The study of continuous dynamic follow-up nursing in hypertension complicated with coronary heart disease under the concept of general practice
全科理念下连续动态随访护理在高血压合并冠心病中的研究

摘要

目的 评估全科理念下连续动态随访护理对高血压合并冠心病患者的影响，包括血压控制情况、心血管事件发生率、生活质量等方面。方法 选择我院于2023年1月-2024年1月，1年内收治的80例，将所有患者随机分配，分为对照组（40例，接受常规护理）和观察组（40例，建立全科医生与患者之间的密切联系）。对两组患者在护理完成后的效果进行收集和分析。结果 观察组的血压控制率、心血管事件发生率、生活质量评分、药物依从性、再入院率、非计划就诊率均明显优于对照组。结论 全科理念下连续动态随访护理在高血压合并冠心病管理中表现出明显的优势，能够显著提高血压控制率、降低心血管事件发生率、提高药物依从性，并且减少再入院率和非计划就诊率。

Abstract

Objective To evaluate the effect of continuous dynamic follow-up care on hypertension patients with coronary heart disease under the concept of general practice, including blood pressure control, cardiovascular event incidence, quality of life and so on.
Methods 80 patients admitted to our hospital within 1 year from January 2023 to January 2024 were selected, and all patients were randomly assigned into control group (40 cases, receiving routine care) and observation group (40 cases, establishing close contact between general practitioners and patients). The effects of the two groups of patients after the completion of nursing were collected and analyzed.
Results The blood pressure control rate, cardiovascular event rate, quality of life score, medication compliance, readmission rate and unplanned visit rate of the observation group were significantly better than those of the control group.
Conclusion   Continuous dynamic follow-up nursing under the general practice concept has obvious advantages in the management of hypertension combined with coronary heart disease, which can significantly improve the blood pressure control rate, reduce the incidence of cardiovascular events, improve medication compliance, and reduce the readmission rate and unplanned visit rate.