延续性护理对老年高血压患者生活质量的效果评价

Evaluation of the Effect of Continuous Nursing on the Quality of Life of Elderly Patients with Hypertension

目的探讨延续性护理对老年高血压患者生活质量的影响,以提高老年高血压患者的生活质量。方法采用方便抽样法选取2017年2月—2018年2月在某三级甲等医院心血管内科出院的72例60周岁以上老年高血压患者为研究对象,以抽签方法分为观察组36例和对照组36例,对照组患者进行院内常规高血压病护理,观察组患者在此基础上给予进行3个月的延续性护理干预,出院时和出院3个月后均采用SF-36生活质量量表评价两组患者的生活质量。结果出院时观察组生理功能为(67.00±19.76)分、躯体疼痛为(60.96±14.03)分、总体健康为(46.69±15.90)分、生理职能为(45.00±20.04)分、社会功能为(70.07±17.68)分、情感职能为(51.85±31.31)分、活动为(49.86±16.88)分等方面与对照组数值比较,差异无统计学意义(P>0.05);出院3个月后,观察组生理功能为95(85,95)分、躯体疼痛80(74,98.75)分、社会功能87.5(65.62,87.5)分、活动60(51.25,70)分、总体健康(61.67±19.86)分及总分(563.19±124.72)分均高于对照组,说明差异有统计学意义(Z=2.741、2.656、2.103、2.266,t=2.647、3.393,P<0.05)。结论对老年高血压患者实施出院后的延续性护理能够提高患者生活质量的水平。

Objective To explore the effect of continuous nursing on the quality of life of elderly hypertensive patients,so as to improve the quality of life of elderly hypertensive patients.Methods Convenience sampling was used.Elderly hypertensive patients over 60 years of age who were discharged from the cardiovascular department of a tertiary A hospital from February 2017 to February 2018 were selected as the research objects.72 patients who met the standard were divided by lottery method:36 cases in the observation group and 36 cases in the control group,the patients in the control group received routine hospital care for hypertension,and the patients in the observation group were given continuous nursing intervention for 3 months on this basis,both at discharge and 3 months after discharge of the SF-36 Quality of Life Scale evaluates the quality of life of the two groups of patients.Results Discharge when the observation group(67.00±19.76)points of physiological functions,physical pain is(60.96±14.03)points,overall health(46.69±15.90),(45.00±20.04)points of the physiological function,social function is(70.07±17.68)points,(51.85±31.31)points of the emotional function,activity,and the control group(49.86±16.88)grading parts such as numerical comparison,there was no statistically significant difference(P>0.05).Three months after discharge,the physiological function of the observation group was 95(85,95)points,physical pain 80(74,98.75)points,social function 87.5(65.62,87.5)points,activity 60(51.25,70)points,overall health(61.67±19.86)points and total score(563.19±124.72)points were all higher than the control group,indicating that the difference was statistically significant(Z=2.741,2.656,2.103,2.266,t=2.647,3.393,P<0.05).Conclusion The implementation of continuous nursing care for elderly hypertensive patients after discharge can improve the quality of life of patients.