Application effect of problem-oriented nursing intervention combined with target blood pressure management in postoperative care of elderly hypertensive cerebral hemorrhage patients
以问题为导向的护理干预结合目标血压管理模式在老年高血压脑出血术后护理中的应用效果

摘要

目的 探讨在老年高血压脑出血患者术后护理中应用以问题为导向的护理干预联合目标血压管理方案的临床应用效果。方法 选取我院120例行手术治疗的老年高血压脑出血患者作为本次研究样本。采用随机数字表法将其均衡分配至对照组（60例，实施常规护理）与研究组（60例，实施以问题为导向的护理干预结合目标血压管理模式）。对比两组的干预效果。结果 与对照组相比，研究组患者的24h平均收缩压和24h平均舒张压均呈现显著降低趋势，且该组患者的一般自我效能感量表评分显著高于对照组，两组数据之间的差异呈现出统计学意义（P＜0.05）。结论 对老年高血压脑出血术后患者实施以问题为导向的护理干预结合目标血压管理模式能够有效控制患者的血压水平，提高其自我效能。

Abstract

Objective To explore the clinical application effect of applying problem-oriented nursing intervention combined with target blood pressure management scheme in the postoperative care of elderly hypertensive cerebral hemorrhage patients.
Methods 120 elderly hypertensive cerebral hemorrhage patients who underwent surgical treatment in our hospital were selected as the research sample. They were evenly allocated to the control group (60 cases, receiving routine care) and the study group (60 cases, receiving problem-oriented nursing intervention combined with target blood pressure management mode) by random number table method. The intervention effects of the two groups were compared.
Results Compared with the control group, the 24-hour average systolic blood pressure and 24-hour average diastolic blood pressure of the patients in the study group showed a significant downward trend, and the general self-efficacy scale score of this group was significantly higher than that of the control group. The difference between the two groups was statistically significant (P < 0.05).
Conclusion   Implementing problem-oriented nursing intervention combined with target blood pressure management mode for elderly hypertensive cerebral hemorrhage patients after surgery can effectively control the blood pressure level of patients and improve their self-efficacy.