家属参与式临床护理在高血压危象患者中的应用

Application of Family Involved Clinical Nursing in Patients with Hypertensive Crisis

目的:探讨家属参与式临床护理在高血压危象患者中的应用效果。方法:选择2018年10月—2019年10月间于河南省永城市人民医院治疗的高血压危象患者共110例,按照随机数字表法分为观察组(n=55)及对照组(n=55)。对照组采用常规临床护理,观察组采用家属参与式临床护理。比较两组患者护理前后生活习惯(自制量表评估,包括饮食控制、规律运动、治疗依从性)评分与日间血压、夜间血压、24 h动态血压。结果:护理后,两组饮食控制、规律运动、治疗依从性评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组日间血压、夜间血压、24h动态血压均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:家属参与式临床护理可改善高血压危象患者生活习惯,进一步控制血压。

Objective:To explore the application effect of family involved clinical nursing in patients with hypertensive crisis.Methods:A total of 110 patients with hypertensive crisis treated in the hospital from October 2018 to October 2019 were selected,according to the random number table method,they were divided into observation group(n=55)and control group(n=55).The control group was given routine clinical nursing,and the observation group was given family involved clinical nursing.The living habits(self made scale for evaluation,including diet control,regular exercise,treatment compliance)score,daytime blood pressure,night blood pressure and 24 h ambulatory blood pressure were compared between the two groups before and after nursing.Results:After nursing,the scores of diet control,regular exercise and treatment compliance of both groups were higher than those before nursing,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After nursing,the daytime blood pressure,night blood pressure and 24 h ambulatory blood pressure of both groups were lower than those before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:Family involved clinical nursing can improve the living habits of patients with hypertensive crisis and further control their blood pressure.