摘要
目的探讨针对老年高血压患者实施以动机行为转化为核心的康复护理联合限盐饮食护理的效果。方法选择2019年4月-2021年7月该院收治的78例老年高血压患者为研究对象,按随机数字表法将其分为对照组与观察组。对照组(n=39)实施常规护理,观察组(n=39)实施以动机行为转化为核心的康复护理结合限盐饮食护理,两组均持续随访6个月。对比两组血压水平、生活质量综合评定问卷(GQOLI-74)及自我管理能力测定量表(ESCA)评分。结果观察组护理后舒张压、收缩压水平分别为(78.67±5.95)mmHg(1 mmHg=0.133 kPa)、(118.05±10.24)mmHg,均低于对照组的(88.02±6.14)mmHg、(126.23±10.78)mmHg,组间差异有统计学意义(P<0.05);观察组护理后GQOLI-74中的躯体、心理、物质生活以及社会功能维度评分分别为(82.81±4.90)分、(86.89±6.67)分、(84.88±5.29)分、(84.89±5.79)分,均高于对照组的(75.79±4.78)分、(76.73±5.23)分、(76.74±5.03)分、(77.14±5.63)分,组间差异有统计学意义(P<0.05);观察组护理后ESCA评分为(142.41±7.44)分,高于对照组的(128.96±6.79)分,差异有统计学意义(P<0.05)。结论以动机行为转化为核心的康复护理结合限盐饮食护理能够降低老年高血压患者血压水平,改善生活质量,增强自我管理能力。
Objective To explore the effect of rehabilitation nursing with motivational behavior transformation as the core combined with salt restricted diet nursing for elderly patients with hypertension.Methods 78 elderly patients with hypertension admitted to this hospital from April 2019 to July 2021 were selected as the research objects,and they were divided into the control group and the observation group according to the random number table method.The control group(n=39)was given routine nursing,and the observation group(n=39)was given rehabilitation nursing based on motivational behavior transformation combined with salt restriction diet nursing.Both groups were followed up for 6 months.The blood pressure level,General Quality of Life Inventory-74(GQOLI-74)and Exercise of Self-Management Agency Scale(ESCA)score were compared between the two groups.Results Observation group after nursing diastolic and systolic blood pressure levels were(78.67±5.95)mmHg(1 mmHg=0.133 kPa)and(118.05±10.24)mmHg,respectively,are lower than(88.02±6.14)mmHg,(126.23±10.78)mmHg in the control group,the differences between groups were statistically significant(P<0.05);the scores of body,psychology,material life and social function dimensions in GQOLI-74 of the observation group after nursing were(82.81±4.90)points,(86.89±6.67)points,(84.88±5.29)points and(84.89±5.79)points respectively.The scores were higher than(75.79±4.78)points,(76.73±5.23)points,(76.74±5.03)points,(77.14±5.63)points of the control group,the differences between the groups were statistically significant(P<0.05);the ESCA score of the observation group after nursing was(142.41±7.44)points,which was higher than(128.96±6.79)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing with motivational behavior transformation as the core combined with salt restricted diet nursing can reduce the blood pressure level,improve the quality of life and enhance the self-management ability of elderly patients with hy
作者
魏莹
WEI Ying(Department of Nephrology and Geriatrics,Zaozhuang Yicheng District People's Hospital,Zaozhuang Shandong,277300,China)
出处
《反射疗法与康复医学》
2023年第21期181-184,共4页
Reflexology And Rehabilitation Medicine
关键词
高血压
限盐饮食护理
康复护理
动机行为转化
血压水平
生活质量
Hypertension
Salt limited diet care
Rehabilitation care
Motivational behavior transformation
Blood pressure level
Quality of Life
