Effect of extended nursing based on traditional Chinese medicine characteristics to mental status and quality of life in empty nest elderly patients with hypertension
10.3760/cma.j.issn.1672-7088.2019.11.005
- VernacularTitle: 基于中医特色的延续护理对空巢老年高血压患者心理状态及生命质量的影响
- Author:
Fengxing HUANG
1
;
Liuxue LU
2
;
Liwei HUANG
1
;
Linxue LUO
2
;
Zhitan LU
3
;
Lanjing HUANG
4
;
Liuqing WEI
4
;
Quyun HUANG
5
Author Information
1. Outpatient Department, Affiliated Hospital of Youjiang Medical College for Nationalities, Baise 533000, China
2. Nursing Department, Affiliated Hospital of Youjiang Medical College for Nationalities, Baise 533000, China
3. Department of Internal Medicine, Debao Maternal and Child Health-Care Hospital, Baise 533700, China
4. Cardiovascular Internal Medicine, Affiliated Hospital of Youjiang Medical College for Nationalities, Baise 533000, China
5. Internal Medicine-Neurology, Affiliated Hospital of Youjiang Medical College for Nationalities, Baise 533000, China
- Publication Type:Journal Article
- Keywords:
Hypertension;
Empty nest elderly;
TCM characteristic nursing;
Continuing nursing;
Mental state;
Quality of life
- From:
Chinese Journal of Practical Nursing
2019;35(11):824-829
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of continuing nursing intervention with traditional Chinese medicine (TCM) characteristics on mental state and quality of life of empty nest elderly patients with hypertension, and to provide evidence-based theoretical basis for the development of continuing nursing care for empty nest elderly patients with hypertension.
Methods:Totally 100 cases of empty nest elderly patients with hypertension were randomly divided into study group and control group by random number method, 50 cases in each group; two groups of patients were given regular nursing according to doctor's instructions to adjust blood pressure drugs and hypertension; control group patients were given routine continuing nursing intervention after discharge; study group patients were given traditional Chinese medicine characteristics on the basis of the control group. Sustained nursing intervention; Self-rating Anxiety Scale (SAS) was used to measure the degree of anxiety at admission, discharge and 6 months after discharge. The rate of blood pressure control reaching the standard at admission, discharge and 6 months after discharge and the clinical effect at discharge and 6 months after discharge were compared between the two groups. SF-36 was used to assess the quality of life of the 2 groups at admission, at the time of discharge and 6 months after discharge.
Results:There was no significant difference in SAS scores between the two groups at admission and discharge (P>0.05). The SAS score in the study group at 6 months after discharge was (44.65 ± 4.32) points and (46.91 ± 4.56) points in the control group, and there was significant difference (t=2.544, P=0.006). There was no significant difference in the control rates of systolic and diastolic blood pressure between the two groups at admission and discharge (P>0.05). The control rates of systolic blood pressure and diastolic blood pressure in the study group were better than those in the control group at 6 months after discharge (t=4.762,4.336, P = 0.029, 0.037); there was no significant difference in the clinical efficacy between the two groups at discharge (P>0.05), and the clinical efficacy of the study group at 6 months after discharge was better than that of the control group (u=1.997, P=0.046). There was no significant difference in the scores of SF-36 at discharge (P>0.05); the scores of SF-36 at discharge for 6 months in the study group were significantly better than those in the control group (t=4.875-8.975, P=0.000); no cardiovascular and cerebrovascular events occurred in the study group for 6 months, 4 cases of unstable angina pectoris and 4 cases of cerebral infarction occurred in the control group. In 2 cases, the incidence of cardiovascular and cerebrovascular events was 12.00% (6/50). The difference between the two groups was statistically significant (χ2=4.433, P=0.035).
Conclusion:Continuous nursing intervention with TCM characteristics can significantly improve the anxiety level of empty nest elderly patients with hypertension, is conducive to the control of blood pressure, improve the clinical efficacy, reduce the incidence of cardiovascular and cerebrovascular events, improve the quality of life of patients, and has the advantages of simplicity, safety and reliability, low cost, and so on. It is worth popularizing and applying.
