基于慢性疾病轨迹模式的护理干预对冠心病伴高血压患者的应用分析

Analysis on Nursing Intervention Based on the Chronic Disease Trajectory Model for Coronary Heart Disease with Hypertension

目的:探究基于慢性疾病轨迹模式的护理干预对冠心病伴高血压患者的影响.方法:选取2022年1月—2023年1月江门市新会区人民医院收治的冠心病合并高血压患者60例作为研究对象,随机分为对照组和研究组,各30例.对照组实施常规护理模式,研究组实施基于慢性疾病轨迹模式的护理干预.比较两组患者护理前后的血压水平、生活质量以及护理满意度.结果:护理前,两组患者收缩压、舒张压水平比较,差异无统计学意义(P>0.05);护理后,两组患者收缩压、舒张压水平均下降,研究组低于对照组,差异有统计学意义(P<0.05).护理前,两组患者生活质量评定问卷评分比较,差异无统计学意义(P>0.05);护理后,研究组患者生活质量评定问卷评分高于对照组,差异有统计学意义(P<0.05).研究组护理满意度高于对照组,差异有统计学意义(P=0.038).结论:对于冠心病伴高血压患者实施基于慢性疾病轨迹模式的护理干预,能够有效改善患者的血压水平,提高患者的生活质量,提高护理满意度.

Objective:To investigate the effect of nursing intervention based on chronic disease trajectory model on patients with coronary heart disease with hypertension.Methods:60 patients with coronary heart disease and hypertension admitted to Xinhui District People's Hospital of Jiangmen from January 2022 to January 2023 were selected as the study subjects,and were randomly divided into the control group and the study group,with 30 cases each.The control group implemented the conventional nursing model,and the study group implemented the nursing intervention based on the chronic disease trajectory model.The blood pressure levels,quality of life,and nursing satisfaction of the two groups were compared before and after nursing care.Results:Before nursing care,the systolic and diastolic blood pressure levels of the two groups of patients were compared,and the difference was not statistically significant(P>0.05);after nursing care,the systolic and diastolic blood pressure levels of the two groups of patients decreased,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).Before nursing care,the scaled scores of quality of life assessment questionnaire of the two groups of patients were compared,and the difference was not statistically significant(P>0.05);after nursing care,the quality of life assessment scores of the patients in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the research group was higher than that of the control group,and the difference was statistically significant(P=0.038).Conclusion:The implementation of nursing intervention based on chronic disease trajectory model for patients with coronary artery disease together with hypertension can effectively improve their blood pressure level,enhance their quality of life,and improve nursing satisfaction.