杨奕妙 魏道华 林小敏

[摘要]目的 观察对老年（高血压）患者采取整体护理延伸服务的方案进行护理后的情况。方法 选取2015年1月12日～2017年1月12日在我院收治的老年高血压患者50例，采用随机数字表法将其分为对照组、观察组，每组25例。对照组给予常规教育和指导护理，观察组再使用整体护理延伸服务，对比两组血压控制的依从性、生存质量等情况。结果 观察组3个月、半年的血压控制依从性均高于对照组，差异有统计学意义（P<0.05）；观察组的各项生存质量数据高于对照组，差异有统计学意义（P<0.05）。结论 针对老年高血压疾病患者，在采取整体护理廷伸服务后，患者的血压情况得到明显的控制，不仅能够提高依从性，还能有效的改善患者的生存质量。

[关键词]生存质量；整体护理；延伸服务；老年高血压

[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2018）3（a）-0188-03

The effect of holistic nursing extension services in improving the quality of life of elderly patients with chronic diseases

YANG Yi-miao WEI Dao-hua LIN Xiao-min

Department of Nursing，Central Hospital of Rongcheng District of Jieyang City in Guangdong Province，Jieyang 522031，China

[Abstract]Objective To observe the elderly patients with chronic diseases （high blood pressure） to holistic nursing extension services program after care of the situation.Methods Fifty elderly patients with hypertension in our hospital from January 12，2015 to January 12，2017 were selected and randomly divided into control group and observation group， with 25 cases in each group.The control group was given routine education and guidance nursing， and the observation group was given holistic nursing extension services. the compliance and quality of life of blood pressure control were compared between the two groups.Results The compliance of blood pressure control in the observation group was higher than that in the control group at 3 months and 6 months，the difference was statistically significant （P<0.05）.The quality of life data of the observation group were higher than that of the control group，the difference was statistically significant （P<0.05）.Conclusion The patients with hypertension in elderly patients with chronic diseases， after taking the holistic nursing extension services，the patient′s blood pressure has been significantly controlled， not only can significantly improve compliance， but also can effectively improve the quality of life of patients.

[Key words]Quality of life；Holistic nursing；Extension services；Elderly hypertension

在我國，随着老龄化情况加剧，老年慢性病的发生概率也随之上升，其中高血压是典型的老年慢性病之一[1]，由于患者疾病的特殊性，在院治疗后需要对其实施相应的护理，才能够较好的维稳患者的病情，改善患者的生存质量[2]。近年来，对于老年高血压疾病的患者，实施整体护理延伸服务能够起到良好的效果，其通过整体的方案，并一直延续至患者的家庭护理当中，通过电话、随访等方式，延续护理时间长达半年，以此巩固患者在家的自我调节能力，从而能够有效的督促患者控制血压，并提高患者的生存质量。本文当中，对本院收治的老年高血压患者展开研究，寻求适宜的护理方案（本研究采取分组对照的方式，其中一组使用常规教育和指导护理，另外一组在患者出院后继续实施整体护理廷伸服务），现报道如下。

1 资料与方法

1.1 一般资料