摘要
目的探讨社区护理干预对老年高血压病患者的方法及作用。方法对69例老年高血压病患者实施血压监测、服药、饮食、戒烟限酒、心理行为等护理干预措施,并采用自制调查问卷对干预前后患者的知晓率、服药率、血压控制率及生活方式进行调查和比较。结果干预前患者平均收缩压为(161.7±9.3)mmHg(1mmHg=0.133kPa),平均舒张压为(98.9±15.2)mmHg,经过2年护理干预后,平均收缩压为(131.5±8.4)mmHg,平均舒张压为(82.7±10.6)mmHg,明显低于干预前,更加接近或处于正常范围(P<0.01);不良生活方式明显改变(P<0.01);患者健康意识增强,对高血压病的知晓率达到81.2%,服药率达到88.4%,血压控制率达到84.1%。结论社区护理干预能使老年高血压病患者积极配合治疗,提高了患者的防病治病意识,有效地控制了血压,改善了预后,有利于提高其生活质量。
Objective To explore the approaches and ettect of commumty nursing mtervennon on elderly patients with hypertension. Methods Sixty-nine patients with hypertension were given nursing interventions of medicine, dietary, smoking and drinking cessation, and psychological behavior. The investigation and comparison were conducted on the awareness rate, compliance rate, blood pressure control rate and living style before and after the intervontion with the self-designed questionaire. Results Before the nursing intervention, the patients＇ average systolic blood pressure was （161.7±9.3）mmHg and diastolic blood pressure was （98.9±8.4）mmHg. After 2-year intervention,the patients＇ average systolic blood pressure was （131.5±8.4）mmHg and diastolic blood pressure was （82.7 ± 10.6）mmHg. The differences between the two groups were significant （P〈0.01）. The patients＇unhealthy life styles were corrected and their senses of health were intensified（P〈0.01）. The patients＇ awareness rate about hypertension,the average rate of taking medicine compliance and the control rate of hypertension were 81.2% ,88.4% and 84.1% respectively. Conclusion The community nursing intervention can promote patients＇ coodination with medical treatment, improve the sense of prevention and treatment, control the blood pressure effectively and improve the prognosis and quality of life.
出处
《解放军护理杂志》
2009年第13期8-10,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
老年高血压
社区护理干预
影响
elderly patients with hypertension
community nursing intervention
effect
