基于纽曼保健系统模式的护理干预对农村老年高血压前期患者的应用效果评价

Evaluation of Nursing Intervention Based on Newman Health System Model in Rural Prehypertension Patients

目的研究基于纽曼保健系统模式的护理干预对农村老年高血压前期患者的作用效果。方法以2017年ACC/AHA(American College of Cardiology/American Heart Association,即美国心脏病学会/美国心脏学会)指南中新规定的高血压定义为依据,在2018年6月—2019年3月期间,选取100例山东省某乡村高血压前期老年患者作为研究对象,其血压为收缩压在130~140 mmHg或舒张压在80~90 mmHg。先通过测量血压以及面对面自制问卷调查明确老年患者的高血压现况,随机分为两组,各100例,对照组实施常规基础护理,观察组实施纽曼保健系统模式的护理干预。比较两组护理前后老年患者高血压的平均血压水平以及问卷得分情况。结果护理前两组收缩压[对照组(136.43±2.37)mmHg、观察组(136.50±2.33)mmHg(t=-0.11)]和舒张压[对照组(85.70±2.65)mmHg、观察组(85.90±2.28)mmHg(t=-0.31)]差异无统计学意义(P>0.05),干预6个月后观察组收缩压(126.87±1.87)mmHg和舒张压(75.70±2.49)mmHg均较对照组[(132.47±2.37)、(83.33±1.77)mmHg]均有明显的改善,差异有统计学意义(收缩压t=10.15、舒张压t=13.68,P<0.05);观察组的问卷评分较对照组也有明显改善。结论基于纽曼保健系统模式的护理干预在农村老年高血压前期患者的作用效果显著。

Objective To study the effect of nursing intervention based on Newman's health care system model on elderly patients with prehypertension in rural areas.Methods Based on the new definition of hypertension in the 2017 ACC/AHA(American College of Cardiology/American Heart Association)guidelines.From June 2018 to March 2019,100 elderly patients with prehypertension in a rural village in Shandong Province were selected as the research object,and their blood pressure was systolic blood pressure between 130-140 mmHg or diastolic blood pressure between 80-90 mmHg.Firstly,the current status of hypertension in elderly patients was determined through blood pressure measurement and face-to-face self-made questionnaire survey.They were randomly divided into two groups of 100 cases each.The control group received routine basic care,and the observation group performed nursing intervention based on the Newman health system model.The mean blood pressure level and questionnaire scores of elderly patients before and after nursing were compared between the two groups.Results The systolic blood pressure(136.43±2.37)mmHg in the control group,(136.50±2.33)mmHg in the observation group(t=-0.11)and diastolic pressure(85.70±2.65)mmHg in the control group,(85.90±2.28)mmHg(t=-0.31)in the observation group,there was no statistically significant difference(P>0.05).The systolic blood pressure(126.87±1.87)mmHg and diastolic blood pressure(75.70±2.49)mmHg in the observation group were significantly higher than those in the control group[(132.47±2.37),(83.33±1.77)mmHg]after 6 months of intervention,with obvious improvement,and was statistically significant(systolic blood pressure t=10.15,diastolic blood pressure t=13.68,P<0.05);the questionnaire score of the observation group was also signifi cantly improved compared with the control group.Conclusion Nursing intervention based on the Newman health care system model has a significant effect on elderly patients with prehypertension in rural areas.