摘要
[目的]对老年高血压病病人进行延续性护理,探讨延续性护理对其生活质量和自理能力的影响,为改善老年高血压病病人的预后积累经验。[方法]选取某三级甲等医院3个心血管内科出院的288例60周岁以上的老年高血压病病人为研究对象,出院时按照住院号单双数法将病人分为观察组和对照组各144例。两组病人在住院期间均接受高血压常规护理,包括住院期间的健康教育和出院指导。出院后对照组不再接受延续护理,观察组在出院3个月内接受延续性护理。[结果]出院3个月时观察组和对照组病人的生活质量比较差异有统计学意义(P<0.05);观察组出院3个月时生活质量与出院时比较,差异有统计学意义(P<0.05);出院时观察组自理能力是否需要依赖与对照组比较,差异无统计学意义(P>0.05);出院3个月时观察组自理能力是否需要依赖与对照组比较,差异有统计学意义(P<0.05)。[结论]对老年高血压病病人实施出院后的延续性护理能够提高病人生活质量和自理能力,控制血压稳定。
objective：To carry out continuity of care for elderly patients with hypertension and probe into effect of continuity of care on quality of life and self-care ability,in order to improve the prognosis of elderly hypertensive patients and accumulate experience.Methods：A total of 288 elderly patients with hypertension aged over 60 years were selected in this study from May 2015 to April 2016 in a third grade hospital.The patients were randomly divided into observation group and control group by using the hospital number of odd and even number method when discharge,144 cases in each group.Both groups of patients received routine care of hypertension during hospitalization including health education and discharge guidance.After discharge,the patients in control group no longer received continuity of care,while the patients in observation group received continuity of care in3 months after discharge.Results：There were statistically significant difference in the quality of life of patients between both groups at 3months after discharge（P〈0.05）.There was no statistically significant difference in dependent on self-care ability at the time of discharge between both groups（P〉0.05）.There was statistically significant difference in dependent on self-care ability at 3months after discharge between both groups（P〉0.05）.Conclusion：Continuity of care of elderly hypertensive patients can improve the quality of life and self-care ability of patients,and keep blood pressure stability.
出处
《全科护理》
2017年第18期2179-2182,共4页
Chinese General Practice Nursing
关键词
高血压
老年
延续性护理
生活质量
自理能力
hypertension
elderly
continuity of care
quality of life
self-care ability
