Abstract
Hierarchical management is an essential component of nurse post management and an unavoidable tendency in nursing education. According to their existing condition, various hospitals around the country have actively tested the hierarchical usage and management model of clinical nurses, with some success. The application impact of hierarchical nursing care in patients with hypertension complicated by cardiovascular and cerebrovascular risk factors is the focus of this research. In a hospital, 300 patients with hypertension complicated by cardiovascular and cerebrovascular risk factors were chosen. All patients were split into two groups using the coin-throwing random method: the observation group received hierarchical nurse management and the control group received regular nursing management, with 150 cases in each group. The two groups' blood pressure, blood lipids, blood glucose, poor habits, rehospitalization rate, and cardiovascular and cerebrovascular problems were also examined. At the same time, the patients' poor mood and quality of life were assessed before and after the intervention. In the control group followed up for 1 year, the blood pressure compliance rate was 44.88%, the blood lipid compliance rate was 28.65%, the blood glucose compliance rate was 45.00%, the smokers with bad lifestyle habits were 26.57%, the overweight and obese were 23.5%, the high sodium was 31.67%, the rehospitalization rate was 15.48%, and the incidence of cardiovascular and cerebrovascular complications was 43.00%. The observation group's blood pressure, blood lipids, and blood sugar compliance rates rose substantially (P = 0.05) as compared to the control group. The occurrence of poor luck living habits, the rate of rehospitalization, and the incidence of cardiovascular and cerebrovascular complications were significantly reduced (P < 0.05). Before nursing intervention, there was no significant difference in the bad mood scores SAS, SDS, and quality of life between the two groups of patients (P > 0.05); after nursing intervention, compared with the control group, the observation group's bad mood scores were significantly reduced, physical factors, psychological factors, and total scores all increased significantly, and the difference was statistically significant (P < 0.05).
Highlights
With the advancement of the social economy, people’s living standards and modes are gradually changing, resulting in an annual increase in the incidence rate of hypertension, a prevalent chronic condition [1]
Studies have confirmed that dyslipidemia, smoking, obesity, high blood sugar, and other common cardiocerebrovascular risk factors for hypertension, such as nutritional intervention, behavioral therapy, and other active interventions, can better reduce the level of risk factors and the occurrence of adverse events
In order to better improve the quality of care, in this project, nursing staff are classified according to their academic qualifications, working years and professional titles, rational deployment of human resources, and differentiation of work responsibilities, to make the best use of people, and people do their own responsibilities, better cooperate with work, and coordinate in arranging nursing projects and formulating work processes in accordance with the ARRDDAPIE eight-step procedure, so as to realize a nursing team model with a clear division of labor, avoid problems such as unclear responsibilities in the previous nursing model, and formulate targeted nursing measures
Summary
With the advancement of the social economy, people’s living standards and modes are gradually changing, resulting in an annual increase in the incidence rate of hypertension, a prevalent chronic condition [1]. Nursing human resource management is the process of arranging and effectively utilizing nursing staff in accordance with certain standards and norms in order to maximize people’s abilities, fully stimulate personal potential, mobilize nursing staff’s work enthusiasm, improve nursing work efficiency, and achieve organizational goals [6]. According to the requirements of nurses’ position, professional title, and professional competence, the hierarchical usage of nurses is separated into distinct levels and different degrees of standardized management and target management [11]. Certain hospitals, based on their present circumstances, continue to actively investigate the implementation techniques of hierarchical nursing management, actively attempt the hierarchical use and management mode of clinical nurses, and have achieved some successes, primarily in five areas: increasing the quality of nursing care and the work happiness of nurses Patients’ happiness, physicians’ satisfaction with nurses’ performance, and nurses’ academic competence all improved [13]. This study introduced hierarchical nursing management into the nursing of patients with hypertension complicated by cardiovascular and cerebrovascular risk factors by searching the relevant cutting-edge knowledge of the literature database, combined with the reality of our department, in order to explore effective nursing measures and methods [18]
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