Effects of continuing nursing on quality of life in elderly with H type hypertensive and cognitive impairment

Abstract

Objective To investigate the effects of continuing nursing on quality of life in elderly with H type hypertensive caused cognitive impairment. Methods A total of 108 elderly with H type hypertension and cognitive impairment were randomized to control group and experimental group. The blood pressure, homocysteine, blood fat, blood coagulation indexes, and level of quality of life characteristics were assessed the baseline. The patients of control group underwent routine nursing and no intervention after discharge, while the patients of experimental group received continuing psychological and life care after discharge. We reexamined compared the above indicator after 12 months discharged. Results The blood pressure was (163.7±12.9)/(96.9±10.2) mmHg decreased to (134.1±7.8)/(77.5±6.0)mmHg, homocysteine decreasing from (18.20±8.40)μmol/L to (11.56±4.28)μmol/L, the total cholesterol declining from (5.48±0.65)mmol/L to (4.06±0.74) mmol/L, triacylglycerol from (2.58±0.63) mmol/L to (1.47±0.76) mmol/L, frbrinogen from (4.83±1.46)g/L to (2.78±1.46) g/L, prothrombin time from (13.54±1.93) sec to (15.10±2.38) sec with statistical significance (t=3.267, 3.487, 4.483, 5.031, 5.327, 3.467, 5.082; P<0.01) after treatment in experimental group. Compared with control group, there were statistical significance (t=4.986, 3.462, 3.384, 3.325, 4.021; P<0.01). The physiology, physiological function, physical pain, general health status, energy, social function, emotional function and mental health were (55.92±8.40), (59.48±11.65), (61.44±9.75), (58.03±14.72), (49.83±13.46), (55.58±16.18), (58.44±14.33), (60.46±10.96) score in the control group lower than (86.56±14.28), (89.26±12.74), (83.44±15.75), (79.21±12.66), (84.20±10.48), (87.55±11.71), (93.19±12.38), (89.32±10.57) in the experimental group (t=7.893, 6.934, 7.351, 7.214, 7.359, 8.254, 8.657, 7.536; P<0.01). Conclusions The quality of life decreased in elderly with H type hypertensive and cognitive impairment. Comprehensive nursing for elderly with H type hypertensive patients and cognitive impairment can improve quality of life compared with patients without nursing. Key words: Nursing; H Type Hypertension; Cognitive impairment; Quality of life