The Effects of Health Education and the Sunrise Model of Nursing Care on Blood Pressure Control and Psychological Status in Elderly Patients with Hypertension.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2025-01-01
Wenna Sha, Li Ning, Huafang Li, Qiuyan Fu, Meihong Chen
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Abstract

Objective: Our aim was to investigate the effect of health education and a positive attitude nursing model on blood pressure (BP) control and psychological status in elderly patients with hypertension (HTN).

Methods: A total of 80 elderly patients with HTN in the Affiliated Hangzhou First People's Hospital in China were selected as the study participants. They were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received the routine nursing intervention, while the observation group received health education and the positive attitude nursing intervention based on the nursing care in the control group. The BP control effect, changes in systolic and diastolic BP, psychological status and nursing satisfaction were compared in the 2 groups.

Results: The BP control rate in the control group was 77.5% and was 95.0% in the observation group, which was significantly better (P < .05). Before the intervention, there was no significant difference in average systolic and diastolic BP between the 2 groups (P > .05); after the intervention, average systolic and diastolic BP in the observation group were significantly lower than in the control group (P < .05). Before the intervention, there was no significant difference in Self-rating Anxiety Scale (SAS) and Self-rating Anxiety Scale (SDS) scores between the 2 groups (P > .05). After the intervention, the SAS and SDS scores in the observation group were significantly better than those in the control group (P < .05). The nursing satisfaction in the control group was 75.0% and was 95.0% in the observation group, which was significantly higher (P < .05).

Conclusion: Compared with routine nursing intervention, the health education and positive attitude nursing intervention can further improve BP control, psychological status and satisfaction and recognition level of elderly patients with HTN; it can be an important clinical nursing intervention.

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健康教育和日出护理模式对老年高血压患者血压控制和心理状态的影响。
目的:研究健康教育和积极态度护理模式对老年高血压患者血压控制和心理状态的影响:我们的目的是研究健康教育和积极态度护理模式对老年高血压患者血压控制和心理状态的影响:方法:选取杭州市第一人民医院附属医院的 80 名老年高血压患者作为研究对象。随机分为对照组和观察组,每组 40 人。对照组接受常规护理干预,观察组在对照组护理基础上接受健康教育和积极态度护理干预。比较两组患者的血压控制效果、收缩压和舒张压变化、心理状态和护理满意度:结果:对照组血压控制率为 77.5%,观察组为 95.0%,观察组明显优于对照组(P<0.05)。干预前,两组的平均收缩压和舒张压无明显差异(P > .05);干预后,观察组的平均收缩压和舒张压明显低于对照组(P < .05)。干预前,两组的焦虑自评量表(SAS)和焦虑自评量表(SDS)得分无明显差异(P > .05)。干预后,观察组的 SAS 和 SDS 评分明显优于对照组(P < .05)。对照组的护理满意度为 75.0%,观察组为 95.0%,明显高于对照组(P < .05):与常规护理干预相比,健康教育与积极态度护理干预可进一步改善老年高血压患者的血压控制、心理状态及满意度和认可度,是一种重要的临床护理干预措施。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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