Influence of management mode based on protection theory on blood pressure,quality of life and adverse events in patients with essential hypertension
10.3969/j.issn.1008-0074.2024.03.07
- VernacularTitle:以保护理论为基础的管理模式对原发性高血压患者血压、生活质量及不良事件的影响
- Author:
Qin-Rui AN
1
;
Fei LI
;
Yan-Ni LI
;
Yan-Yan LI
Author Information
1. 中国人民解放军空军军医大学第一附属医院综合诊疗科,陕西西安 710032
- Keywords:
Hypertension;
Nursing care;
Blood pressure;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(3):289-294
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of management mode based on protection theory on blood pressure,quality of life(QOL)and adverse events in patients with essential hypertension(EH).Methods:Clinical data of 96 EH patients admitted in our hospital from Apr 2022 to Apr 2023 were prospectively selected,randomly divided into control group(n=46,conventional management intervention)and protection group(n=50,received management mode intervention based on protection theory).Both groups were intervened for 2 months.The changes of blood pressure and blood lipid indexes were compared between two groups before and after intervention.Medical Outcomes Study 36-item short form(SF-36),cardiovascular health score and Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS)were used to evaluate the QOL,cardiovascular health degree and self-management ability in two groups before and after inter-vention.The incidence rate of adverse events after intervention was compared between two groups.Results:Compared with control group after intervention,there were significant reductions in levels of systolic blood pressure(SBP)[(137.80±5.12)mmHg vs.(118.82±6.65)mmHg],diastolic blood pressure(DBP)[(82.26±4.15)mmHg vs.(75.99±3.91)mmHg],mean arterial pressure(MAP)[(115.25±5.70)mmHg vs.(99.64±5.15)mmHg],total cholesterol(TC)[(4.18±1.35)mmol/L vs.(3.39±1.56)mmol/L],insulin-like growth factor-1(IGF-1)[(115.09±17.97)ng/ml vs.(99.86±8.87)ng/ml]and triglyceride(TG)[(1.94±0.67)mmol/L vs.(1.60±0.61)mmol/L](P＜0.05 or＜0.01);and significant rise in total scores of SF-36[(66.93±10.25)points vs.(72.44±14.11)points],car-diovascular health score[(7.98±1.71)points vs.(9.96±1.67)points]and HPSMBRS[(109.20±6.82)points vs.(149.22±7.23)points]in protection group(P＜0.05 or＜0.01).The incidence rate of adverse events in protection group was significantly lower than that of control group(12.00％vs.28.26％)(x2=3.991,P=0.046).Conclusion:The management mode based on protection theory can significantly reduce blood pressure level,incidence rate of adverse e-vents,improve quality of life,cardiovascular health degree and self-management ability in EH patients,which is worthy of clinical promotion.
