延续性护理在老年冠心病合并高血压出院患者中的应用效果

Application Effect of Continuous Nursing in Discharged Elderly Patients with Coronary Heart Disease Combined with Hypertension

目的:分析延续性护理在老年冠心病合并高血压出院患者中的应用效果。方法:选取2022年1—9月汉中市南郑区人民医院收治的120例老年冠心病合并高血压患者为研究对象,随机分为对照组和研究组,各60例。对照组给予常规出院指导,研究组在对照组基础上开展延续性护理。对比两组血压水平、心功能指标、自护能力、应对能力、护理满意度。结果:干预后,两组收缩压、舒张压、平均动脉压水平均较干预前下降,且研究组低于对照组(P<0.05);干预后,两组左室射血分数、每搏输出量、心输出量、6 min步行距离较治疗前升高,左室舒张末期内径较治疗前降低,研究组优于对照组(P<0.05);干预后,两组技能、目标、环境评分及总分升高,且研究组高于对照组(P<0.05);干预后,两组面对评分升高,回避、屈服评分降低,研究组优于对照组(P<0.05);研究组护理满意度高于对照组(P=0.008)。结论:延续性护理能够控制老年冠心病合并高血压出院患者的血压水平,改善心功能,提高患者的自护能力以及对疾病的应对水平,满意度好。

Objective:To analyze the application effect of continuous nursing in discharged elderly patients with coronary heart disease combined with hypertension.Methods:A total of one hundred and twenty elderly patients with coronary heart disease combined with hypertension treated in Hanzhong Nanzheng District People's Hospital from January to September 2022 were selected as the study objects,and randomly divided into control group and study group,with sixty cases in each group.The control group was given routine discharge guidance,and the study group carried out continuous nursing on the basis of the control group.Blood pressure level,cardiac function index,self-care ability,coping ability and nursing satisfaction were compared between the two groups.Results:After intervention,systolic blood pressure,diastolic blood pressure and mean arterial pressure in both groups were lower than before intervention,and the study group was lower than the control group(P<0.05);after intervention,left ventricular ejection fraction,stroke output,cardiac output and 6 min walking distance of both groups were higher than before treatment,and left ventricular end-diastolic diameter was lower than before treatment,and the study group was better than the control group(P<0.05);after intervention,skills,goals,environmental scores and total scores of both groups increased,and the study group was higher than the control group(P<0.05);after intervention,the face scores of the two groups increased,the avoidance and yield scores decreased,and the study group was better than the control group(P<0.05);the nursing satisfaction of study group was higher than that of control group(P=0.008).Conclusion:Continuous nursing can control the blood pressure level of discharged elderly patients with coronary heart disease combined with hypertension,improve heart function,improve patients'self-care ability and disease coping level,and satisfaction is good.