Exploring the prevention, health care, and nursing of elderly patients with hypertension
探讨老年高血压患者的预防保健和护理

摘要

目的 探讨老年高血压患者有效的预防保健和护理方法，评估其对患者血压控制、生活质量及并发症发生率的影响。方法 选取2024年5月-2025年5月90例50-95岁老年高血压患者，随机分为对照组（45例）和实验组（45例）。对照组采用常规护理，实验组在常规护理基础上实施综合预防保健和护理干预，包括饮食调节、运动指导、心理护理、用药管理及并发症预防等措施。比较两组患者干预前后的血压水平、生活质量评分及并发症发生情况。结果 干预后，实验组收缩压、舒张压分别为（131.2±6.5）mmHg、（79.3±5.0）mmHg，显著低于对照组的（143.8±7.8）mmHg、（86.7±6.0）mmHg（P<0.05）；实验组生活质量评分（83.6±5.8）分高于对照组（71.5±6.2）分（P<0.05）；实验组并发症发生率为8.89%，低于对照组的24.44%（P<0.05）。结论 综合预防保健和护理干预能有效控制老年高血压患者血压，提升生活质量，降低并发症发生率，值得临床推广应用。

Abstract

Objective To explore effective preventive healthcare and nursing methods for elderly patients with hypertension, and evaluate their impact on blood pressure control, quality of life, and incidence of complications. Method: Ninety elderly hypertensive patients aged 50-95 years were selected from May 2024 to May 2025 and randomly divided into a control group (45 cases) and an experimental group (45 cases). The control group received routine care, while the experimental group received comprehensive preventive healthcare and nursing interventions based on routine care, including dietary regulation, exercise guidance, psychological care, medication management, and prevention of complications. Compare the blood pressure levels, quality of life scores, and incidence of complications between two groups of patients before and after intervention.
Results: After intervention, the systolic and diastolic blood pressure in the experimental group were (131.2 ± 6.5) mmHg and (79.3 ± 5.0) mmHg, respectively, significantly lower than those in the control group (143.8 ± 7.8) mmHg and (86.7 ± 6.0) mmHg (P<0.05); The quality of life score of the experimental group (83.6 ± 5.8) was higher than that of the control group (71.5 ± 6.2) (P<0.05); The incidence of complications in the experimental group was 8.89%, which was lower than the 24.44% in the control group (P<0.05).
Conclusion  : Comprehensive preventive healthcare and nursing interventions can effectively control blood pressure, improve quality of life, and reduce the incidence of complications in elderly patients with hypertension, and are worthy of clinical promotion and application.