目的：观察延续性护理对老年H型高血压伴认知功能障碍患者生活质量的影响。方法选择108例符合标准的老年H型高血压伴认知功能障碍患者,测定血压、同型半胱氨酸、血脂、凝血指标等基线数据,并评估生活质量。上述患者按照随机数字表法随机分为对照组和观察组,对照组进行入院常规护理,出院后无护理干预；观察组除入院常规护理外,并于出院后继续进行心理护理、生活护理等。于12个月后复查上述指标,并进行对比研究。结果观察组血压由治疗前(163.7±12.9)/(96.9±10.2)mmHg下降至(134.1±7.8)/(77.5±6.0)mmHg,同型半胱氨酸由(18.20±8.40)μmol/L下降至(11.56±4.28)μmol/L,总胆固醇由(5.48±0.65) mmol/L 下降至(4.06±0.74) mmol/L、三酰甘油(2.58±0.63)mmol/L下降至(1.47±0.76)mmol/L,纤维蛋白原由(4.83±1.46)g/L 降至(2.78± 1.46)g/L,凝血酶原时间由治疗前(13.54±1.93)sec上升至(15.10±2.38)sec,以上结果比较差异均有统计学意义(t值分别为3.267,3.487,4.483,5.031,5.327,3.467,5.082；P<0.01)。治疗12个月后观察组与对照组相比,差异有统计学意义(t值分别为4.986,3.462,3.384,3.325,4.021；P<0.01)。在生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能以及精神健康等8个方面,观察组治疗前得分(55.92±8.40),(59.48± 11.65),(61.44± 9.75),(58.03±14.72),(49.83±13.46),(55.58± 16.18),(58.44± 14.33),(60.46±10.96)分,均低于治疗后得分(86.56±14.28),(89.26±12.74),(83.44± 15.75),(79.21±12.66),(84.20± 10.48),(87.55±11.71),(93.19±12.38),(89.32±10.57)分,差异均有统计学意义(t值分别为7.893,6.934,7.351,7.214,7.359,8.254,8.657,7.536；P<0.01)。结论老年H型高血压认知功能障碍患者的生活质量降低,对其进行综合护理较未进行护理的患者的生活质量明显提高。
目的：觀察延續性護理對老年H型高血壓伴認知功能障礙患者生活質量的影響。方法選擇108例符閤標準的老年H型高血壓伴認知功能障礙患者,測定血壓、同型半胱氨痠、血脂、凝血指標等基線數據,併評估生活質量。上述患者按照隨機數字錶法隨機分為對照組和觀察組,對照組進行入院常規護理,齣院後無護理榦預；觀察組除入院常規護理外,併于齣院後繼續進行心理護理、生活護理等。于12箇月後複查上述指標,併進行對比研究。結果觀察組血壓由治療前(163.7±12.9)/(96.9±10.2)mmHg下降至(134.1±7.8)/(77.5±6.0)mmHg,同型半胱氨痠由(18.20±8.40)μmol/L下降至(11.56±4.28)μmol/L,總膽固醇由(5.48±0.65) mmol/L 下降至(4.06±0.74) mmol/L、三酰甘油(2.58±0.63)mmol/L下降至(1.47±0.76)mmol/L,纖維蛋白原由(4.83±1.46)g/L 降至(2.78± 1.46)g/L,凝血酶原時間由治療前(13.54±1.93)sec上升至(15.10±2.38)sec,以上結果比較差異均有統計學意義(t值分彆為3.267,3.487,4.483,5.031,5.327,3.467,5.082；P<0.01)。治療12箇月後觀察組與對照組相比,差異有統計學意義(t值分彆為4.986,3.462,3.384,3.325,4.021；P<0.01)。在生理機能、生理職能、軀體疼痛、一般健康狀況、精力、社會功能、情感職能以及精神健康等8箇方麵,觀察組治療前得分(55.92±8.40),(59.48± 11.65),(61.44± 9.75),(58.03±14.72),(49.83±13.46),(55.58± 16.18),(58.44± 14.33),(60.46±10.96)分,均低于治療後得分(86.56±14.28),(89.26±12.74),(83.44± 15.75),(79.21±12.66),(84.20± 10.48),(87.55±11.71),(93.19±12.38),(89.32±10.57)分,差異均有統計學意義(t值分彆為7.893,6.934,7.351,7.214,7.359,8.254,8.657,7.536；P<0.01)。結論老年H型高血壓認知功能障礙患者的生活質量降低,對其進行綜閤護理較未進行護理的患者的生活質量明顯提高。
목적：관찰연속성호리대노년H형고혈압반인지공능장애환자생활질량적영향。방법선택108례부합표준적노년H형고혈압반인지공능장애환자,측정혈압、동형반광안산、혈지、응혈지표등기선수거,병평고생활질량。상술환자안조수궤수자표법수궤분위대조조화관찰조,대조조진행입원상규호리,출원후무호리간예；관찰조제입원상규호리외,병우출원후계속진행심리호리、생활호리등。우12개월후복사상술지표,병진행대비연구。결과관찰조혈압유치료전(163.7±12.9)/(96.9±10.2)mmHg하강지(134.1±7.8)/(77.5±6.0)mmHg,동형반광안산유(18.20±8.40)μmol/L하강지(11.56±4.28)μmol/L,총담고순유(5.48±0.65) mmol/L 하강지(4.06±0.74) mmol/L、삼선감유(2.58±0.63)mmol/L하강지(1.47±0.76)mmol/L,섬유단백원유(4.83±1.46)g/L 강지(2.78± 1.46)g/L,응혈매원시간유치료전(13.54±1.93)sec상승지(15.10±2.38)sec,이상결과비교차이균유통계학의의(t치분별위3.267,3.487,4.483,5.031,5.327,3.467,5.082；P<0.01)。치료12개월후관찰조여대조조상비,차이유통계학의의(t치분별위4.986,3.462,3.384,3.325,4.021；P<0.01)。재생리궤능、생리직능、구체동통、일반건강상황、정력、사회공능、정감직능이급정신건강등8개방면,관찰조치료전득분(55.92±8.40),(59.48± 11.65),(61.44± 9.75),(58.03±14.72),(49.83±13.46),(55.58± 16.18),(58.44± 14.33),(60.46±10.96)분,균저우치료후득분(86.56±14.28),(89.26±12.74),(83.44± 15.75),(79.21±12.66),(84.20± 10.48),(87.55±11.71),(93.19±12.38),(89.32±10.57)분,차이균유통계학의의(t치분별위7.893,6.934,7.351,7.214,7.359,8.254,8.657,7.536；P<0.01)。결론노년H형고혈압인지공능장애환자적생활질량강저,대기진행종합호리교미진행호리적환자적생활질량명현제고。
Objective To investigate the effects of continuing nursing on quality of life in elderly with H type hypertensive caused cognitive impairment. Methods A total of 108 elderly with H type hypertension and cognitive impairment were randomized to control group and experimental group. The blood pressure, homocysteine, blood fat, blood coagulation indexes, and level of quality of life characteristics were assessed the baseline. The patients of control group underwent routine nursing and no intervention after discharge, while the patients of experimental group received continuing psychological and life care after discharge. We reexamined compared the above indicator after 12 months discharged. Results The blood pressure was (163. 7 ± 12. 9)/(96. 9 ± 10. 2) mmHg decreased to ( 134. 1 ± 7. 8 )/( 77. 5 ± 6. 0 ) mmHg, homocysteine decreasing from (18. 20 ± 8. 40)μmol/L to (11. 56 ± 4. 28)μmol/L, the total cholesterol declining from (5. 48 ± 0. 65)mmol/L to (4. 06 ± 0. 74) mmol/L, triacylglycerol from (2. 58 ± 0. 63) mmol/L to (1. 47 ± 0. 76) mmol/L, frbrinogen from (4. 83 ± 1. 46)g/L to (2. 78 ± 1. 46) g/L, prothrombin time from (13. 54 ± 1. 93) sec to (15. 10 ± 2. 38) sec with statistical significance (t=3. 267, 3. 487, 4. 483, 5. 031, 5. 327, 3. 467, 5. 082;P<0. 01) after treatment in experimental group. Compared with control group, there were statistical significance ( t=4. 986,3. 462, 3. 384, 3. 325, 4. 021;P <0. 01). The physiology, physiological function, physical pain, general health status, energy, social function, emotional function and mental health were (55. 92 ± 8. 40), (59. 48 ± 11. 65), (61. 44 ± 9. 75), (58. 03 ± 14. 72), (49. 83 ± 13. 46), (55. 58 ± 16. 18), (58. 44 ± 14. 33), (60. 46 ± 10. 96) score in the control group lower than (86. 56 ± 14. 28), (89. 26 ± 12. 74), (83. 44 ± 15. 75), (79. 21 ± 12. 66), (84. 20 ± 10. 48), (87. 55 ± 11. 71), (93. 19 ± 12. 38), (89. 32 ± 10. 57) in the experimental group (t =7. 893, 6. 934, 7. 351, 7. 214, 7. 359, 8. 254, 8. 657, 7. 536;P <0. 01). Conclusions The quality of life decreased in elderly with H type hypertensive and cognitive impairment. Comprehensive nursing for elderly with H type hypertensive patients and cognitive impairment can improve quality of life compared with patients without nursing.
