基于以社区为中心的协同护理结合Anycheck健康管理模式对老年高血压患者的影响

Role of community-based collaborative nursing combined with Anycheck health management for elderly hypertensive patients

目的分析以社区为中心的协同护理结合Anycheck健康管理模式对社区老年高血压患者自我管理能力及预后情况的影响。方法采用便利抽样法随机抽取天津市河西区尖山街社区卫生服务中心2022年4月-2023年4月收治的160例老年高血压患者分为观察组和对照组,每组80例。利用重复测量的方差分析检验护理前、护理后随访3个月、随访6个月的血压水平、自我管理能力、自护能力的变动差异。结果重复测量方差分析结果显示,除自我责任感以外,两组患者的血压、自我管理能力、自护能力的时间效应、组间效应、交互效应均有统计学意义(P<0.001),并且观察组患者与对照组患者血压、自我管理能力、自护能力水平随治疗时间变化趋势不同。多变量方差分析结果显示:随访3个月和随访6个月后的观察组的血压水平均低于对照组(P<0.001),自我管理能力、自护能力均高于对照组(P<0.05)。结论以社区为中心的协同护理结合Anycheck健康管理模式,能更有效地控制社区老年高血压患者的血压,提高患者的自护能力和自我管理能力,护理效果好。

Objective The paper analyzed role of community-based collaborative nursing combined with Anycheck health management for elderly hypertensive patients.Method 160 elderly hypertensive patients from April 2022 to April 2023 randomly and equally divide into an observation group and a control group,they were followed to test differences in blood pressure levels,self-management ability,and self-care ability before nursing and 3 months and 6 months after nursing by repeated measurement variance.Results Except for sense of self responsibility,it is showed that differences in time effect,inter group effect,and interaction effect of blood pressure,self-management and self-care ability between groups were statistically significant(P<0.001),trend of changes in blood pressure,self-management ability,and self-care ability was dfferent between groups;blood pressure levels of observation group were lower than control group at 3 and 6 months of fllow-up(P<0.001),with self-management and self-care abilities higher than control group(P<0.05).Conclusion Community-based collaborative nursing and Anycheck health management can better control blood pressure,improve self-care and self-management abilities.