两组的自我管理行为。结果:干预后,观察组收缩压和舒张压均明显低于干预前,差异均有统计学意义(P<0.05)。对照组干预后收缩压明显低于干预前,差异有统计学意义(P<0.05),但舒张压干预前后比较,差异均无统计学意义(P>0.05)。干预后,观察组收缩压和舒张压控制情况均明显优于对照组,差异均有统计学意义(P<0.05)。干预后,观察组各维度评分及自我管理总分均明显高于干预前,差异均有统计学意义(P<0.05)。对照组各维度评分及自我管理总分与干预前后比较,差异均无统计学意义(P>0.05)。干预后,观察组各维度评分及自我管理总分均高于对照组,差异均有统计学意义(P<0.05)。结论:个体化护理方案能有效改善患者自我管理行为,进而改善了患者的血压控制情况和预后。

Objective:To explore the effect of individualized nursing intervention on blood pressure and self-management behavior of elderly patients with hypertension.Method:80 elderly patients with hypertension in our hospital from February 2015 to February 2018 were selected as the research objects.According to the random number table method,the cases were divided into observation group and control group,40 cases in each group.The control group was given routine nursing during hospitalization,and the observation group was given individual nursing intervention on the basis of the control group.Before and 3 months after the intervention,the blood pressure levels of the elderly patients in the two groups were recorded and compared,and a questionnaire survey was conducted on the patients in the two groups to evaluate the self-management behavior of the patients in the two groups.Result:After intervention,systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than before intervention,the differences were statistically significant (P<0.05).The systolic blood pressure in the control group after intervention was significantly lower than that before intervention(P<0.05),but the diastolic blood pressure before and after intervention,the difference was not statistically significant(P>0.05).After intervention,the control of systolic and diastolic blood pressure in the observation group were significantly better than those in the control group(P<0.05).After intervention, the scores of each dimension and the total score of self-management in the observation group were significantly higher than before the intervention,and the differences were statistically significant(P<0.05).The scores of each dimension and the total score of self-management in the control group before and after intervention were compared,the difference were not statistically significant(P>0.05).After intervention,the overall scores of each dimension and self-management in the observation group were higher than those in the control group(P<0.05). Conclusion:Individualized nursing program can effectively improve the patients’ self-management behavior,then improve the patients’ blood pressure control and prognosis.