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改善老年高血压患者自我管理能力及血压水平的护理方式分析

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目的 分析不同护理干预措施对改善老年高血压患者自我管理能力及血压水平的价值。方法 筛选200例老年高血压患者作为样本,样本选自2020年1月~2021年12月,由工作人员在遵循随机、合理的原则下按照随机抽样法分组,每组100例样本,对照组行常规护理,观察组行整体性护理干预,对比两组自我管理能力、血压水平、情绪状态、遵医嘱行为。结果 观察组自我管理能力高于对照组,差异有统计学意义(P < 0。05);观察组舒张压、收缩压低于对照组,差异有统计学意义(P < 0。05);观察组抑郁、焦虑评分低于对照组,差异有统计学意义(P < 0。05);观察组用药、饮食、运动依从性评分高于对照组,差异有统计学意义(P < 0。05)。结论 整体性护理干预的展开可改善老年高血压患者自我管理能力及血压水平,同时引导患者在生活中保持积极、乐观的情绪状态,规避饮食、情绪、运动等对病情控制效果的影响,该措施相较于常规护理的临床应用价值更高。
Analysis of nursing methods for improving self-management ability and blood pressure level of elderly hypertensive patients
Objective To analyze the value of different nursing interventions to improve self-management ability and blood pressure level of elderly patients with hypertension. Methods 200 elderly patients with hypertension were selected as samples from January 2020 to December 2021. The samples were divided into 100 samples in each group according to the random sampling method under the principle of random and reasonable. The control group received routine nursing, and the observation group received holistic nursing intervention. Selfmanagement ability, blood pressure level, emotional state and doctor''s advice behavior were compared between the two groups. Results The self-management ability of observation group was higher than that of control group, and the difference was statistically significant (P<0.05). The diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The depression and anxiety scores of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). The scores of medication, diet and exercise compliance in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion The development of holistic nursing intervention can improve the self-management ability and blood pressure level of elderly patients with hypertension, and guide patients to maintain a positive and optimistic emotional state in life, avoid the influence of diet, mood, exercise, etc., on the disease control effect, this measure is more valuable in clinical application compared with conventional nursing.

elderlyhypertensionself-management abilityblood pressure levelnursing stylediastolic blood pressure

赵晓珊

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河北港口集团有限公司港口医院,河北 秦皇岛 066000

老年 高血压 自我管理能力 血压水平 护理方式 舒张压

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(4)
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