Yang Hai Ou, Wang Aiping, Hu Haihua, Li Yue
Beijing Tongren Hospital Affiliated to Capital Medical University, PR. China Internal Medicine Department 100730, Beijing, People's Republic of China.
Beijing Tongren Hospital Affiliated to Capital Medical University, PR. China Emergency Department 100730, Beijing, People's Republic of China.
Patient Prefer Adherence. 2025 Mar 19;19:661-672. doi: 10.2147/PPA.S489964. eCollection 2025.
Hypertension (HTN) is a chronic condition that requires ongoing management to maintain health and prevent organ damage. Skilled nurses are essential in promoting lifestyle changes and personalizing medications, especially for patients in cardiac rehabilitation, which can lead to better cardiac function and manageable blood pressure.
To examine the effects of a continuous nursing model merged with homemade dialogue tools on cardiac function and blood pressure control in patients with HTN and heart disease.
From March 2019 to June 2021, a compelling study involved 82 patients randomly assigned to either a control or experiment group. The control group received routine health education and follow-up calls as standard care. However, the experiment group benefited from an innovative pictorial dialogue tool designed under the Cardiac Rehabilitation and Secondary Prevention Chinese guidelines to enhance understanding and adherence to crucial health practices, potentially leading to better cardiac function and boosting blood pressure control in patients.
Considering the designed nursing model, satisfaction with care increased from 48 to 63%. The systolic and diastolic blood pressures were also reduced from 144.45 ± 3.27 to 129.63 ± 3.06 mmHg and 89.46 ± 4.57 to 79.51 ± 3.53 mmHg, respectively. Furthermore, an appropriate cardiac function was approached in the research category by inclining the left ventricular ejection fraction and cardiac index up to 77.43 ± 4.17% and 19.25 ± 1.56 L/min/m, respectively.
The simultaneous nursing model combined with a self-developed picture-viewing tool effectively improved cardiac rehabilitation, blood pressure control, patient satisfaction, care coordination, treatment compliance, and quality of life in patients with hypertension and heart disease.
The combined continuous nursing model and homemade dialogue tools led to higher patient satisfaction and lower blood pressure compared to standard nursing care after three months. This approach improved cardiac rehabilitation and overall patient satisfaction.
高血压（HTN）是一种慢性病，需要持续管理以维持健康并预防器官损伤。熟练的护士对于促进生活方式改变和个性化用药至关重要，尤其是对于心脏康复患者，这可改善心脏功能并控制血压。
探讨融合自制对话工具的持续护理模式对高血压和心脏病患者心脏功能及血压控制的影响。
2019年3月至2021年6月，一项引人注目的研究纳入了82例患者，随机分为对照组和实验组。对照组接受常规健康教育和随访电话作为标准护理。然而，实验组受益于根据心脏康复和二级预防中国指南设计的创新型图片对话工具，以增强对关键健康行为的理解和依从性，这可能改善患者的心脏功能并加强血压控制。
考虑到所设计的护理模式，护理满意度从48%提高到了63%。收缩压和舒张压也分别从144.45±3.27mmHg降至129.63±3.06mmHg，从89.46±4.57mmHg降至79.51±3.53mmHg。此外，在研究类别中，左心室射血分数和心脏指数分别提高到77.43±4.17%和19.25±1.56L/min/m²，接近了适当的心脏功能。
同步护理模式结合自行开发的图片观看工具可有效改善高血压和心脏病患者的心脏康复、血压控制、患者满意度、护理协调、治疗依从性和生活质量。
与标准护理相比，持续护理模式与自制对话工具相结合，三个月后患者满意度更高，血压更低。这种方法改善了心脏康复和患者总体满意度。
