老年综合评估联合预见性护理对老年高血压患者的影响研究

Study on the Impact of Comprehensive Geriatric Assessment Combined with Predictive Nursing on Elderly Patients with Hypertensive

目的:探讨老年综合评估(CGA)联合预见性护理在老年高血压患者中的应用。方法:采用整群抽样的方法选择2021年6月—2022年5月南昌市第一医院收治的120例老年高血压患者,按照随机数字表法将其分为研究组和对照组,各60例。对照组采用预见性护理干预,研究组采用CGA联合预见性护理干预。比较两组血压控制情况、服药依从性、高血压相关不良事件发生情况。结果:干预后,两组血压、血压变异系数均低于干预前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。研究组服药依从性高于对照组,差异有统计学意义(P<0.05)。研究组跌倒发生率低于对照组,差异有统计学意义(P<0.05);两组其他不良事件发生率比较,差异均无统计学意义(P>0.05)。结论:CGA联合预见性护理的干预模式能提高老年高血压患者服药依从性,强化血压控制,减少跌倒事件发生。

Objective:To explore the application of comprehensive geriatric assessment(CGA)combined with predictive nursing in elderly patients with hypertension.Method:A total of 120 elderly hypertensive patients admitted to Nanchang First Hospital from June 2021 to May 2022 were selected by cluster sampling method,and they were divided into study group and control group according to random number table method,with 60 cases in each group.Predictive nursing intervention was used in the control group,and CGA combined with predictive nursing was used in the study group.Blood pressure control,medication compliance and hypertension-related adverse events were compared between the two groups.Result:After intervention,the blood pressure and coefficient of blood pressure variation in the two groups were lower than those before intervention,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The medication compliance of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of falls in the study group was lower than that in the control group,the difference was statistically significant(P<0.05),there were no significant differences in the incidence of other adverse events between the two groups(P>0.05).Conclusion:The intervention mode of CGA combined with predictive nursing can improve the medication compliance of elderly patients with hypertension,strengthen blood pressure control,and reduce the occurrence of falls.