延续性护理对老年冠心病合并高血压生活质量的影响

【摘要】目的：探究老年冠心病合并高血压出院患者接受延续性护理干预对自我护理能力及生活质量产生的影响。方法：选取2017年3月至2019年12月期间从我院收治的70例老年冠心病合并高血压出院患者展开研究分析，运用随机数字表法将其分为对照组（n=35）和观察组（n=35），其中对照组出院前实施常规健康教育，观察组在出院前实施常规健康教育的基礎上应用延续性护理干预，比较两组患者血压控制情况、自我护理能力及生活质量改善情况。结果：血压水平出院6个月后较出院时均降低低于对照组；自我护理能力及生活质量出院6个月后较出院时均升高，较对照组，观察组均较高，组间差异显著突出具备统计学价值（P<0.05）。结论：老年冠心病合并高血压出院患者接受延续性护理干预的临床效果显著，不仅有效控制了患者血压，而且改善了患者的自我护理能力及生活质量。

【关键词】延续性护理；冠心病；高血压；自我护理能力；生活质量

[中图分类号]R473.5 [文献标识码]A [文章编号]2096-5249（2021）13-0106-02

Effect of continuous nursing on quality of life of elderly patients with coronary heart disease and hypertension

HE Hai-chun， LIU Su-hua ZHANG Mei-hua（Nursing Department of the second people’s Hospital of Longgang District， Shenzhen Guangdong 518000， China）

[Abstract] Objective： To explore the effect of continuous nursing intervention on self-care ability and quality of life in elderly patients with coronary heart disease and hypertension. Methods： From March 2017 to December 2019， a total of 70 elderly patients with coronary heart disease complicated with hypertension were selected from our hospital for research and analysis. They were randomly divided into control group （n = 35） and observation group （n = 35）. The control group received routine health education before discharge， while the observation group received continuous nursing intervention on the basis of routine health education before discharge Blood pressure control， self-care ability and improvement of quality of life of the two groups were compared. Results： The level of blood pressure after 6 months of discharge was lower than that of the control group； the self-care ability and quality of life after 6 months of discharge were higher than that of the control group and the observation group， and the difference between the two groups was significant （P < 0.05）. Conclusion： The clinical effect of continuous nursing intervention on discharged elderly patients with coronary heart disease and hypertension is significant， which not only effectively controls the blood pressure of patients， but also improves the self-care ability and quality of life of patients.

[Key words] Continuous nursing； Coronary heart disease； Hypertension； Self-care ability； Quality of life

当前冠心病是一种威胁大众健康的常见疾病，是一种常见的心脏疾病，主要是由于冠状动脉硬化等因素，导致血管腔狭窄，进而引起心肌缺氧缺血，最终导致坏死。中老年患者发生冠心病的几率往往更高，同时容易合并其它的基础疾病，对身体健康甚至生命安全也有着较大的影响。冠心病合并高血压是比较常见的类型之一，在老年人当中有较高的发生率，十分不利于老年人身体健康[1]。……