Analysis of the effect of early nursing intervention and self-management on reducing heart damage inhypertensive patients
早期护理干预与自我管理对降低高血压患者心脏损害的影响分析

摘要

目的 分析早期护理干预和自我管理对降低高血压患者心脏损害的影响。方法 本次选取的 70 例患者，采用常规护理的 35 例患者称为对照组，早期护理干预及提高自我管理行为的 35 例患者为观察组。 观察两组患者采取不同护理干预后血压指标，以及心功能水平变化差异。结果 两组患者护理前血压值、心 功能水平没有显著差异（P>0.05）。护理后观察组患者收缩压（124.34±9.22）mmHg、舒张压（81.54±6.26） mmHg，LVEF（42.80±9.15）%、LVEDD（66.13±9.15）mm、LVESD（49.72±7.85）mm，均好于对照组收 缩压（130.61±9.35）mmHg、舒张压（85.67±7.16）mmHg,LVEF（42.08±9.60）%、LVEDD（89.89±9.32） mm、LVESD（47.94±8.05）mm。组间数据显示，差异具有统计学意义（P<0.05）。结论 高血压患者采取早 期护理干预和提高自我管理行为能有效控制血压，减轻对心脏的损害。

Abstract

Objective To analyze the effects of early nursing intervention and self-management on reducing heart damage in patients with hypertension.
Methods Of the 70 patients selected this time, 35 patients with routine nursing were referred to as the control group, and 35 patients with early nursing intervention and improved self-management behavior were referred to as the observation group. To observe the difference of blood pressure index and cardiac function level between the two groups after different nursing interventions.
Results There were no significant differences in blood pressure and cardiac function before nursing between the two groups (P>0.05). Observation group after nursing patients systolic blood pressure (124.34±9.22) mmHg, diastolic blood pressure (81.54±6.26) mmHg, LVEF (42.80±9.15) %, LVEDD (66.13±9.15) mm, LVESD （49.72±7.85) mm, The systolic blood pressure was (130.61±9.35) mmHg, diastolic blood pressure was (85.67±7.16) mmHg,LVEF was (42.08±9.60) %, LVEDD was (89.89±9.32) mm and LVESD was (47.94±8.05) mm. Inter-group data showed that the difference was statistically significant (P<0.05).
Conclusion   Taking early nursing intervention and improving self-management behavior can effectively control blood pressure and reduce the damage to the heart of hypertension patients.