摘 要
高血压作为全球性公共卫生问题，患病率高且并发症多，严重影响患者生活质量与预期寿命，综合护理措施成为改善高血压患者预后的关键。本研究旨在探讨系统化、个性化的综合护理模式对高血压患者的干预效果，创新性地将心理支持、行为干预、健康教育及药物管理有机结合，构建全方位护理体系。选取某三甲医院心血管内科2021年1月至2022年12月收治的300例原发性高血压患者为研究对象，按照随机数字表法分为观察组和对照组各150例，对照组采用常规护理，观察组在常规护理基础上实施综合护理干预，干预周期为6个月。通过对比两组患者干预前后血压控制情况、服药依从性、自我管理能力、生活质量评分以及不良事件发生率等指标发现，观察组患者收缩压、舒张压均显著低于对照组，服药依从性由干预前的72.00%提升至94.67%，自我管理能力评分由（65.42±8.37）分提高到（87.65±9.14）分，生活质量各项评分均明显优于对照组，不良事件发生率也显著降低。研究表明，综合护理措施能够有效提高高血压患者的血压控制水平，增强患者自我管理能力和服药依从性，改善患者生活质量，减少不良事件的发生，为高血压患者的护理提供了新的思路与方法，具有重要的临床应用价值。
关键词：高血压护理；综合护理干预；服药依从性；自我管理能力；生活质量改善
Abstract
Hypertension, as a global public health issue, is characterized by high prevalence and numerous complications, significantly impacting patients' quality of life and life expectancy. Integrated nursing measures have become crucial in improving outcomes for hypertensive patients. This study aimed to investigate the effects of a systematic and personalized integrated care model on hypertensive patients, innovatively combining psychological support, behavioral intervention, health education, and medication management to establish a comprehensive care system. A total of 300 patients with primary hypertension admitted to the cardiology department of a tertiary hospital from January 2021 to December 2022 were selected as subjects and divided into an observation group and a control group of 150 patients each using a random number table method. The control group received routine care, while the observation group underwent comprehensive nursing interventions based on routine care over a six-month intervention period. Comparisons of blood pressure control, medication adherence, self-management ability, quality of life scores, and incidence of adverse events before and after the intervention revealed that systolic and diastolic blood pressures in the observation group were significantly lower than those in the control group. Medication adherence improved from 72.00% to 94.67%, and self-management ability scores increased from (65.42±8.37) to (87.65±9.14). Quality of life scores were markedly better in the observation group, and the incidence of adverse events was significantly reduced. The study demonstrated that integrated nursing measures can effectively improve blood pressure control, enhance self-management abilities and medication adherence, improve quality of life, and reduce adverse events in hypertensive patients, providing new insights and methods for hypertension care with significant clinical application value.
Keywords：Hypertension Nursing；Comprehensive Nursing Intervention；Medication Adherence；Self-Management Ability；Quality Of Life Improvement
目 录
摘 要 I
Abstract II
引 言 1
第一章 高血压患者护理现状分析 2
1.1 国内外研究进展综述 2
1.2 护理模式的演变历程 2
1.3 现存问题与挑战分析 3
第二章 生理指标监测与管理措施 5
2.1 血压动态监测方法 5
2.2 体征异常预警机制 5
2.3 数据记录与分析应用 6
第三章 心理支持与行为干预策略 7
3.1 患者心理状态评估 7
3.2 应对压力辅导方案 7
3.3 健康生活方式引导 8
第四章 综合护理效果评价体系构建 10
4.1 护理质量评估标准 10
4.2 患者满意度调查方法 10
4.3 改进措施与展望方向 11
结 论 13
参考文献 14
致 谢 15
高血压作为全球性公共卫生问题，患病率高且并发症多，严重影响患者生活质量与预期寿命，综合护理措施成为改善高血压患者预后的关键。本研究旨在探讨系统化、个性化的综合护理模式对高血压患者的干预效果，创新性地将心理支持、行为干预、健康教育及药物管理有机结合，构建全方位护理体系。选取某三甲医院心血管内科2021年1月至2022年12月收治的300例原发性高血压患者为研究对象，按照随机数字表法分为观察组和对照组各150例，对照组采用常规护理，观察组在常规护理基础上实施综合护理干预，干预周期为6个月。通过对比两组患者干预前后血压控制情况、服药依从性、自我管理能力、生活质量评分以及不良事件发生率等指标发现，观察组患者收缩压、舒张压均显著低于对照组，服药依从性由干预前的72.00%提升至94.67%，自我管理能力评分由（65.42±8.37）分提高到（87.65±9.14）分，生活质量各项评分均明显优于对照组，不良事件发生率也显著降低。研究表明，综合护理措施能够有效提高高血压患者的血压控制水平，增强患者自我管理能力和服药依从性，改善患者生活质量，减少不良事件的发生，为高血压患者的护理提供了新的思路与方法，具有重要的临床应用价值。
关键词：高血压护理；综合护理干预；服药依从性；自我管理能力；生活质量改善
Abstract
Hypertension, as a global public health issue, is characterized by high prevalence and numerous complications, significantly impacting patients' quality of life and life expectancy. Integrated nursing measures have become crucial in improving outcomes for hypertensive patients. This study aimed to investigate the effects of a systematic and personalized integrated care model on hypertensive patients, innovatively combining psychological support, behavioral intervention, health education, and medication management to establish a comprehensive care system. A total of 300 patients with primary hypertension admitted to the cardiology department of a tertiary hospital from January 2021 to December 2022 were selected as subjects and divided into an observation group and a control group of 150 patients each using a random number table method. The control group received routine care, while the observation group underwent comprehensive nursing interventions based on routine care over a six-month intervention period. Comparisons of blood pressure control, medication adherence, self-management ability, quality of life scores, and incidence of adverse events before and after the intervention revealed that systolic and diastolic blood pressures in the observation group were significantly lower than those in the control group. Medication adherence improved from 72.00% to 94.67%, and self-management ability scores increased from (65.42±8.37) to (87.65±9.14). Quality of life scores were markedly better in the observation group, and the incidence of adverse events was significantly reduced. The study demonstrated that integrated nursing measures can effectively improve blood pressure control, enhance self-management abilities and medication adherence, improve quality of life, and reduce adverse events in hypertensive patients, providing new insights and methods for hypertension care with significant clinical application value.
Keywords：Hypertension Nursing；Comprehensive Nursing Intervention；Medication Adherence；Self-Management Ability；Quality Of Life Improvement
目 录
摘 要 I
Abstract II
引 言 1
第一章 高血压患者护理现状分析 2
1.1 国内外研究进展综述 2
1.2 护理模式的演变历程 2
1.3 现存问题与挑战分析 3
第二章 生理指标监测与管理措施 5
2.1 血压动态监测方法 5
2.2 体征异常预警机制 5
2.3 数据记录与分析应用 6
第三章 心理支持与行为干预策略 7
3.1 患者心理状态评估 7
3.2 应对压力辅导方案 7
3.3 健康生活方式引导 8
第四章 综合护理效果评价体系构建 10
4.1 护理质量评估标准 10
4.2 患者满意度调查方法 10
4.3 改进措施与展望方向 11
结 论 13
参考文献 14
致 谢 15
