摘要
目的 探讨内科细节护理在高血压患者中的应用效果，为临床护理方案优化提供参考。方法 选取我院2024年1月—2025年1月收治的80例高血压患者作为研究对象，按照随机数字表法分为观察组和对照组，每组各40例。对照组采用常规内科护理，包括病情监测、用药指导等基础护理措施；观察组在对照组基础上实施细节护理，涵盖个性化饮食干预（根据患者体质指数制定每日盐摄入量≤5g的食谱）、心理疏导、运动指导及生活习惯管理。比较两组患者护理后的血压控制情况、护理满意度及并发症发生率。结果 护理后，观察组患者收缩压为（132.5±6.8）mmHg，舒张压为（82.3±4.5）mmHg，显著低于对照组的（145.2±7.3）mmHg和（91.6±5.1）mmHg（P<0.05）；观察组护理满意度为95.0%（38/40），明显高于对照组的77.5%（31/40）（P<0.05）；观察组并发症发生率为5.0%（2/40），低于对照组的20.0%（8/40）（P<0.05）。结论 对高血压患者实施内科细节护理，可有效改善患者血压水平，提高护理满意度，降低并发症发生率，值得临床推广应用。
关键词： 内科细节护理；高血压；血压控制；护理满意度；并发症
Abstract
Objective To evaluate the efficacy of detailed medical nursing in hypertensive patients and provide reference for optimizing clinical care protocols. Methods A total of 80 hypertensive patients admitted to our hospital between January 2024 and January 2025 were selected as subjects. They were randomly divided into an observation group (40 cases) and a control group (40 cases) using a random number table method. The control group received standard medical care including condition monitoring and medication guidance, while the observation group received enhanced detailed nursing interventions such as personalized dietary management (daily salt intake ≤5g based on BMI), psychological counseling, exercise guidance, and lifestyle modification. The post-nursing blood pressure control, nursing satisfaction, and complication rates were compared between groups. Results Post-nursing analysis showed that the observation group achieved systolic blood pressure (132.5±6.8) mmHg and diastolic blood pressure (82.3±4.5) mmHg, significantly lower than the control group's (145.2±7.3) mmHg and (91.6±5.1) mmHg (P<0.05). The observation group reported a nursing satisfaction rate of 95.0% (38/40), markedly higher than the control group's 77.5% (31/40) (P<0.05). The complication rate was 5.0% (2/40) in the observation group, lower than the control group's 20.0% (8/40) (P<0.05). Conclusion Implementing detailed medical nursing for hypertensive patients can effectively improve blood pressure levels, enhance nursing satisfaction, and reduce complication rates, making it clinically applicable for widespread adoption.
Key words： Internal medicine details care; Hypertension; Blood pressure control; Nursing satisfaction; Complications
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