强化健康教育联合循证护理在肥胖症合并高血压行减重手术中的实际价值分析

Practical Value of Intensive Health Education Combined with Evidencebased Nursing in Bariatric Surgery for Obesity Complicated with Hypertension

目的分析肥胖症合并高血压行减重手术患者给予强化健康教育联合循证护理的效果。方法随机选取2021年1月—2022年6月福建医科大学附属协和医院收治的80例肥胖症合并高血压并行减重手术的患者作为观察对象。随机分为两组,对照组(n=40)行常规护理,观察组(n=40)在对照组基础上行强化健康教育联合循证护理。比较两组患者入院1、7 d疾病相关健康知识掌握水平、依从性及生命质量评分。结果入院7 d,观察组疾病知识、生命质量评分高于对照组,差异有统计学意义(P均<0.05)。入院7 d,观察组依从性95.00%高于对照组,差异有统计学意义(P<0.05)。结论肥胖症合并高血压且行减重手术治疗患者给予强化健康知识联合循证护理,可有效增加患者对高血压疾病及减重手术相关健康知识,提升临床遵医行为,改善日常生活质量。

Objective To analyze the effect of intensive health education combined with evidence-based nursing for obese patients with hypertension undergoing bariatric surgery.Methods A total of 80 patients with obesity combined with hypertension and bariatric surgery admitted to Union Hospital Affiliated to Fujian Medical University from Janu⁃ary 2021 to June 2022 were randomly selected as the observation objects.They were randomly divided into two groups:control group(n=40)received routine nursing,observation group(n=40)received intensive health education combined with evidence-based nursing.The mastery level of disease-related health knowledge,compliance and qual⁃ity of life score were compared between the two groups 1 and 7 days after admission.Results 7 days after admission,the scores of disease knowledge and quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).7 days after admission,the compliance of the ob⁃servation group was 95%higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with obesity complicated with hypertension and undergoing bariatric surgery,the combination of intensive health knowledge and evidence-based nursing can effectively increase the patients'health knowledge about hypertension and bariatric surgery,improve clinical compliance behavior,and improve the quality of daily life.