综合体验式护理模式在高血压急症患者中的临床效果评价

Evaluation on clinical effect of comprehensive experiential nursing model in emergency patients with hypertension

目的探讨综合体验式护理模式应用于高血压急症患者的临床效果。方法选取2019年1月至12月期间本院收治的96例高血压急症患者为研究对象,按照护理方法将其分为对照组46例和观察组50例。对照组年龄(55.1±3.2)岁,观察组年龄(54.2±2.1)岁。对照组实施高血压急症的常规护理,主要包括生命体征监测、用药指导、并发症相关知识健康宣教及生活方式干预;观察组在常规护理的基础上实施综合体验式护理模式,从4个方面进行体验干预,包括生活方式、饮食、用药、并发症体验干预。比较两组患者出院后第1、3、6个月收缩压、舒张压水平及患者的护理满意度。结果观察组出院后第1、3、6个月的收缩压分别为(131.85±8.51)mmHg(1 mmHg=0.133 kPa)、(125.27±6.39)mmHg、(129.38±10.11)mmHg,均低于对照组(141.24±9.14)mmHg、(146.76±8.46)mmHg、(148.36±10.52)mmHg,舒张压分别为(97.24±4.26)mmHg、(89.87±5.28)mmHg、(95.47±4.89)mmHg,均低于对照组(104.24±5.32)mmHg、(109.69±7.21)mmHg、(106.12±7.56)mmHg,差异均有统计学意义(均P<0.05)。观察组护理满意度为90.0%(45/50),明显高于对照组71.7%(33/46),差异有统计学意义(P<0.05)。结论在高血压急症患者护理中采用综合体验式护理模式能降低患者出院后收缩压、舒张压水平,从而降低患者病死率、致残率,给患者及社会带来良好的获益,同时也能提高患者的护理满意度,促进医患和谐。

Objective To explore the clinical effect of comprehensive experiential nursing model applied in emergency patients with hypertension.Methods A total of 96 emergency patients with hypertension admitted to our hospital from January to December 2019 were selected as the research objects.They were divided into a control group(n=46)and an observation group(n=50)according to the nursing methods.The age of the control group was(55.1±3.2)years old,and the age of the observation group was(54.2±2.1)years old.The control group received routine nursing,mainly including vital signs monitoring,medication guidance,health education about complications,and lifestyle intervention;the observation group received the comprehensive experiential nursing model on the basis of routine nursing,the experiential intervention was conducted from 4 aspects,including lifestyle,diet,medication,and complications.The systolic blood pressure and diastolic blood pressure levels at the first,third,and sixth months after discharge of the two groups were compared,and the patients'nursing satisfaction was compared.Results The systolic and diastolic blood pressure levels of the observation group at the first,third,and sixth months after discharge were(131.85±8.51)mmHg(1 mmHg=0.133 kPa),(125.27±6.39)mmHg,(129.38±10.11)mmHg,(97.24±4.26)mmHg,(89.87±5.28)mmHg,and(95.47±4.89)mmHg,which were significantly lower than those in the control group[(141.24±9.14)mmHg,(146.76±8.46)mmHg,(148.36±10.52)mmHg,(104.24±5.32)mmHg,(109.69±7.21)mmHg,(106.12±7.56)mmHg](all P<0.05).The nursing satisfaction of the patients in the observation group was 90.0%(45/50),which was significantly higher than that in the control group[71.7%(33/46)](P<0.05).Conclusion The comprehensive experiential nursing model used in the nursing for emergency patients with hypertension can reduce the systolic and diastolic blood pressure levels after discharge from the hospital,thereby reducing the mortality and disability rate of patients,bringing good benefits to patients and society,and at the same time,improving patients'nursing satisfaction,and promoting doctor-patient harmony.