基于“治未病”理论的护理干预在预防高血压患者便秘中的价值

The Value of Nursing Intervention Based on the Theory of"Preventive Treatment of Disease"in Preventing Constipation in Hypertensione Patients

目的:探讨基于“治未病”理论的护理干预措施在预防高血压患者便秘中的应用价值。方法:选择2021年1月—2022年9月南昌大学第四附属医院收治的高血压患者100例,按随机数字表法分为两组,各50例。对照组采取常规护理,观察组在常规护理基础上实施基于“治未病”理论的护理干预措施,两组均护理14 d。对比分析两组便秘发生情况、排便积分、负性情绪、血压控制情况、生活质量。结果:观察组便秘发生率为10.00%,低于对照组的32.00%(P<0.05)。护理后观察组排便积分[(0.85±0.21)分]、焦虑自评量表(SAS)评分[(43.28±2.96)分]、抑郁自评量表(SDS)评分[(44.61±4.09)分]及收缩压(SBP)[(134.64±4.71)mm Hg]、舒张压(DBP)[(84.38±3.59)mm Hg],均低于对照组[(1.41±0.30)分、(47.51±3.04)分、(48.20±3.75)分、(141.96±4.02)mmHg、(87.23±4.60)mmHg](P<0.05)。护理后,观察组生活质量综合评定问卷(GQOLI-74)中心理功能(75.49±6.13)分、躯体功能(78.64±7.01)分,均高于对照组的(68.83±5.24)、(70.41±6.52)分,差异均有统计学意义(P<0.05);护理后,两组社会功能、物质生活评分比较,差异均无统计学意义(P>0.05)。结论:基于“治未病”理论的护理干预能够有效缓解高血压患者负性情绪,积极控制血压,减少便秘发生,提高患者生活质量。

Objective:To explore the application value of nursing intervention measures based on the theory of"preventive treatment of disease"in preventing constipation in hypertension patients.Method:A total of 100 hypertension patients admitted to the Fourth Affiliated Hospital of Nanchang University from January 2021 to September 2022 were divided into two groups according to random number table method,with 50 patients in each group.The control group received routine nursing,and the observation group received nursing intervention measures based on the theory of"preventive treatment of disease"on the basis of routine nursing.Both groups were nursing for 14 days.The occurrence of constipation,defecation score,negative emotion,blood pressure control and quality of life of the two groups were compared and analyzed.Result:The incidence of constipation in the observation group was 10.00%,which was lower than 32.00%in the control group(P<0.05).After nursing,the defecation score[(0.85±0.21)scores],self-rating anxiety scale(SAS)score[(43.28±2.96)scores],self-rating depression scale(SDS)score[(44.61±4.09)scores],systolic blood pressure(SBP)[(134.64±4.71)mmHg],diastolic blood pressure(DBP)[(84.38±3.59)mmHg]in the observation group were lower than(1.41±0.30)scores,(47.51±3.04)scores,(48.20±3.75)scores,(141.96±4.02)mmHg and(87.23±4.60)mmHg in the control group(P<0.05).After nursing,the psychological function[(75.49±6.13)scores]and physical function[(78.64±7.01)scores]in generic quality of life inventory 74(GQOLI-74)in the observation group were higher than(68.83±5.24)and(70.41±6.52)scores in the control group,the differences were statistically significant(P<0.05).After nursing,there were no significant differences in social function and material life scores between the two groups(P>0.05).Conclusion:Nursing intervention based on the theory of"preventive treatment of disease"can effectively relieve the negative emotions of hypertension patients,actively control blood pressure,reduce constipation,and improve the quality of life of patients.