个体化护理干预在老年高血压合并动脉粥样硬化患者中的应用效果

Application Effect of Individualized Nursing Intervention in Elderly Patients with Hypertension and Atherosclerosis

目的探讨个体化护理干预在老年高血压合并动脉粥样硬化患者中的应用效果。方法选择2017年12月至2018年9月在本院治疗的100例老年高血压合并动脉粥样硬化患者作为研究对象,根据护理方式的不同分为常规组和个体化组,每组50例。两组患者均予以降压、调脂、扩血管等常规治疗,常规组患者采取常规护理干预,个体化组在常规组基础上增加个体化护理干预,对比两组患者的治疗效果、心理状态变化情况。结果干预3个月后,个体化组血压达标率为80.00%,显著高于常规组的62.00%,差异有统计学意义(P<0.05)。入院时,两组SDS和SAS评分比较,差异无统计学意义(P<0.05);出院后6个月,两组SDS和SAS评分均低于入院时,且个体化组SDS和SAS评分均低于常规组,差异有统计学意义(P<0.05)。结论对于合并动脉粥样硬化的老年高血压患者,根据病情具体情况采取个体化护理措施,可有效提升血压达标率,并改善患者的负性情绪。

Objective To explore the application effect of individualized nursing intervention in elderly patients with hypertension and atherosclerosis.Methods A total of 100 elderly patients with hypertension complicated with atherosclerosis who were treated in our hospital from December 2017 to September 2018 were selected as the research objects.According to the nursing methods,they were divided into conventional group and individualized group,with 50 cases in each group.Patients in the two groups were given conventional treatments such as blood pressure reduction,lipid regulation,and vasodilation.Patients in the conventional group received conventional nursing intervention,and the individualized group added individualized nursing intervention on the basis of the conventional group.The treatment effect and the changes in patients’mental state were compared.Results After 3 months of intervention,the rate of achieving blood pressure in the individualized group was 80.00%,which was significantly higher than the 62.00%in the conventional group,and the difference was statistically significant(P<0.05).At admission,there was no statistically significant difference in SDS and SAS scores between the two groups(P<0.05);6 months after discharge,the SDS and SAS scores of the two groups were lower than those at admission,and the individualized group SDS and SAS scores were both low than the conventional group,the difference was statistically significant(P<0.05).Conclusion For hypertensive patients with atherosclerosis,individualized nursing measures according to the specific situation can effectively improve the rate of blood pressure compliance,improve patients’negative emotional response.