临床护理路径在老年高血压患者护理中的效果

The Effect of Clinical Nursing Pathway in the Care of Elderly Hypertensive Patients

目的探究临床护理路径在老年高血压患者中的应用价值。方法纳入福建省安溪县湖头镇湖头医院2022年10月至2023年9月收治的186例高血压患者,采用密闭信封法分为对照组(n=93)、研究组(n=93)。对照组实施常规护理,研究组实施临床护理路径。干预前、干预3个月后,检测两组收缩压、舒张压水平,并对比匹兹堡睡眠质量指数(PSQI)、自我护理能力测量量表(ESCA)及生活质量简表(WHOQOL-100)评分。结果干预前,两组血压水平、PSQI评分、ESCA评分及WHOQOL-100评分对比无统计学意义(P>0.05)。干预3个月后,研究组收缩压水平、舒张压水平、PSQI评分均低于对照组(P<0.05),ESCA评分、WHOQOL-100评分高于对照组(P<0.05)。结论老年高血压患者实施临床护理路径,可降低血压水平,并改善患者睡眠质量,增强其自护能力,从而提高生活质量。

Objective To explore the application value of clinical nursing pathways in elderly patients with hypertension.Methods One hundred and eighty-six hypertensive patients admitted to Anxi County Hutou Town Hutou Hospital from October 2022 to September 2023 were divided into a control group(n=93)and a study group(n=93)using a sealed envelope method.The control group received routine nursing care,while the study group received clinical nursing pathways.Before and three months after intervention,the levels of systolic and diastolic blood pressure were measured in two groups,and the Pittsburgh Sleep Quality Index(PSQI),Self Care Ability Scale(ESCA),and Quality of Life Brief(WHOQOL-100)scores were compared.Results Before intervention,there was no statistically significant difference in blood pressure levels,PSQI scores,ESCA scores,and WHOQOL-100 scores between the two groups(P>0.05).After 3 months of intervention,the systolic blood pressure level,diastolic blood pressure level,and PSQI score of the study group were lower than those of the control group(P<0.05),while the ESCA score and WHOQOL-100 score were higher than those of the control group(P<0.05).Conclusions Implementing clinical nursing pathways in elderly hypertensive patients can lower blood pressure levels,improve sleep quality,enhance self-care ability,and thus improve quality of life.