基于动态血压监测下的个体化延续护理在原发性高血压患者中的应用效果

Application effects of individualized continuous nursing based on ambulatory blood pressure monitoring in patients with essential hypertension

目的:观察基于动态血压监测下的个体化延续护理在原发性高血压患者中的应用效果。方法:选取2019年3月至2020年3月该院收治的80例原发性高血压患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组实施常规护理,观察组在对照组基础上实施基于动态血压监测下的个体化延续护理,两组均护理12个月。比较两组护理前后24 h动态血压水平、护理满意度、护理前后生命质量[生命质量测定量表(QLQ-C30)]评分、1年内再次住院率、平均住院次数和依从性评分。结果:护理后,观察组24 h收缩压平均值、24 h舒张压平均值均低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.00%(38/40),高于对照组的77.50%(31/40),差异有统计学意义(P<0.05);观察组躯体功能、角色功能、认知功能、情感功能、社会功能等QLQ-C30维度评分和血压监测、运动、遵医用药、饮食等依从性评分均高于对照组,差异有统计学意义(P<0.05);观察组1年内再次住院率为2.50%(1/40),低于对照组的22.50%(9/40),差异有统计学意义(P<0.05);观察组平均住院次数少于对照组,差异有统计学意义(P<0.05)。结论:基于动态血压监测下的个体化延续护理应用于原发性高血压患者可降低血压水平和再住院率,提高护理满意度、生命质量和依从性,减少住院次数,效果优于常规护理。

Objective:To observe application effects of individualized continuous nursing based on ambulatory blood pressure monitoring in patients with essential hypertension.Methods:A prospective study was conducted on 80 patients with essential hypertension admitted to the hospital from March 2019 to March 2020.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group received routine nursing,while the observation group received individualized continuous nursing based on the ambulatory blood pressure monitoring on the basis of that of the control group.Both groups were treated for 12 months.The 24 h ambulatory blood pressure levels before and after the nursing,the nursing satisfaction,the quality of life[quality of life scale(QLQ-C30)]scores before and after the nursing,the readmission rate within 1 year,the average hospitalization times and the compliance score were compared between the two groups.Results:After the nursing,the average values of 24 h systolic blood pressure and 24 h diastolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.00%(38/40),which was higher than 77.50%(31/40)of the control group,and the difference was statistically significant(P<0.05).The QLQ-C30 dimension scores of physical function,role function,cognitive function,emotional function and social function,and the compliance scores of blood pressure monitoring,exercise,medication compliance and diet in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The readmission rate within 1 year in the observation group was 2.50%(1/40),which was lower than 22.50%(9/40)in the control group,and the difference was statistically significant(P<0.05).Further,the average hospitalization time in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The individualized continuous nursing based on the ambulatory blood pressure monitoring for the patients with essential hypertension can reduce blood pressure levels and the readmission rate,improve the nursing satisfaction,the quality of life and the compliance,and reduce the hospitalization times.Moreover,it is superior to single routine nursing.