文章摘要

全科理念下“连续动态随访”护理新模式在老年高血压中的应用及其对患者血压指标的影响

作者: 1陈丽娜, 2赵世娣
1 无锡市第二人民医院全科医学科,江苏 无锡 214000
2 无锡市第二人民医院内科,江苏 无锡 214000
通讯: 赵世娣 Email: 534197075@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.12.024
基金: 无锡市科协软科学研究课题(KX-19-B26)。

摘要

目的:探讨全科理念下“连续动态随访”护理新模式在老年高血压中的应用及对患者血压指标的影响。方法:选取无锡市第二人民医院2018年2月至2019年4月收治的老年高血压患者122例,按照随机数字表法分为对照组与研究组,每组各61例。所有患者全部随访成功,未出现失访者,给予对照组常规护理,给予研究组常规护理与全科理念下“连续动态随访”护理新模式,观察并比较两组干预前后的生活质量、护理满意度、血压变化情况及PSMBRS各维度评分变化情况。结果:干预前,两组患者生活质量差异无统计学意义(P>0.05)。干预后,生活质量评分均显著高于干预前(P<0.05),且研究组各项功能评分均显著高于对照组(P<0.05)。干预后3个月,研究组在PSMBRS各维度评分均优于对照组(P<0.05)。研究组的收缩压平均值和舒张压平均值低于对照组(P<0.05),收缩压、舒张压稳定性均高于对照组。研究组与对照组的满意度分别为91.8%,80.3%,研究组较对照组护理满意度更高(χ2=4.0060,P=0.0453)。结论:对老年高血压患者进行全科理念下“连续动态随访”护理新模式的效果更佳,能有效改善患者的血压情况及生活质量,提高护理满意度,值得在临床上推广。
关键词: 老年高血压;连续动态随访;全科护理;新模式;护理效果

Application of the new nursing mode of “continuous dynamic follow-up” under the concept of general practice and its influence on blood pressure in elderly patients with hypertension

Authors: 1CHEN Lina, 2ZHAO Shidi
1 Department of General Practice Medicine, Second People’s Hospital of Wuxi, Wuxi Jiangsu 214000, China
2 Department of Internal Medicine, Second People’s Hospital of Wuxi, Wuxi Jiangsu 214000, China

CorrespondingAuthor: ZHAO Shidi Email: 534197075@qq.com

Foundation: This work was supported by the Soft Science Research Project of the Wuxi Association of Science and Technology, China (KX-19-B26).

Abstract

Objective: To explore the application of the new nursing mode of “continuous dynamic follow-up” under the concept of general practice and its influence on blood pressure (BP) indexes in elderly patients with hypertension. Methods: A total of 122 elderly patients with hypertension admitted to the Second People’s Hospital of Wuxi from February 2018 to April 2019 were selected as study subjects and divided into a control group and a study group by random number table, 61 cases in each group. All patients completed the follow-up visits and none lost to follow up. Control group received routine nursing, on which basis study group received the new nursing mode of “continuous dynamic follow-up” under the concept of general practice. The quality of life (QOL) scores, the satisfactory degree of nursing, the BP changes and PSMBRS dimension scores were observed and compared between two groups. Results: There were insignificant differences between two groups in QOL scores (P>0.05) before nursing interventions. After nursing interventions, QOL scores increased in both groups, which increased more significantly in study group than those in control group (P<0.05). Three months after nursing interventions, study group was notably superior to control group in PSMBRS dimension scores (P<0.05), and study group was evidently lower in systolic blood pressure (SBP) and diastolic blood pressure (DBP) (P<0.05) and higher in the stability of SBP and DBP than control group. The satisfactory degree of nursing was 91.8% in study group, prominently higher than the 80.3% in control group (χ2=4.0060, P=0.0453). Conclusion: Application of the new nursing mode of “continuous dynamic follow-up” under the concept of general practice in the elderly patients with hypertension is better in clinical efficacy and can effectively improve patients’ BP and QOL and promote the satisfactory degree of nursing, thus deserving to be clinically popularized.
Keywords: elderly hypertension; continuous dynamic follow-up; general practice; new mode; nursing efficacy