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个体化叙事积极元素提炼回馈护理对老年原发性高血压患者的影响

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目的:探讨个体化叙事积极元素提炼回馈护理对老年原发性高血压患者的影响。方法:选取 2021 年 1 月—2023 年 1 月南京医科大学康达学院附属连云港东方医院收治的 150 例老年原发性高血压患者,将其随机分为对照组和研究组,各 75 例。对照组给予常规护理,研究组进行个体化叙事积极元素提炼回馈护理。比较两组干预前后自我感受负担量表(SPBS-CP)评分、自我管理能力、血压控制效果、匹兹堡睡眠质量指数(PSQI)和护理满意度。结果:干预前,两组自我感受负担、自我管理能力、血压水平和睡眠质量比较,差异无统计学意义(P>0。05);干预后,两组SPBS-CP评分、PSQI评分和血压水平低于干预前,自我管理能力高于干预前,且研究组SPBS-CP评分、PSQI评分和血压水平低于对照组,自我管理能力高于对照组,差异有统计学意义(P<0。05)。研究组护理总满意度高于对照组,差异有统计学意义(P<0。05)。结论:个体化叙事积极元素提炼回馈护理能有效降低老年原发性高血压患者的自我感受负担,能在提高自我管理能力的基础上,更好地控制血压水平,从而提高睡眠质量和护理满意度。
Effect of Individualized Narrative Positive Elements Refining Feedback Nursing on Elderly Patients with Essential Hypertension
Objective:To explore the effect of individualized narrative positive elements refining feedback nursing on elderly patients with essential hypertension.Method:A total of 150 elderly patients with essential hypertension admitted to Lianyungang East Hospital Affiliated to Kangda College of Nanjing Medical University from January 2021 to January 2023 were randomly divided into control group and study group,with 75 patients in each group.The control group was given routine nursing,and the study group was given individualized narrative positive elements refining feedback nursing.The self-perceived burden scale(SPBS-CP)score,self-management ability,blood pressure control effect,Pittsburgh sleep quality index(PSQI)before and after intervention and nursing satisfaction were compared between the two groups.Result:Before intervention,there were no significant differences in self-perceived burden,self-management ability,blood pressure level and sleep quality between the two groups(P>0.05).After intervention,the SPBS-CP score,PSQI score and blood pressure level of the two groups were lower than those before the intervention,and the self-management ability were higher than those before intervention,and the SPBS-CP score,PSQI score and blood pressure level of the study group were lower than those in the control group,and the self-management ability was higher than that in the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Individualized narrative positive elements refining feedback nursing can effectively reduce the self-perceived burden of elderly patients with essential hypertension,on the basis of improving self-management ability,it can better control blood pressure level,so as to improve sleep quality and nursing satisfaction.

Individualized narrativePositive elements refiningEssential hypertensionSelf-perceived burdenQuality of sleep

郭爱霞、张海云、宋学文、秦月月

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南京医科大学康达学院附属连云港东方医院 江苏 连云港 222042

个体化叙事 积极元素提炼 原发性高血压 自我感受负担 睡眠质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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