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医院-社区-家庭一体化护理在原发性高血压患者中的应用效果

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目的:观察医院-社区-家庭一体化护理在原发性高血压患者中的应用效果.方法:选取 2021 年 7 月至 2022 年 11 月该院收治的 102 例原发性高血压患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各 51 例.对照组采用常规护理,研究组在对照组基础上采用医院-社区-家庭一体化护理,比较两组护理前后收缩压、舒张压、健康自我管理能力测评量表(AHSMSRS)评分、匹兹堡睡眠质量指数(PSQI)评分、自我效能感量表(GSES)评分、症状自评量表(SCL-90)评分,以及用药依从率.结果:护理后,两组AHSMSRS、GSES评分高于护理前,且研究组高于对照组,两组收缩压、舒张压以及PSQI评分和SCL-90 评分低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05);研究组用药依从率为86.27%,明显高于对照组的62.75%,差异有统计学意义(P<0.05).结论:在常规护理基础上采用医院-社区-家庭一体化护理可提高原发性高血压患者AHSMSRS评分、GSES评分和用药依从率,以及降低收缩压、舒张压、PSQI评分和SCL-90 评分,效果优于单纯常规护理.
Effects of hospital-community-family integrated nursing on patients with essential hypertension
Objective:To observe effects of hospital-community-family integrated nursing on patients with essential hypertension.Methods:A prospective study was conducted on 102 patients with essential hypertension admitted to this hospital from July 2021 to November 2022.According to the random number table method,they were divided into study group and control group,51 cases in each group.The control group was given routine nursing,while the study group was given the hospital-community-family integrated nursing on the basis of that of the control group.The levels of systolic blood pressure and diastolic blood pressure,the adult health self-management skill for reliability scale(AHSMSRS)score,the Pittsburgh sleep quality index(PSQI)score,the general self-efficacy scale(GSES)score,the symptom checklist-90(SCL-90)score,and the medication compliance rate were compared between the two groups before and after the nursing.Results:After the nursing,the scores of AHSMSRS and GSES in the two groups were higher than those before the nursing,and those in the study group were higher than those in the control group;the levels of systolic blood pressure and diastolic blood pressure and the scores of PSQI and SCL-90 of the two groups were lower than those before the nursing,and those in the study group were lower than those in the control group;and the differences were statistically significant(P<0.05).Further,the medication compliance rate of the study group was 86.27%,which was significantly higher than 62.75%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the hospital-community-family integrated nursing can improve the AHSMSRS scores,the GSES scores and the medication compliance rate of the patients with essential hypertension,and reduce the systolic blood pressure,the diastolic blood pressure,the PSQI scores and the SCL-90 scores.Moreover,it is superior to simple routine nursing.

Hospital-community-familyNursingEssential hypertensionSelf-management abilitySleep qualitySelf-efficacy

邵静茹、杨琼、田海霞

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濮阳市油田总医院神经外科,河南 濮阳 457000

医院-社区-家庭 护理 原发性高血压 自我管理能力 睡眠质量 自我效能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(17)