心内科优质护理模式在高血压患者中的临床应用研究

124 hospitalized adults (mean age ~58.9 years, 45.2% female) with essential hypertension (grades 1-3) in China, free of secondary hypertension, acute coronary syndrome, or severe arrhythmias, followed for 4 weeks.

High-quality cardiology nursing model (优质护理模式) added to routine nursing for 4 weeks, comprising: 1) Basic nursing and psychological intervention (optimizing ward environment, ≥15 min/day structured communication, SAS screening with cognitive reconstruction and relaxation training if SAS ≥50); 2) Standardized medication intervention (medication knowledge assessment within 72h of admission using BMQ, daily 1-on-1 explanation with teach-back method, recording BP and adverse reactions 2h post-medication); 3) Individualized health behavior guidance (progressive low-salt/low-fat diet and walking plan based on 24h dietary recall and IPAQ score, daily behavior diary); 4) Post-discharge continuity of care (home environment assessment, written self-management plan, telephone follow-up by dedicated nurse at weeks 1, 2, and 4 post-discharge to review home BP and adjust recommendations with family supervision).

Routine cardiology nursing (常规护理), including scheduled blood pressure monitoring per medical orders, dispensing oral medications with brief instructions, routine diet and activity education, and verbal notification of follow-up time at discharge.

Blood pressure levels (systolic blood pressure [SBP] and diastolic blood pressure [DBP] measured on the right upper arm in a seated position using a calibrated Omron electronic sphygmomanometer, averaged over 3 readings) and blood pressure control rate (defined as SBP <140 mmHg and DBP <90 mmHg) at 4 weeks.surrogate