摘要
目的 研究康复护理对基层卫生院老年高血压患者血压控制效果及生活质量的影响。方法 选取2023年1月至2024年12月在基层卫生院建档的76例老年高血压患者，通过随机数字表法将其分为两组，对照组（38例）采取常规护理，研究组（38例）采取康复护理。比较两组患者的血压指标、生活质量综合评定问卷（GQOL-74）评分、自我护理能力量表（ESCA）评分、用药依从度。结果 两组之间的血压水平、GQOL-74评分、ESCA评分在护理前均无统计学差异（P＞0.05），在护理后出现统计学差异（P＜0.05），其中研究组的血压水平相较于对照组更低，GQOL-74评分、ESCA评分相较于对照组更高。研究组护理后的用药依从度相较于对照组更高，且有统计学差异（P＜0.05）。结论 对基层卫生院老年高血压患者采取康复护理，有助于控制患者的血压水平，并且对提升患者的自我护理能力和用药依从度有显著作用，能够提升患者的生活质量。
关键词： 康复护理；基层卫生院；老年高血压；血压指标；生活质量
Abstract
Objective To investigate the impact of rehabilitation nursing on blood pressure control and quality of life in elderly hypertensive patients at primary healthcare centers. Methods A total of 76 elderly hypertensive patients registered at primary healthcare centers from January 2023 to December 2024 were randomly assigned to two groups using a random number table. The control group (38 cases) received conventional nursing care, while the study group (38 cases) received rehabilitation nursing. Comparative analysis was conducted on blood pressure indicators, Global Quality of Life (GQOL-74) scores, Escalating Self-Care Ability (ESCA) scores, and medication adherence between the two groups. Results No significant differences were observed in blood pressure levels, GQOL-74 scores, or ESCA scores between the groups before nursing intervention (P>0.05). However, statistically significant differences emerged after nursing (P<0.05). The study group demonstrated lower blood pressure levels, higher GQOL-74 scores, and higher ESCA scores compared to the control group. Additionally, the study group showed significantly higher medication adherence after nursing (P<0.05). Conclusion Implementing rehabilitation nursing for elderly hypertensive patients at primary healthcare centers effectively controls blood pressure levels, significantly enhances self-care abilities and medication adherence, and ultimately improves patients' quality of life.
Key words： Rehabilitation nursing; Primary health care centers; Elderly hypertensive patients; Blood pressure indicators; Quality of life
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