优质护理在老年高血压患者中的应用效果分析

Application Effect Analysis of High-Quality Nursing in Elderly Hypertensive Patients

目的:分析优质护理在老年高血压患者中的应用效果。方法:选取2020年3月—2021年5月台山市中医院收治的114例老年高血压患者作为研究对象,按照随机摸球法分为参照组与观察组,各57例。参照组实施基础护理,观察组实施优质护理,对比两组生活质量、血压水平、依从性、血压改善情况、负性情绪。结果:护理前,两组躯体功能、社会状态、精神情况、生理功能评分比较,差异无统计学意义(P>0.05);护理后,观察组躯体功能、社会状态、精神情况、生理功能评分均高于参照组,差异有统计学意义(P=0.000)。护理前,两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05);护理后,观察组收缩压、舒张压水低于参照组,差异有统计学意义(P=0.000)。观察组依从性、血压改善率均高于参照组,差异有统计学意义(P<0.05)。观察组焦虑、抑郁自评量表评分均低于参照组,差异有统计学意义(P=0.000 0)。结论:老年高血压患者实施优质护理效果佳,可改善患者的生活质量及负性情绪,降低血压水平,提高患者的依从性、血压改善率及满意度。

Objective:To analyze the application effect of high-quality nursing in elderly hypertensive patients.Methods:A total of 114 elderly hypertensive patients admitted to Taishan Hospital of Traditional Chinese Medicine from March 2020 to May 2021 were selected as the study subjects.According to the random ball-touching method,they were divided into the reference group and the observation group,with 57 cases in each group.The reference group received basic nursing.The observation group received high-quality nursing.The quality of life,blood pressure level,compliance,blood pressure improvement,and negative emotions were compared between the two groups.Results:Before nursing,there were no significant differences in physical function,social status,mental status and physiological function scores between the two groups(P>0.05).After nursing,the scores of physical function,social status,mental status and physiological function in the observation group were higher than those in the reference group,with statistically significant difference(P=0.000).Before nursing,there was no significant difference in the levels of systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).After nursing,the levels of systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the reference group,and the difference was statistically significant(P=0.000).The compliance and blood pressure improvement rate in the observation group were higher than those in the reference group,and the difference was statistically significant(P<0.05).The scores of self-rating anxiety scale and self-rating depression scale in the observation group were lower than those in the reference group,and the difference was statistically significant(P=0.0000).Conclusion:High-quality nursing for elderly hypertensive patients achieves good effect,which can improve the quality of life and negative emotions of patients,reduce the level of blood pressure,improve patients'compliance,blood pressure improvement rate and satisfaction.