Application effect of comprehensive nursing intervention in the nursing of patients with hypertension and coronary heart disease
综合护理干预在高血压合并冠心病患者护理中的应用效果

摘要

目的 观察高血压合并冠心病患者接受综合护理干预的效果。方法 选择2024年1月至2024年12月间在我院接受诊治的50例高血压合并冠心病患者进行观察，借助电脑随机法分组，具体为参照组（常规护理）、观察组（综合护理干预），各25例。评估患者的血压控制情况与心功能和心理状态、遵医行为和生活质量。结果 观察组在护理后，患者的血压控制效果、心功能指标优于参照组，差异存在统计学意义（P＜0.05）；护理后，观察组的心理状态评分低于参照组，差异有统计学意义（P＜0.05）；分析患者遵医行为，观察组高于参照组，差异有统计学意义（P＜0.05）；观察组的生活质量在护理后，评分更高，与参照组存在差异，有统计学意义（P＜0.05）。结论 面对高血压合并冠心病患者时，重视综合护理干预的实施，可以有效降低血压水平，改善患者的心功能，进而降低患者的心理压力，恢复患者的身心健康，提高患者的生活质量，建议推广。

Abstract

Objective To observe the effect of comprehensive nursing intervention on patients with hypertension and coronary heart disease.
Methods Fifty patients with hypertension combined with coronary heart disease who received treatment in our hospital from January 2024 to December 2024 were selected for observation. They were randomly divided into a reference group (conventional nursing) and an observation group (comprehensive nursing intervention) using computer randomization, with 25 cases in each group. Assess the patient's blood pressure control status, cardiac function and psychological state, compliance behavior, and quality of life.
Results After nursing, the observation group showed better blood pressure control and cardiac function indicators than the reference group, and the difference was statistically significant (P<0.05); After nursing, the psychological state score of the observation group was lower than that of the reference group, and the difference was statistically significant (P<0.05); Analyzing patients' compliance with medical treatment, the observation group showed a higher rate than the reference group, with a statistically significant difference (P<0.05); The quality of life of the observation group was higher after nursing care, and there was a statistically significant difference compared to the reference group (P<0.05).
Conclusion   When facing patients with hypertension and coronary heart disease, emphasizing the implementation of comprehensive nursing interventions can effectively reduce blood pressure levels, improve patients' heart function, thereby reducing their psychological pressure, restoring their physical and mental health, and improving their quality of life. It is recommended to promote this approach.