精细化护理对肺结核合并高血压患者血压和护理质量评分与护理满意度的影响

Effect of refined nursing on blood pressure,nursing quality score,and nursing satisfaction of patients with pulmonary tuberculosis and hypertension

目的探讨精细化护理对肺结核合并高血压患者血压、护理质量评分、护理满意度的影响。方法选取2018年7月至2020年7月入住本院的60例肺结核合并高血压患者,按照单双号住院时间分别划分为基础组和精细化组。基础组30例,男性21例,女性9例,年龄(55.46±10.21)岁,采用基础护理;精细化组30例,男性18例,女性12例,年龄(54.72±10.15)岁,在基础护理方案上进行精细化护理。观察分析血压、护理质量及满意度指标。结果护理前,基础组和精细化组舒张压(DBP)、收缩压(SBP)水平比较差异均无统计学意义(均P>0.05);护理后,精细化组DBP、SBP分别为(112.30±6.98)mmHg(1 mmHg=0.133 kPa)及(76.80±5.11)mmHg,基础组分别为(126.15±7.20)mmHg、(86.74±4.66)mmHg,两组比较,差异均有统计学意义(均P<0.05)。护理前,基础组和精细化组护理质量评分比较,差异无统计学意义(P>0.05);护理后,两组护理质量评分均提高,精细化组质量评分为(89.56±1.66)分,基础组为(80.02±1.28)分,组间比较差异有统计学意义(P<0.05)。精细化组护理满意度为96.67%(29/30),高于基础组的83.33%(25/30),差异有统计学意义(χ^(2)=4.154,P=0.042)。结论精细化护理通过病情、血压、心理、生活及饮食等多方面护理有利于降低肺结核合并高血压患者血压水平,提高医护人员护理质量及患者临床护理满意度。

Objective To explore the effect of refined nursing on the blood pressure,nursing quality score,and nursing satisfaction of patients with pulmonary tuberculosis and hypertension.Methods Sixty patients with pulmonary tuberculosis and hypertension treated at our hospital from July,2018 to July,2020 were divided into a basic group and a refined group according to their hospitalization numbers,with 30 cases in each group.The basic group had 21 males and 9 females,were(55.46±10.21)years old,and were basically cared.The refined group had 18 males and 12 females,were(54.72±10.15)years old,and were basically and refinedly cared.The blood pressures,nursing quality,and satisfaction were compared between these two groups.Results There were no statistical differences in the diastolic blood pressure(DBP),systolic blood pressure(SBP),and nursing quality score between the basic group and the refined group before the care(all P>0.05).After the care,the DBP and SBP were lower and the nursing quality score was higher in the refined group than in the basic group[(112.30±6.98)mmHg(1 mmHg=0.133 kPa)vs.(126.15±7.20)mmHg,(76.80±5.11)mmHg vs.(86.74±4.66)mmHg,(89.56±1.66)vs.(80.02±1.28)],with statistical differences(all P<0.05).The satisfaction with nursing of the refined group was higher than that of the control group[96.67%(29/30)vs.83.33%(25/30);χ^(2)=4.154,P=0.042].Conclusions Through disease conditions,blood pressure,psychology,life,and diet care,refined nursing for patients with pulmonary tuberculosis and hypertension decreases their blood pressure and improves satisfaction with nursing,and improves the nursing quality of medical staff.