个性化认知干预对老年高血压患者血压、自护力及睡眠质量的影响

Effects of Individualized Cognitive Intervention Nursing on Blood Pressure Level,Self-management Ability and Sleep Quality in Elderly Patients with Hypertension

沈美妹 ¹沈丽月 ¹骆莉莉¹

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作者信息

1. 福建省泉州市第一医院,泉州,362000
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摘要

目的:研究老年高血压患者护理中开展个性化认知干预的效果及临床价值.方法:选取2022年1月至2022年12月福建省泉州市第一医院收治的老年高血压患者100例作为研究对象,按照随机数字表法分为对照组和观察组,每组50例.对照组实施常规护理,观察组实施常规护理+个性化认知干预护理,在护理前和护理后2个时间点对患者的血压值、自护能力以及患者的睡眠情况进行系统、科学地评估,并将护理前后的3项检测指标结果进行统计分析.结果:护理前对照血压值,差异无统计学意义(P＞0.05),观察组护理后的收缩压和舒张压均小于护理前和对照组,差异均有统计学意义(均P＜0.05);2组患者护理前的自我管理能力评分比较,差异无统计学意义(P＞0.05),而观察组护理后的自我管理能力(行为管理、情绪管理、用药管理、病情监测)评分均大于对照组,差异均有统计学意义(均P＜0.05);护理前比较患者的睡眠情况,均伴有睡眠障碍,差异无统计学意义(P＞0.05),而观察组护理后的睡眠质量评分小于对照组,差异有统计学意义(P＜0.05).结论:对老年高血压患者实施个性化认知干预护理的优势显著,值得推广.

Abstract

Objective:To study the effect and clinical value of individualized cognitive intervention in nursing care of elderly pa-tients with hypertension.Methods:A total of 100 elderly patients with hypertension admitted to Quanzhou First Hospital of Fujian Province from January 2022 to December 2022 were selected as the study objects.Randomized number table method was used to divide them into groups.The observation group(n=50)received routine nursing+personalized cognitive intervention nursing,while the control group(n=50)received routine nursing.Blood pressure,self-care ability and sleep of patients were systematically and scientifically evaluated at two time points before and after nursing,and the results of three detection indicators before and after nursing were statistically analyzed.Results:There was no statistically significant difference in blood pressure values compared be-fore nursing,and the systolic and diastolic blood pressure of the observation group after nursing were lower than those before nurs-ing and the control group,with statistical significance(Ps＜0.05).There was no statistical significance in the self-management a-bility scores of the 2 groups before nursing,while the self-management ability scores of the observation group after nursing(behav-ior management,emotion management,medication management,disease monitoring)were higher than those of the control group,with statistical significance(Ps＜0.05).The sleep status of the patients was evaluated and compared before nursing,and there was no statistical significance(P＞0.05),while the sleep quality score of the observation group after nursing was lower than that of the control group(P＜0.05).Conclusion:Individualized cognitive intervention nursing for elderly patients with hypertension has significant advantages and is worth promoting.

关键词

个性化认知干预/常规护理/老年高血压/收缩压/舒张压/自我管理能力/睡眠质量/干预效果

Key words

Personalized cognitive intervention/Routine nursing/Hypertension in the elderly/Systolic blood pressure/Diastolic blood pressure/Self-management ability/Sleep quality/Intervention effect

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出版年

2024

世界睡眠医学杂志

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参考文献量22

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