The role of continuity of care in self-management ability and prognosis of patients with hypertension and arrhythmia
延续性护理对高血压合并心律失常患者自我管理能力与预后的作用

摘要

目的 探讨对高血压合并心律失常患者采取延续性护理对其自我管理能力与预后的影响。方法 取2024年1月-2025年1月我院100例高血压合并心律失常患者参与本次研究，借助电脑随机盲选的形式将患者均分至研究组及参照组，并给予研究组延续性护理，给予参照组常规护理，观察护理效果，总结各组研究数据，比较两组患者自我管理能力评分、血压指标、心律失常发作次数、生活质量评分，通过统计学SPSS30.0系统进行数据分析，对比组间差异，体现护理效果。结果 数据显示，自我管理能力评分研究组对比参照组较高（P＜0.05）；血压指标护理前两组对比无差异性（P>0.05），护理后研究组对比参照组较低（P＜0.05）；心律失常发作次数研究组对比参照组较少（P＜0.05）；生活质量评分研究组对比参照组较高（P＜0.05）。结论 延续性护理的应用，可有效提升高血压合并心律失常患者自我管理能力，更好的控制血压，降低心律失常发作次数，改善预后，增强生活质量，应用效果理想，具临床推广价值。

Abstract

Objective To explore the impact of continuity of care on self-management ability and prognosis in patients with hypertension complicated with arrhythmia.
Methods From January 2024 to January 2025, 100 patients with hypertension and arrhythmia in our hospital were selected to participate in this study. The patients were randomly divided into a study group and a reference group using a computer blind selection method, and continued care was given to the study group while routine care was given to the reference group. The nursing effect was observed, and the research data of each group was summarized. The self-management ability score, blood pressure indicators, frequency of arrhythmia attacks, and quality of life score of the two groups were compared. The data was analyzed using the SPSS 30.0 system to compare the differences between groups and reflect the nursing effect. The results showed that the self-management ability score of the research group was higher than that of the reference group (P<0.05); There was no significant difference in blood pressure indicators between the two groups before nursing (P>0.05), while the study group had a lower blood pressure index compared to the reference group after nursing (P<0.05); The number of arrhythmia attacks in the study group was lower than that in the reference group (P<0.05); The quality of life score of the research group was higher than that of the reference group (P<0.05).
Conclusion   The application of continuity of care can effectively improve the self-management ability of patients with hypertension and arrhythmia, better control blood pressure, reduce the frequency of arrhythmia attacks, improve prognosis, enhance quality of life, and has ideal application effects and clinical promotion value.