老年高血压病人延续护理需求、影响因素调查与干预对策分析

目的调查老年高血压病人出院后延续护理需求状况,并分析相关影响因素,为临床延续护理干预措施制定提供参考依据。方法本研究采用方便抽样法选取2017年6月-2019年6月128例老年高血压病人进行研究,采用问卷调查法对研究对象展开调查,如一般情况、自我效能和生活质量等。结果本次问卷均全部回收,回收和有效率均为100%。病人出院后希望获取延续护理者为93例(72.65%),总评分为(6.74±0.36)分,其中高血压并发症知识及预防指导、药物知识及安全用药指导、辨证饮食指导得分较高。电话随访、门诊复查和发放健康教育手册是老年高血压病人延续护理需求较高的服务方式。文化程度、病程、月收入、婚姻状况、延续护理意愿、生活质量和自我效能是影响老年高血压病人延续护理需求的因素(P<0.05),;文化程度、病程、延续护理意愿及自我效能是影响老年高血压病人延续护理需求的独立性因素(P<0.05)。结论老年高血压病人出院后延续护理需求状况处中等状况,希望获取延续护理需求意愿强烈,然其延续护理服务需求影响因素较多,所以医院可针对性根据病人状况和需求来给予便利的长期延续护理服务。

Investigation on Continuation Nursing Needs,Influencing Factors and Intervention Strategies for Elderly Hypertensive Patients

OBJECTIVE To investigate the status of continuation of nursing needs after discharge from elderly hypertensive patients, and to analyze the relevant influencing factors, so as to provide references for the development of clinical continuation nursing interventions. METHODS 128 elderly patients with hypertension from June 2017 to June 2019 were selected by convenient sampling method.The questionnaires were used to investigate the subjects, such as general conditions, self-efficacy and quality of life. RESULTS All the questionnaires were collected, and the recovery and efficiency were 100%. After discharge from the hospital, 93 patients(72.65%) were expected to receive continuation care, with a total score of(6.74±0.36). Among them, knowledge of hypertension complications and prevention guidance, drug knowledge and safety medication guidance, and syndrome differentiation diet scores were higher. Telephone follow-up, outpatient review and the issuance of a health education manual were the service methods for the elderly with high blood pressure. Education level, disease duration, monthly income, marital status, continuation of nursing willingness, quality of life, and self-efficacy were factors that affect the continuing care needs of elderly hypertensive patients(P<0.05);education,duration, continuing care willingness and self-efficacy were affecting the independent factor of continuing nursing needs of the elderly patients with hypertension(P<0.05). CONCLUSION The elderly patients with hypertension had a moderate condition of continuation of nursing needs after discharge. It hoped that the demand for continuation of nursing needs would be strong. However, there were many factors influencing the demand for continuation of nursing services, so the hospital could provide convenient long-term nursing service according to the patient’s condition and needs.