| Objectives To introduce comprehensive geriatric assessment(CGA)into the process of improving the nutritional status of elderly hospitalized hypertensive patients with interventions.To investigate the effects of CGA and interventions on nutritional indexes and quality of life of elderly hypertensive patients,so as to provide a better basis for the improvement of nutritional status,blood pressure control and quality of life of elderly hypertensive patients.Methods This paper selected 102 cases,52 males and 50 females,who met the criteria from 810 cases of hypertensive patients hospitalized in the geriatric department from January 2020 to December 2020 in the Affiliated Hospital of Chengde Medical College for the study.All these patients were divided into the intervention group of 51 cases and the control group of 51 cases using the method of matching basic characteristics between groups.Clinical data collection was initiated on the day of admission for both groups,including age,gender,education,socioeconomic status,living environment,health habits,medical history,personal history,family history,height,weight,upper arm muscle circumference,calf circumference,blood nutrition indexes(prealbumin,albumin,hemoglobin,lymphocyte count,and 24-hour ambulatory blood pressure.Nutritional risk was screened using the Mini Nutritional Assessment(MNA);activities of daily living(ADL)were assessed using the Brief Health Survey Scale(SF-36).CGA was performed in the intervention group,and targeted interventions were developed based on the CGA.The control group was treated conventionally;the intervention group was treated on the basis of the control group and the targeted intervention based on CGA was implemented.All patients were followed up by telephone every 2 weeks after leaving the hospital to check the practicable situation of intervention and had new intervention issues or not.The follow-up contents of the control group were: routine disease treatment.Intervention time was three months.Follow-up of hematologic nutritional indexes,24-hour ambulatory blood pressure and quality of life of patients in both groups were conducted at the end of the research.All data in this study were analyzed by using Excel2003 to create a database and applying SPSS 26.0 statistical software.The comparison of means between the two samples was performed by t-test;the comparison of rates between the two samples was performed by chi-square test.A two-sided test with P<0.05 was considered a statistically significant difference.Results The differences were not statistically significant(P>0.05),and were comparable when the baseline data of the two groups were contrasted.1.Before the intervention,there was no statistically significant difference in prealbumin,albumin,hemoglobin and lymphocyte count indexes between the two groups(P>0.05).Three months after the intervention,prealbumin,albumin,hemoglobin and lymphocyte count were increased in the intervention group,while albumin and hemoglobin levels were increased,prealbumin levels were unchanged and lymphocyte count was slightly decreased in the control group,all of which were higher in the intervention group than in the control group,and the difference between the groups was statistically significant(P<0.05).2.Before the intervention,the differences in MNA and ADL scores between the two groups had no statistical significance(P>0.05);3 months after the intervention,the MNA and ADL scores increased in both groups,but the MNA and ADL scores in the intervention group were higher than those in the control group,and the differences had statistical significance(P<0.05).3.Before the intervention,there was no statistically significant difference in 24-hour mean blood pressure between the two groups(P>0.05);3 months after the intervention,there was a significant decrease in 24-hour mean blood pressure in both groups,but the 24-hour mean blood pressure in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).4.Before the intervention,there was no statistically significant difference in various quality of life scores between the two groups(P>0.05);3 months after the intervention,the SF-36 scores of each subitem improved in both groups,and the SF-36 scores of each subitem were significantly higher in the intervention group than in the control group,and the difference was statistically significant(P<0.05).Conclusions 1 Intervention based on comprehensive geriatric assessment can improve the nutritional index and nutritional status of elderly patients with hypertension.2Intervention based on comprehensive geriatric assessment can improve social function,physiological function,somatic pain and energy in elderly patients with hypertension,and improve the quality of life of patients.Figure [0];Table [10];Reference [108]... |
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