丁雯

[摘要] 目的 探讨优质护理在急诊老年冠心病合并高血压患者中的应用效果。 方法 选择我院急诊科2018年1月～2019年12月收治的123例患者随机分为观察组（n=62）和对照组（n=61）。对照组给予常规护理干预，观察组给予优质护理干预。观察比较两组护理前后血压水平变化及生活质量评分。 结果 护理前，两组患者血压水平比较，差异无统计学意义（P>0.05）;护理后，两组舒张压、收缩压水平降低，差异有统计学意义（P<0.05）;且观察组舒张压、收缩压水平均显著低于对照组，差异有统计学意义（t=4.355，P=0.000;t=3.762，P=0.000）。护理前，两组患者生活质量评分比较，差异无统计学意义（P>0.05）;护理后，两组生活质量评分升高，差异有统计学意义（P<0.05）;且观察组各项生活质量评分均显著高于对照组，差异有统计学意義（t=9.201，P=0.000;t=10.716，P=0.000;t=8.261，P=0.000;t=7.095，P=0.000）。 结论 优质护理在急诊老年冠心病合并高血压患者中的护理效果良好，可有效控制患者血压水平，改善患者生活质量，值得推广。

[关键词] 优质护理;急诊;老年;冠心病;高血压

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2020）31-0178-03

[Abstract] Objective To explore the effect of high-quality nursing in emergency elderly patients with coronary heart disease and hypertension. Methods A total of 123 patients admitted to the emergency department of our hospital from January 2018 to December 2019 were randomly divided into an observation group（n=62） and a control group（n=61）. The control group was given routine nursing intervention， and the observation group was assigned high-quality care intervention. The changes in blood pressure levels and quality of life scores were observed and compared between the two groups before and after nursing. Results Before nursing， there was no statistical difference in the blood pressure levels between the two groups（P>0.05）. After nursing， the diastolic and systolic blood pressure levels of the two groups decreased， and the differences were statistically significant（P<0.05）. The diastolic blood pressure and systolic blood pressure in the observation group were significantly lower than those of the control group， and the difference was statistically significant（t=4.355， P=0.000; t=3.762， P=0.000）. Before nursing， there was no statistical difference in the quality of life scores between the two groups（P>0.05）. After nursing， the quality of life scores of the two groups increased， and the differences were statistically significant（P<0.05）. The score of the quality of life in the observation group was significantly higher than that of the control group， and the difference was statistically significant（t=9.201， P=0.000; t=10.716， P=0.000; t=8.261， P=0.000; t=7.095， P=0.000）. Conclusion High-quality nursing has a good effect on emergency elderly patients with coronary heart disease and hypertension， which can effectively control the blood pressure level of the patients and improve the quality of life of the patients. It is worthy of promotion.

[Key words] High-quality care; Emergency; Elderly; Coronary heart disease; Hypertension

冠心病（Coronary heart disease）即冠状动脉粥样硬化性心脏病，是临床心内科常见疾病，指患者机体冠状动脉血管发生动脉粥样硬化病变，血管腔狭窄阻塞，心肌缺血、缺氧或坏死，最终导致心脏疾病发生[1]。中老年人群是冠心病的高发群体，且多合并高血压、糖尿病等基础疾病，而增加患病风险[2]。有数据显示，约70%的冠心病患者合并高血压疾病[3]。老年冠心病患者以心前区发作性绞痛或压榨痛为主要症状，合并高血压损害心、脑、肾等重要器官功能运转，两种疾病相互影响，恶性循环，加重病情，严重者甚至猝死，威胁生命健康安全[4]。因此，及时干预治疗及有效护理工作，具有重要临床意义。

近年来，优质护理作为一种新型护理干预模式，在临床急诊工作中被广泛开展应用[5]。在对老年冠心病合并高血压患者的基础治疗之外，综合考虑老年患者年龄、机体功能等因素，给予优质护理干预，以有效改善患者预后，提高临床治疗效果[6]。我院……