摘要
目的:探讨基于保护理论的管理模式对原发性高血压(EH)患者血压、生活质量及不良事件的影响。方法:前瞻性选择2022年4月到2023年4月本院收治的96例EH患者的临床资料,随机分为对照组(n=46,采用常规管理干预)和保护组(n=50,采用以保护理论为基础的管理模式干预),两组均干预2个月。比较干预前后两组患者血压及血脂指标变化;采用健康调查简表(SF-36)、心血管健康评分、高血压病人自我管理行为测评量表(HPSMBRS)评估两组患者干预前后生活质量、心血管健康程度、自我管理能力。比较两组患者干预后不良事件发生率。结果:与对照组相比,保护组干预后收缩压(SBP)[(137.80±5.12)mmHg比(118.82±6.65)mmHg]、舒张压(DBP)[(82.26±4.15)mmHg比(75.99±3.91)mmHg]、平均动脉压(MAP)[(115.25±5.70)mmHg比(99.64±5.15)mmHg]、总胆固醇(TC)[(4.18±1.35)mmol/L比(3.39±1.56)mmol/L]、胰岛素样生长因子-1(IGF-1)[(115.09±17.97)ng/ml比(99.86±8.87)ng/ml]、甘油三酯(TG)[(1.94±0.67)mmol/L比(1.60±0.61)mmol/L]显著更低(P<0.05或<0.01);SF-36总分[(66.93±10.25)分比(72.44±14.11)分]、心血管健康评分[(7.98±1.71)分比(9.96±1.67)分]及HPSMBRS评分[(109.20±6.82)分比(149.22±7.23)分]显著更高(P<0.05或<0.01)。保护组不良事件发生率(12.00%比28.26%)显著低于对照组(χ^(2)=3.991,P=0.046)。结论:以保护理论为基础的管理模式能够显著降低EH患者的血压水平,降低不良事件发生率,改善生活质量、心血管健康程度及自我管理能力,具有临床推广价值。
Objective:To explore the influence of management mode based on protection theory on blood pressure,quality of life(QOL)and adverse events in patients with essential hypertension(EH).Methods:Clinical data of 96 EH patients admitted in our hospital from Apr 2022 to Apr 2023 were prospectively selected,randomly divided into control group(n=46,conventional management intervention)and protection group(n=50,received management mode intervention based on protection theory).Both groups were intervened for 2 months.The changes of blood pressure and blood lipid indexes were compared between two groups before and after intervention.Medical Outcomes Study 36-item short form(SF-36),cardiovascular health score and Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS)were used to evaluate the QOL,cardiovascular health degree and self-management ability in two groups before and after intervention.The incidence rate of adverse events after intervention was compared between two groups.Results:Compared with control group after intervention,there were significant reductions in levels of systolic blood pressure(SBP)[(137.80±5.12)mmHg vs.(118.82±6.65)mmHg],diastolic blood pressure(DBP)[(82.26±4.15)mmHg vs.(75.99±3.91)mmHg],mean arterial pressure(MAP)[(115.25±5.70)mmHg vs.(99.64±5.15)mmHg],total cholesterol(TC)[(4.18±1.35)mmol/L vs.(3.39±1.56)mmol/L],insulin-like growth factor-1(IGF-1)[(115.09±17.97)ng/ml vs.(99.86±8.87)ng/ml]and triglyceride(TG)[(1.94±0.67)mmol/L vs.(1.60±0.61)mmol/L](P<0.05 or<0.01);and significant rise in total scores of SF-36[(66.93±10.25)points vs.(72.44±14.11)points],cardiovascular health score[(7.98±1.71)points vs.(9.96±1.67)points]and HPSMBRS[(109.20±6.82)points vs.(149.22±7.23)points]in protection group(P<0.05 or<0.01).The incidence rate of adverse events in protection group was significantly lower than that of control group(12.00%vs.28.26%)(χ^(2)=3.991,P=0.046).Conclusion:The management mode based on protection theory can significantly reduce blood pressure level,incidence ra
作者
安秦锐
李飞
李燕妮
李艳艳
AN Qin-rui;LI Fei;LI Yan-ni;LI Yan-yan(Department of Comprehensive Diagnosis and Treatment,First Affiliated Hospital of Chinese PLA Air Force Military Medical University,Xi'an,Shaanxi,710032,China)
出处
《心血管康复医学杂志》
CAS
2024年第3期289-294,共6页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
国家重点研发计划项目(2016YFC0900903)。
关键词
高血压
护理
血压
生活质量
Hypertension
Nursing care
Blood pressure
Quality of life
