Application Effect of Doctor-Nurse-Patient Integration Model Based on Heart Rate Management Strategies in Middle-Aged and Young Outpatients with Hypertension.

Jinfang Zhang,Hua Guo,Juanjuan Guo,Hui Deng,Zehong Han,Min Jia

doi:10.1155/2022/7459518

Abstract

Objective In this study, a doctor-nurse-patient integration management scheme based on heart rate (HR) management strategies was constructed to explore its application effect in the health management of young and middle-aged outpatients with hypertension. Methods A total of 75 young and middle-aged patients with essential hypertension admitted to the Outpatient Department of Cardiology of Heji Hospital Affiliated to Changzhi Medical College, Shanxi Province, from October 2019 to July 2020 were selected and divided into an observation group (n = 37) and a control group (n = 38) according to different treatment methods. The control group was treated with routine health education, basis on which, the observation group was additionally intervened by the doctor-nurse-patient integration model established upon HR management strategies. The resting heart rate (RHR) awareness, medication compliance, RHR, systolic/diastolic blood pressure (SBP/DBP), and self-management ability were compared between the two groups before and 3 months after intervention. The diet control rate, hypertension awareness rate, and regular review rate were also compared. Results The RHR awareness and medication compliance were significantly higher in the observation group compared with the control group after intervention (P < 0.05). There were 29 patients with high compliance in the observation group and 19 in the control group, with a significant difference between the two groups (P < 0.05). The mean RHR, as well as the mean SBP and DBP in the observation group, were significantly lower than those in the control group (P < 0.05). In terms of health behavior assessment, the observation group outperformed the control group in the score of each dimension of self-actualization, health responsibility, stress management, interpersonal support, exercise, and nutrition (P < 0.05). In addition, the self-management ability of diet, exercise, medication, blood pressure (BP) monitoring, and disease awareness was significantly higher in the observation group compared with the control group. Conclusions For middle-aged and young outpatients with hypertension, the doctor-nurse-patient integration model based on HR management strategies can improve the RHR awareness of patients and improve their medication compliance and self-management ability, thus better controlling the levels of RHR and BP.

Highlights

Hypertension, one of the common health problems in the world, has a predilection for the elderly
Exploring the heart rate (HR) management strategies of young and middle-aged hypertensive patients is of great significance for suppressing the above cardiovascular events and reducing the morbidity in this patient population
Inclusion criteria are as follows: 1 Patients were diagnosed as essential hypertension based on the National Clinical Practice Guidelines on the Management of Hypertension in Primary Health Care in China [9], with systolic blood pressure (SBP) ≥ 140 mmHg and/or diastolic blood pressure (DBP) ≥ 90 mmHg measured three times under non-same-day resting condition

Summary

Introduction

Hypertension, one of the common health problems in the world, has a predilection for the elderly. Its prevalence in young and middle-aged people has been increasing year by year [1, 2]. The low awareness rate of the disease, poor treatment, and control, as well as the resulting lifelong and high cardiovascular risk, have made it one of the major global public health problems [3]. Studies have confirmed that elevated resting heart rate (RHR) can lead to increased blood pressure (BP) and target organ damage (TOD), increase the incidence of cardiovascular events (CVEs) and mortality in hypertensive patients, and directly damage the cardiovascular system, including increasing myocardial oxygen consumption, accelerating atherosclerosis, reducing plaque stability, and triggering arrhythmia [4]. Exploring the HR management strategies of young and middle-aged hypertensive patients is of great significance for suppressing the above cardiovascular events and reducing the morbidity in this patient population.

Methods

Results

Discussion

Conclusion