延续性护理联合健康教育对老年高血压患者血压水平及生活质量的影响
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陈丽雯
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上海市普陀区石泉街道社区卫生服务中心，上海，200061
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摘要：目的 研究老年高血压病人使用延续性护理、健康教育的效果。方法 在我院选择 80 例老年高血压病人进行分组临床数据研究，平均分成研究组以及对照组，各 40 例，在研究组护理中，落实健康教育，在病人出院后，进行延续性护理，对照组在护理中开展常规护理。将两组病人在护理干预前后的临床数据进行组间对比。结果 与对照组的临床数据进行对比，研究组干预后不同时间的血压控制效果均更为理想，随着出院时间延长，血压控制效果逐渐降低，P＜0.05；与对照组的临床数据进行对比，研究组遵医用药行为的依从性明显更高，生活质量各项分值明显更高，P＜0.05；与对照组的临床数据进行对比，研究组血压数值明显更低，干预后自我护理能力的分值也明显更高，P＜0.05；对比两组干预前血压数值、生活质量各项分值、自我护理能力的分值，P＞0.05。结论 老年高血压病人使用延续性护理、健康教育的护理效果理想，在护理后，病人的血压得到了控制，不仅水平下降，控制效果也理想，而且病人遵医用药行为良好，生活质量也提升，在自我护理能力方面，明显提升。
关健词：延续性护理；健康教育；老年；高血压；血压；生活质量
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The effect of continuity of care combined with health education on blood pressure levels and quality of life in elderly patients with hypertension
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Liwen Chen
Shiquan Street Community Health Service Center, Putuo District, Shanghai 200061 , China
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Abstract: Objective To investigate the effect of continuity of care and health education on elderly patients with hypertension. Methods 80 elderly patients with hypertension were selected for clinical data analysis in our hospital. They were evenly divided into a study group and a control group, with 40 cases in each group. In the study group, health education was implemented during nursing care, and continuity of care was provided after patients were discharged. In the control group, routine care was provided during nursing care. Compare the clinical data of two groups of patients before and after nursing intervention. Results Compared with the clinical data of the control group, the study group showed more ideal blood pressure control effects at different time points after intervention. As the discharge time increased, the blood pressure control effect gradually decreased, P＜0.05； Compared with the clinical data of the control group, the study group showed significantly higher compliance with medication and higher scores in various aspects of quality of life, P＜0.05； Compared with the clinical data of the control group, the blood pressure value of the study group was significantly lower, and the score of self-care ability after intervention was also significantly higher, P＜0.05； Comparing the pre intervention blood pressure values, quality of life scores, and self-care ability scores between two groups, P＞0.05. Conclusion The nursing effect of continuity of care and health education on elderly hypertensive patients is ideal. After nursing, the patient's blood pressure is controlled, and not only does the level decrease, but the control effect is also ideal. In addition, the patient's medication adherence behavior is good, and the quality of life is also improved. In terms of selfcare ability, there is a significant improvement.
Keywords : Continuity of care; Health Education; Old age; hypertension; Blood pressure; quality of life
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