护理干预对难治性高血压合并醛固酮增高患者血压及其醛固酮水平稳健作用的效果观察

Observation on effects of nursing intervention on blood pressure and aldosterone level in patients with refractory hypertension combined with aldosterone elevation

目的探讨护理干预对难治性高血压合并醛固酮增高患者的血压及其醛固酮水平的影响。方法2017年1月~2018年12月在右江民族医学院附属医院和百色市人民医院两家医院的急诊科随机抽取200例难治性高血压合并醛固酮增高患者,按血压,年龄和性别随机分成100个对子,再把对子中的患者分配到干预组和对照组,干预组给予综合护理干预,对照组给予常规护理干预。结果干预前两组血压差异无统计学意义(P>0.05),干预后干预组收缩压,舒张压水平较对照组低,差异有统计学意义(P<0.05);对照组干预前后血压水平差异无统计学意义(P>0.05)。干预后干预组立位醛固酮和卧位醛固酮水平较对照组低,差异有统计学意义(P<0.05)。结论护理干预可以有效缓解难治性高血压合并醛固酮增高患者的血压和醛固酮水平,达到稳健的作用。护理干预对控制高血压和醛固酮等受情绪和生理影响波动比较大的观察指标的稳定性有一定的效果。

Objective To explore the effect of nursing intervention on blood pressure and aldosterone level of refractory hypertension combined with aldosterone elevation. Methods 200 patients with refractory hypertension combined with aldosterone elevation who were admitted to emergency department of Affiliated Hospital of Youjiang Medical University for Nationalities and Baise People’s Hospital from January 2017 to December 2018 were randomly selected. According to blood pressure, age and gender, they were randomly divided into 100 pairs, and the patients in the pair were assigned to the intervention group and the control group. The intervention group was given comprehensive nursing intervention while the control group was given routine nursing intervention. Results Before intervention, the difference in blood pressure between the two groups before the intervention was not statistically significant (P > 0.05). After intervention, the systolic blood pressure and diastolic blood pressure in the intervention group were lower than those in the control group, and the difference was statistically significant (P < 0.05). There was no significant difference in blood pressure levels between the control group before and after the intervention (P> 0.05). After intervention, the aldosterone levels in the vertical and horizontal position in the intervention group were lower than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion Nursing intervention can effectively relieve blood pressure and aldosterone levels in patients with refractory hypertension and aldosterone and achieve a stable effect. Nursing interventions have certain effects on the stability of observation indexes such as hypertension and aldosterone, which are subject to fluctuations in emotional and physiological effects.