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.
Key words:
Hypertension; Empty nest elderly; TCM characteristic nursing; Continuing nursing; Mental state; Quality of life
To investigate the intervention effect of an "Internet + tertiary hospital-primary hospital-family linkage home care" model on the quality of life and self-care abilities of discharged stroke patients.
Objective To compare the advantages and disadvantages of peripheral inserted central catheters(PICC) and under collarbone central venous catheter(CVC) for patients with acute cerebrovascular deseases and provide more information on the clinical application.Methods Fifty-nine patients who were punctured peripherally inserted Central Catheters were the group of PICC.Fifty-two patients who were punctured under collarbone Central Venous Catheter were selected as the group of CVC.The successful rate of tuber insertion,operation time and side reaction for the two group were recorded and evaluated.Results The successful rate of insertion for group of PICC was 94.9%,for the group of CVC that was 98.1%,there were no differences between the two groups(P0.05).The mean time of puncture for PICC group was 10 min,for CVC group was 21 min.the differences between the two groups were significant((P0.01).The incidence of side reaction for PICC group was 3.4%.and CVC group was 23.1%,there were significant differences between them(P0.01).Conclusion The Successful rate between group of PICC and group of CVC had no difference.However,the group of PICC is superior in operation time and had lower side reaction.PICC is worth extending on the clinical application.
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