集束化管理联合健康教育在高血压肾损害患者护理中的应用效果

Effect of cluster management in combination with health education in nursing of hypertensive patients with renal impairment

目的 探讨集束化管理联合健康教育在高血压肾损害患者护理中的应用效果,以期为临床相关治疗提供参考。方法选取2019年6月-2021年4月在郑州市第二人民医院就诊的88例高血压肾损害患者为研究对象,采用随机数字表法将患者分为观察组和对照组,每组44例。对照组患者实施常规护理联合健康教育干预,观察组患者在对照组基础上实施集束化管理。比较2组患者干预前及干预6个月时舒张压、收缩压水平。比较2组患者干预前及干预6个月时血肌酐(Scr)、24 h尿蛋白定量(24 h Upr)水平。比较2组患者遵医率。结果 干预前,2组患者舒张压、收缩压比较,差异无统计学意义(P>0.05);干预后,2组患者舒张压、收缩压水平低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者Scr、24 h Upr水平比较,差异无统计学意义(P>0.05);干预后,2组患者Scr、24 h Upr水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者总遵医率高于对照组,差异有统计学意义(P<0.05)。结论 集束化管理联合健康教育应用于高血压肾损害患者护理中,能有效提高患者的血压控制效果,改善患者遵医行为及肾功能,值得临床推广应用。

Objective To explore the effect of cluster management in combination with health education in nursing of hypertensive patients with renal impairment.Methods Eighty-eight hypertensive patients with renal impairment who visited the Second People’s Hospital of Zhengzhou from June 2019 to April 2021 were selected as the study subjects.The patients were assigned to the observation group and the control group by the random number table,with 44 cases in each group.Patients in the control group received conventional nursing combined with health education intervention,and patients in the observation group received cluster management on top of the treatment in the control group.Diastolic blood pressure and systolic blood pressure levels were compared between the 2 groups before and at 6 months of intervention.Serum creatinine(Scr)and 24 h urinary protein(24 h Upr)levels were compared between the two groups before and 6 months after the intervention.The compliance rate was compared between the 2 groups.Results Before the intervention,there was no significant difference in diastolic blood pressure and systolic blood pressure between the two groups(P>0.05).After the intervention,diastolic blood pressure and systolic blood pressure levels in the two groups were lower than those before the intervention,with the observation group lower than the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in Scr and 24 h Upr levels between the two groups(P>0.05);after the intervention,Scr and 24 h Upr levels in the two groups were lower than those before the intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).The total compliance rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of cluster management in combination with health education in the nursing of hypertensive patients with renal impairment can effectively improve blood pressure control,compliance behavior,and renal function.These advantages hold promise for a wider application of this technique in clinical practice.