摘要目的:探讨医养护一体化照护管理模式对老年高血压患者自护能力及血压管理的影响。方法:采用便利抽样法选取2018年7月—2019年6月浙江医院门诊收治的164例老年高血压患者为研究对象，采用随机数字表法分为对照组和试验组各82例，对照组给予常规高血压管理模式，试验组给予医养护一体化照护管理模式，均干预6个月。比较2组患者干预前后自我护理能力测定量表（ESCA）评分及血压控制情况。结果:试验组干预后ESCA总分及自我概念、自护责任、自护技能及健康知识评分均显著高于干预前［（123.3±17.2）比（88.3±10.4）分，（26.8±3.8）比（20.6±3.0）分，（22.3±4.2）比（16.6±2.1）分，（29.3±4.1）比（17.6±2.4）分，（44.9±5.4）比（33.5±4.5）分］，且均显著高于对照组［（90.0±10.2）分，（21.2±3.2）分，（16.1±2.1）分，（18.2±2.5）分，（34.5±4.2）分］（均 P<0.05）。干预后2组收缩压、舒张压均低于干预前［对照组（142.5±7.8）比（161.6±8.5） mmHg（1 mmHg=0.133 kPa），（91.3±6.2）比（98.6±10.2） mmHg；试验组（132.2±8.5）比（160.6±8.1） mmHg，（84.2±7.4）比（98.1±10.3） mmHg］，且试验组低于对照组（均 P<0.05）。试验组患者血压控制率为88.8%，高于对照组的48.6%（ P<0.05）；试验组生活质量满意度良好率高于对照组（28.8%比18.1%），不满意率低于对照组（18.8%比34.7%）（ P<0.05）。 结论:医养护一体化照护管理模式可有效提高老年高血压患者自护能力及血压管理能力。

abstractsObjective:To explore the effect of medical care, elderly care and nursing management mode on self-care ability and blood pressure management in elderly patients with hypertension.Methods:From July 2018 to June 2019, 164 elderly patients with hypertension admitted into the outpatient department of the ZhejiangHospital were selected as the study objects by convenience sampling method, and randomly divided into the control group and the experimental group, 82 cases in each group. Routine hypertension management mode was given in the control group and medical care, elderly care and nursing management mode was given in the experimental group for 6 months. The Exercise of Self-Care Agency Scale (ESCA) scores and blood pressure control of the two groups were compared before and after intervention.Results:The ESCA total score and self-concept, self-care responsibility, self-care skills, and health knowledge scores of the experimental group were higher than those before intervention [(123.3±17.2) vs. (88.3±10.4) points, (26.8±3.7) vs. (20.6±3.0) points, (22.3±4.2) vs. (16.6±2.1) points, (29.3±4.1) vs. (17.6±2.4) points, (44.9±5.4) vs. (33.5±4.5) points], and higher than those of the control group [(90.0±10.2) points, (21.2±3.2) points, (16.1±2.1) points, (18.2±2.5) points, (34.5±4.2) points] (all P<0.05). The systolic blood pressure and diastolic blood pressure of the two groups after the intervention were lower than those before the intervention [control group: (142.5±7.8) vs. (161.6±8.5) mmHg (1 mmHg=0.133 kPa), (91.3±6.2) vs. (98.6±10.2) mmHg, experimental group: (132.2±8.5) vs. (160.6±8.1) mmHg, (84.2±7.4) vs. (98.1±10.3) mmHg], and the experimental group was lower than the control group (all P<0.05). The blood pressure control rate of patients in the experimental group was 88.8%, which was higher than the control group of 48.6% ( P<0.05). The satisfaction rate of quality of life in the experimental group was higher than that in the control group (28.8% vs. 18.1%), and the dissatisfaction rate was lower than in the control group (18.8% vs. 34.7%) ( P<0.05). Conclusion:The medical care, elderly care and nursing management mode can effectively improve the self-care ability and blood pressure management ability of elderly patients with hypertension.