The significance of selecting topics for hypertension nursing papers

The core significance of the topic selection of hypertension nursing papers is to transform the scattered and fragmented nursing experience of the clinical frontline into a standardized path that can be implemented and replicated, filling the long-standing gap of "emphasis on treatment and neglect of care" in the current hypertension diagnosis and treatment chain, and ultimately reducing the incidence of hypertension complications, death and disability rates in different groups, rather than simply completing scientific research indicators and publishing papers.

When I was doing follow-up work on chronic diseases at a community health service center in the past two years, I met two patients who left a deep impression on me: they were both 62-year-old patients with essential hypertension. Their basic conditions and medication plans were almost identical. One of them followed the guidance of the nurse in charge and measured his blood pressure regularly every day and adjusted his diet. His blood pressure has been stable within the standard line of 130/80 for more than half a year.； Another person always felt that "what the nurse said was useless common sense, and taking antihypertensive drugs is enough." He still drank white wine and pickled vegetables. Within half a year, he was admitted to the hospital due to a sudden cerebral infarction. In fact, this difference is the most intuitive reflection of the value of hypertension care. However, for a long time, it was difficult to accumulate this kind of front-line nursing experience-either the research done by large hospitals was too idealistic, requiring patients to bring their own kitchen scales to weigh salt every day and complete moderate-intensity exercise three times a week, which could not be implemented in counties, rural areas or migrant workers. ； Either the good experience of grassroots nurses is only applicable in their own jurisdiction, and no standardized conclusions have been formed, so it cannot be extended to more places. To choose a good topic, the first thing to solve is this "information gap" problem.

In fact, the current value judgment of the topic of hypertension in the nursing community has two different orientations, and there is no absolute right or wrong. One group prefers the high-precision direction, advocating to delve into subdivided areas such as refractory hypertension and perioperative hypertension care. The research results can directly fill the gaps in clinical critical care and can even connect with international cutting-edge research directions. The significance of this type of topic selection is more to promote the development of the discipline. The other group is more pragmatic and advocates focusing on real problems around you to do research: For example, how do delivery riders in urban villages measure their blood pressure between orders? How should the guidance process be optimized for elderly people living alone who do not know how to use a smart blood pressure monitor? You can even study the "dietary intervention program for hypertensive patients in areas with a salty food preference". You don't need to pursue a large sample size or how universal the conclusions are. As long as it can solve the practical problems of a small group, the value is no less than the former.

I saw a submission from a county community nurse last year. The topic was "Research on the Effect of 'Knock-knock' Nursing Intervention on Elderly Hypertensive Patients Living Alone in the County." They didn't use any complicated models. They just got a clear picture of the situation of 32 elderly people living alone in their own jurisdiction. They visited the homes twice a week to help measure blood pressure. They packed the week's medicine into divided medicine boxes in the morning, noon and evening, and put up reminders in large fonts. They even gave specific plans on how to reduce salt in the pickled radishes that the elderly like to eat. After half a year, the blood pressure compliance rate of these 32 elderly people increased from 28% to 72%. After the paper was released, the community health service centers in the three surrounding counties directly copied this plan. What do you think the significance of this topic selection is? It can really help people and even save many elderly people who may suffer from cardiovascular and cerebrovascular accidents.

Many people may think that high blood pressure care is just a few clichés like "eat less salt and exercise more, take medicine on time and don't drink alcohol", and does it require a special thesis to study? Don't laugh. I met a patient before who strictly followed the doctor's instructions to eat no more than 5 grams of salt a day. He ate fermented bean curd and pickles every meal. He said, "These are condiments, not salt."” ； There are also many young hypertensive patients who always feel that they don’t need to take medicine if they don’t have symptoms. It’s too late to take medicine when they feel dizzy. These cognitive misunderstandings, as well as the individual problems among different groups, cannot be solved by a general science popularization. They all require targeted research to understand the pain points and then provide appropriate solutions.

Of course, I have to be honest. The topics of many hypertension nursing papers are really meaningless: either the title is too big, and it is often "Research on Nursing Strategies for Hypertensive Patients in the Country". They are all scraped-up second-hand literature. I don't even know whether I have come into contact with more than 100 hypertensive patients.； Or it is to repeat the bad research done by others with another group, such as replacing "urban elderly patients" with "rural elderly patients", copying the entire content and plan, and adding nothing new. This kind of topic selection is really of little value except to make up for the evaluation of professional titles.

To put it bluntly, the significance of topic selection for hypertension nursing papers has never been measured by whether the topic is high-level or whether it can be published in high-scoring journals. If you always encounter problems in caring for a certain type of hypertensive patients during clinical work and want to find a solution, even if you only study how 20 inpatients in your department can reduce the risk of sudden rises in blood pressure in the early morning, as long as the conclusion is true and effective, can help you with subsequent work, and can make patients suffer less, then the significance of this topic is sufficient.