参与管理模式应用于老年冠心病合并高血压患者的疗效观察

Observation on Therapeutic Effect of Participatory Management Model Applied to Elderly Patients with Coronary Heart Disease and Hypertension

目的:分析参与管理模式在老年冠心病合并高血压患者护理中的应用效果。方法:选取2019年6月—2021年6月上海市徐汇区田林街道社区卫生服务中心收治的106例冠心病合并高血压患者作为研究对象,随机分为观察组与对照组,各53例。对照组采用常规护理干预,观察组采用参与管理模式护理干预。比较两组血压水平、依从性、健康知识掌握情况、心功能及心绞痛日均发生情况。结果:干预后,两组收缩压、舒张压水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组依从率高于对照组,差异有统计学意义(P<0.001)。干预后,两组健康知识评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组射血分数、每搏输出量、舒张末期容量高于干预前,且观察组高于对照组,两组收缩末期容量低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组心绞痛日均发生次数少于对照组,差异有统计学意义(P=0.039)。结论:参与管理模式在老年冠心病合并高血压患者护理中的应用效果显著,可提高患者依从性和健康知识掌握情况,降低血压水平,改善心功能,减少心绞痛发作次数。

Objective: To analyze the application effect of participation management mode in the nursing of elderly patients withcoronary heart disease and hypertension. Methods: A total of 106 patients with coronary heart disease and hypertension admitted toShanghai Xuhui District Tianlin Street Community Health Service Center from June 2019 to June 2021 were selected as the studysubjects. They were randomly divided into observation group and control group, with 53 cases in each group. The control group ad‑opted conventional nursing intervention, and the observation group adopted participation management mode nursing intervention.Blood pressure level, compliance, health knowledge, cardiac function and daily mean occurrence of angina pectoris were comparedbetween the two groups. Results: After intervention, the levels of systolic blood pressure and diastolic blood pressure in the twogroups were lower than those before intervention, and the levels in the observation group were lower than those in the control group,and the difference was statistically significant (P<0.05). The compliance rate in the observation group was higher than that in the con‑trol group, and the difference was statistically significant (P<0.001). After intervention, the health knowledge scores in the twogroups were higher than those before intervention, and the scores in the observation group were higher than those in the controlgroup, and the difference was statistically significant (P<0.05). After intervention, the ejection fraction, stroke volume and enddiastolic volume in the two groups were higher than those before intervention, and these indicators in the observation group werehigher than those in the control group, while the end-systolic volume in the two groups was lower than that before intervention, andthis indicator in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The doily mean occurrence of angina pectoris in the observation group was lower than that in the control group, and the dif‑ference was statistically significant (P=0.039). Conclusion: The application of participation management mode in the nursing of elderlypatients with coronary heart disease and hypertension has a significant effect, which can improve patients' compliance and healthknowledge awareness,reduce blood pressure levels, improve cardiac function, and reduce the number of angina pectoris attacks.