摘要
目的观察专科护士主导下症状管理模式(SMM)对原发性高血压合并焦虑的护理效果。方法回顾性选取2024年10月至2025年6月浙江省立同德医院收治的原发性高血压合并焦虑患者60例,采取SMM+常规护理联合动态药物调整30例,为观察组;仅常规护理联合动态药物调整30例,为对照组。比较两组患者干预前后动态血压、广泛性焦虑量表(GAD-7)评分、36项简明健康状况调查量表(SF-36)评分。结果干预第4、8周观察组收缩压、舒张压均低于对照组(均P<0.01),干预第18周观察组舒张压低于对照组(P<0.001)。干预第18周两组患者GAD-7评分均较干预前降低(均P<0.01),且观察组高于对照组(P=0.033)。干预第18周观察组SF-36生理职能、生理机能、生理疼痛、情感职能、精神健康、总体健康、躯体活力、社会功能等8个因子评分均较干预前改善(均P<0.05),对照组仅SF-36生理职能、生理疼痛、情感职能、躯体活力、社会功能评分较干预前改善(均P<0.05);除生理疼痛外,观察组SF-36其余因子评分均较对照组改善(均P<0.05)。结论专科护士主导下SMM有助于降低原发性高血压合并焦虑患者的血压,缓解焦虑情绪,持续改善患者生活质量。
Objective To investigate the efficacy of specialist nurse-led symptom management model(SMM)in patients with primary hypertension combined with anxiety disorder.Methods A total of 60 patients with primary hypertension combined with anxiety admitted to Tongde Hospital of Zhejiang Province from October 2024 to June 2025 were selected as the research subjects,and randomly divided into the observation group(treated with SMM on the basis of routine nursing)and the control group(treated with routine nursing),with 30 cases in each group.The Generalized Anxiety Scale(GAD-7)score,dynamic blood pressure changes and 36-Item Short Form Survey(SF-36)score were compared before and after intervention in the two groups.Results After 4 weeks of intervention and at the 8-week follow-up,both systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than those in the control group(all P<0.01).At the 18-week follow-up,diastolic blood pressure in the observation group was significantly lower than that in the control group(P<0.001).At the 18-week follow-up,the GAD-7 scores of both groups were significantly lower than those before intervention(both P<0.01),and the score in the observation group was significantly lower than that in the control group(P=0.033).At the 18-week follow-up,the scores of all 8 dimensions of SF-36(role-physical,physical functioning,bodily pain,role-emotional,mental health,general health,vitality and social functioning)in the observation group were significantly improved compared with those before intervention(all P<0.05).In the control group,only the scores of role-physical,bodily pain,role-emotional,vitality and social functioning of SF-36 were significantly improved(all P<0.05).Except for bodily pain,the scores of the other SF-36 dimensions in the observation group were significantly better than those in the control group(all P<0.05).Conclusion The SMM led by clinical nurse specialists is conducive to reducing blood pressure,alleviating anxiety and continuously improving the quality of life in patients with essential hypertension complicated with anxiety.
作者
王丹旻
林霜
赵海平
WANG Danmin;LIN Shuang;ZHAO Haiping(Department of General Internal Medicine,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)
出处
《心电与循环》
2026年第2期213-217,共5页
Journal of Electrocardiology and Circulation
基金
浙江省医学会临床医学专项资金项目(2022ZYC-A127)。
关键词
症状管理模式
原发性高血压
焦虑
生活质量
专科护士
Symptommanagement model
Primary hypertension
Anxiety
Quality of life
Specialized nurse
