Department of Nursing, Tongji Medical College, Huazhong University of Science and Technology.
Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology.
Afr Health Sci. 2020 Dec;20(4):1716-1724. doi: 10.4314/ahs.v20i4.23.
Coronary artery disease is a leading cause of morbidity and mortality worldwide. Comorbidity-like hypertension has been among the major risks of coronary artery disease. Recent evidence identified multiple benefits of cardiovascular nursing care to coronary patients. However, little has been appraised on benefits regarding patients' blood pressure control and length of hospitalisation.
To compare the association of cardiovascular nursing care delivered to coronary artery patients with patients' blood pressure and length of stay.
Records based retrospective design was applied at a large teaching hospital in Wuhan, China. SPSS 21 version was used for data entry and analysis with univariate and multivariate logistic regression models for comparing study variables.
Of 300 patients, 224 (74.7%) were known to be hypertensive and admitted with subnormal blood pressure. Cardiovascular nursing care like "assess to grade pain severity on 1-10 scale" and "counsel patient to cope with stress" were six and three times more likely to contribute improved patients' blood pressure (AOR=5.8; 95%CI: 2.8-12.2, p=0.001) and (AOR=3.1; 95%CI: 1.2-7.8, p=0.015) respectively. No significant difference with length of stay (p>0.05).
There is a possibility of coronary artery patients to recover with normal blood pressure following reception of evidence-based cardiovascular nursing care.
冠状动脉疾病是全球发病率和死亡率的主要原因之一。像高血压这样的合并症一直是冠状动脉疾病的主要风险因素之一。最近的证据表明，心血管护理对冠状动脉患者有多种益处。然而，关于患者的血压控制和住院时间方面的益处评估却很少。
比较向冠状动脉患者提供心血管护理与患者血压和住院时间的关联。
本研究采用基于记录的回顾性设计，在中国武汉的一家大型教学医院进行。使用 SPSS 21 版进行数据录入和分析，采用单变量和多变量逻辑回归模型比较研究变量。
在 300 名患者中，有 224 名（74.7%）已知患有高血压，且入院时血压偏低。像“评估疼痛严重程度（1-10 级）”和“指导患者应对压力”这样的心血管护理，使患者血压改善的可能性分别增加了 6 倍和 3 倍（优势比[OR]=5.8；95%置信区间[CI]：2.8-12.2，p=0.001）和（OR=3.1；95%CI：1.2-7.8，p=0.015）。与住院时间无显著差异（p>0.05）。
接受基于证据的心血管护理后，冠状动脉患者有可能恢复正常血压。
