延伸护理干预对老年高血压患者治疗依从性及心理状态的影响

Effect of extended nursing intervention on treatment compliance and psychological state of elderly patients with hypertension

目的探讨延伸护理干预对老年高血压患者治疗依从性及心理状态的影响。方法将我院2017年1月至2018年6月收治的156例高血压患者随机分为对照组和和观察组,每组78例。对照组给予常规护理干预,观察组在对照组基础上给予延伸护理干预。比较两组患者的治疗依从性,护理前、后的血压变化情况、心理状态及生活质量。结果观察组的治疗依从率显著高于对照组(P<0.05)。护理后,两组SBP和DBP均下降,且观察组低于对照组(P<0.05)。护理后,两组的心理状态各项评分均下降,且观察组低于对照组(P<0.05)。护理后,两组的生活质量各项评分升高,且观察组高于对照组(P<0.05)。结论延伸护理干预可明显提高老年高血压患者的治疗依从性,改善患者的心理状态和生活质量,具有较高的临床应用价值。

Objective To explore the effect of extended nursing intervention on treatment compliance and psychological state of elderly patients with hypertension.Methods A total of 156 patients with hypertension admitted in our hospital from January 2017 to June 2018 were randomly divided into control group and observation group,with 78 cases in each group.The control group was given routine nursingintervention,while the observation group was given extended nursing intervention on the basis of the control group.The treatment compliance,blood pressure changes,psychological status and quality of lifebefore and after nursingbetween the two groups were compared.Results The compliance rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).After nursing,SBP and DBP decreased in both groups,and those in the observation group were lower than the control group(P<0.05).After nursing,the every score of psychological status in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After nursing,the every score ofthe quality of life in the two groups increased,and those in the observation group were higher than the control group(P<0.05).Conclusion Extended nursing intervention can significantly improve the treatment compliance of elderly patients with hypertension,and improve their psychological status and quality of life,and has high clinical application value.