基于奥马哈系统的护理干预在接受抗阻训练的老年高血压患者中的应用效果观察

Application Observations of Omaha system-based Nursing Interventions for Elderly Hypertension Patients using the Resistance Training

目的 分析以奥马哈系统为基础护理干预用于高血压老年患者抗阻训练中的效果。方法 选取2022年1月至2022年12月河南省人民医院收治的98例高血压老年患者进行研究,结合随机数表法分成对照组(接受常规治疗和护理,并每日开展抗阻训练)、观察组(在前组基础上开展以奥马哈系统为基础护理干预)各49例,比较两组干预前后血压、心率、自我管理行为问卷(CSMS)、生活质量综合评定表(GQOL-74)及护理满意度情况。结果 出院时,两组血压、心率比较,差异无统计学意义(P> 0.05);出院后3个月,两组血压高于干预前,心率低于干预前,但观察组血压和心率低于对照组,差异有统计学意义(P<0.05)。出院时,两组CSMS及GQOL-74评分比较,差异无统计学意义(P>0.05);出院后3个月,两组CSMS及GQOL-74评分高于干预前,且观察组CSMS及GQOL-74评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 以奥马哈系统为基础护理干预用于高血压老年患者抗阻训练中效果理想,能改善其血压、心率及自我管理行为,提高其生活质量及护理满意度,值得采用。

Objective To analyze the effect of nursing intervention based on the Omaha System in resistance training for elderly patients with hypertension.Methods 98 elderly patients with hypertension admitted to Henan Provincial People’s Hospital from January 2022 to December 2022 were selected for the study.They were divided into control group(receiving routine treatment and care,and daily resistance training)and observation group(receiving nursing intervention based on the Omaha System on the basis of the control group)with 49 cases each according to the random number table method.The blood pressure,heart rate,self-management behavior questionnaire(CSMS),comprehensive assessment table of quality of life(GQOL-74)and nursing satisfaction were compared before and after intervention in both groups.Results At discharge,there was no significant difference in blood pressure and heart rate between the two groups(P>0.05);three months after discharge,the blood pressure of both groups was higher than before intervention,and the heart rate was lower than before intervention,but the blood pressure and heart rate of the observation group were lower than those of the control group,with a significant difference(P<0.05).At discharge,there was no significant difference in CSMS and GQOL-74 scores between the two groups(P>0.05);three months after discharge,CSMS and GQOL-74 scores of both groups were higher than before intervention,and CSMS and GQOL-74 scores of the observation group were higher than those of the control group,with a significant difference(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,with a significant difference(P<0.05).Conclusion The nursing intervention based on the Omaha System is effective in resistance training for elderly patients with hypertension.It can improve their blood pressure,heart rate and self-management behavior,enhance their quality of life and nursing satisfaction,and is worth adopting.