摘要
目的 探讨健康教育与慢性病管理护理在社区老年高血压中的应用效果.方法 选取2021年1月—2023年1月本院纳入的60例老年高血压患者,由抽签分组(30例/组),常规管理纳入对比组,联合管理(健康教育、慢病管理)纳入试验组,探究两组应用差异.结果 试验组的SBP、DBP、SAS、SDS更低,差异有统计学意义(P<0.05);试验组血压正常范围、并发症、高危因素、健康生活方式等疾病认知水平评分更高,差异有统计学意义(P<0.05);试验组的戒烟酒、监测血压、饮食控制、规律用药、规律运动等自我管理良好率均更高,差异有统计学意义(P<0.05).结论 联合管理可以改善情绪,也可显著提高认知水平和自我管理水平,以显著降低血压,可获取更好的社区老年高血压管理效果.
Abstract
Objective To examine the efficacy of health education,chronic disease management,and nursing interventions for elderly individuals with hypertension in a community setting.Methods The paper chose 60 elderly hypertensive patients from January 2021 to January 2023,and divided them into two groups by drawing lots(30 cases/group).Control group was treated with routine management,and experimental group with combined management(health education,chronic disease management).Difference in application was explored between two groups.Results Experimental group had lower SBP,DBP,SAS,and SDS(P<0.05).Cognitive level scores of diseases including normal blood pressure range,complications,high-risk factors,and healthy lifestyle were higher in experimental group(P<0.05).Self-management good rates of smoking cessation,alcohol consumption,blood pressure monitoring,dietary control,regular medication,and regular exercise in experimental group were all higher(P<0.05).Conclusion Combined management can improve emotions,enhance cognitive and self-management levels,reduce blood pressure significantly,and achieve better community elderly hypertension management effect.