分层次护理管理在高血压合并心脑血管危险因素患者中的临床应用

摘要

Objective To analyze the clinical application of different-level nursing management for hypertension patients with cardio-cerebral vascular risk factors.Methods We selected 300 hypertension patients with cardio-cerebral vascular risk factors,among which the patients who were hospitalized from January to December in 2013 were in the control group and received routine nursing care,and those hospitalized from January to December in 2014 were in the observation group and received different-level nursing management. Then we observed the patients in the following aspects:success rate of blood pressure,combined cardio-cerebral vascular risk factors,re-hospitalization rate within a year,and cardio-cerebral vascular complications.Results The success rate of blood pressure of the patients in the observation group was higher than that of the patients in the control group,and the difference was significantly statistical (P <0.05).The cardio-cerebral vascular risk factors of the patients in the observation group,such as smoking,overweight,obesity,and high salt diet,were obviously fewer than those in the control group.The success rates of lipid and glucose tolerance of the patients in the observation group were higher than those in the control group.The rehopitalization rate within a year and the incidence of cardio-cerebral vascular complications of the patients in the observation group were apparently lower than those of the patients in the control group.The differences were significantly statistical (P <0.05).Conclusions Implementation of different-level nursing management can help pa-tients reduce cardio-cerebral vascular risk factors,thus reduce the occurrence of complications and improve prognosis.%目的：探讨分层次护理管理在高血压合并心脑血管危险因素患者中的临床应用。方法选择300例高血压合并心脑血管危险因素患者，将2013年1月至2013年12月收治的患者为对照组，对照组采用常规护理管理模式，2014年1月至2014年12月收治的患者为观察组，观察组采用分层次护理管理模式，观察患者血压达标率、合并心脑血管危险因素情况、一年内再住院率及心脑血管并发症发生情况。结果观察组患者血压达标率高于对照组，差异有统计学意义（P ＜0．01）；观察组患者心脑血管危险因素吸烟、超重及肥胖、高钠盐饮食明显少于对照组，血脂达标率及糖耐量达标率高于对照组，一年内再住院率及心脑血管并发症发生率均明显少于对照组，差异有统计学意义（P ＜0．05）。结论实施分层次护理管理可帮助患者减少心脑血管危险因素，从而减少并发症的发生、改善预后。