冼贞

【摘要】 目的：觀察在高血压患者中采取个体化延续护理对其生存质量的影响分析。方法：选取2016年4月-2018年4月在笔者所在医院内分泌科收治的以高血压为诊断的患者142例，采用随机数字法分成对照组（71例）与延续组（71例），其中对照组患者出院前采取常规护理干预，延续组采取个体化延续性护理干预，对两组进行有效随访6个月。对照两组患者护理干预前、后平均收缩压、舒张压水平，遵医嘱行为及护理干预前后生存质量评分比较。结果：经过护理干预后两组患者收缩压及舒张压水平较干预前有显著下降，其中延续组患者收缩压及舒张压水平明显低于对照组，延续组患者在按时用药、血压监测、规律作息、健康饮食生活规律的遵医行为上明显优于对照组，干预后延续组患者的生存质量评分明显高于对照组，差异均有统计学意义（P<0.001）。结论：个体化延续性护理干预用于高血压患者护理，能够改善患者收缩压与舒张压水平，提高患者按时用药、血压监测、规律作息、健康饮食生活规律的遵医行为，进而提高患者生存质量，效果理想。

【关键词】 个体化延续护理; 高血压患者; 生存质量; 常规护理

doi：10.14033/j.cnki.cfmr.2019.16.037 文献标识码 B 文章编号 1674-6805（2019）16-00-03

【Abstract】 Objective：To observe the effect of individualized continuing nursing on the quality of life of patients with hypertension.Method：A total of 142 patients with hypertension were admitted to the Department of endocrinology in our hospital from April 2016 to April 2018.They were randomly divided into control group（71 cases） and continuation group（71 cases）.Patients in control group were given routine nursing intervention before discharge.Individualized continuation nursing intervention was adopted in the continuation group.The two groups were followed up effectively for 6 months.The average systolic blood pressure and diastolic blood pressure before and after nursing intervention，compliance behavior and quality of life score before and after nursing intervention were compared between the two groups.Result：After nursing intervention，the systolic blood pressure and diastolic blood pressure levels of the continuation group were significantly lower than those of the control group;the compliance behavior of the continuation group in medication on time，blood pressure monitoring，regular work and rest，and healthy diet and life were significantly better than those of the control group;after intervention，the quality of life score of the continuous group was significantly higher than that of the control group;the differences of the indexes between the two groups were statistically significant（P<0.001）.Conclusion：Individualized continuing nursing intervention can improve the level of systolic and diastolic blood pressure in patients with hypertension，improve the compliance of patients with medication on time，blood pressure monitoring，regular work and rest，healthy diet and living rules，and then improve the quality of life of patients with satisfactory results.

【Key words】 Individualized continuous nursing; Hypertensive patients; Quality of life; Routine nursing

First-authors address：First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine，Guangzhou 510405，China

高血压临床发病率极高，可引起多种心脑血管病变，严重影响生存质量，适度降压为其合理解决方式之一[1]。长期口服降压药为首选治疗方案，而此类患者住院护理时间短，大多数时间均在家自行口服药，随着病程的延长重视程度降低，遵医性变差，血压控制不稳定，使患者生存质量下降[2]。采用延续性护理，能够使患者在出院后依然受到有效的护理，能够延续患者医院的护理。本研究采取个体化延续性护理干预方式用于高血压患者，取得了较好的成效，现将研究结果报告如下。……