摘要
目的探讨临床健康教育路径在老年高血压患者治疗中的临床应用效果。方法按入院先后顺序,将120例老年高血压患者随机分为观察组和对照组各60例。对照组实施传统的健康教育,而观察组实施临床健康教育路径。比较两组掌握高血压知识情况、遵医行为(如规律服药、合理饮食、戒烟戒酒及适当运动)率、对护理工作满意度、住院时间及费用等,并对指标进行统计分析。结果观察组规律服药、合理饮食、戒烟戒酒及适当运动的比率分别为86.7%、90.0%、85.0%和80.0%)均高于对照组的51.7%、45.0%、46.7%和40.0%,组间差异具有统计学意义(P<0.05);观察组对高血压知识的掌握率、对护理工作的满意度分别为98.3%、100.0%均高于对照组的85.0%和83.3%,而住院时间(14.8±1.6)d则短于对照组(17.7±2.1)d,住院费用(2308.5±159.7)元也少于对照组(2507.4±161.5)元人民币,组间差异具有统计学意义(P<0.05)。结论临床健康教育路径应用于老年高血压患者治疗中,不仅可缩短住院时间,减少住院费用,而且还可提高患者对高血压知识的掌握率、遵医行为率及对护理工作的满意度,具有重要临床价值。
Objective To explore the clinical effect of the clinical health education paths in elderly hypertensive patients treatment.Methods According to the order of admission,120 senile hypertension patients were randomly divided into observation group and control group（n=60）.The control group was treated with traditional health education.The observation group was treated with clinical health education paths.The hypertension knowledge,compliance behavior rate,satisfaction of nursing work,length of hospital stay and hospitalization expenses were observed.Results The rate of regular medication,smoking and drinking quitting and proper motion of observation group were higher than that of the control group（P〈0.05）.The hypertension knowledge and nursing job satisfaction of observation group were higher than that of control group.The length of hospital stay of observation group（14.8±1.6d）was shorter than that of control group（17.7±2.1d）.The hospitalization expenses of observation group（2308.5±159.7y）was less than that of control group（2507.4±161.5y）（P〈0.05）.Conclusion Clinical application of nursing health education path in elderly hypertensive patients can shorten the length of hospital stay,reduce hospitalization expenses,improve the patients′control rate of hypertension knowledge and increase medical behavior and satisfaction.
出处
《西部医学》
2016年第4期570-573,共4页
Medical Journal of West China
基金
四川省医学会科研课题(SHD13-06)
关键词
老年
高血压
临床路径
健康教育
护理
Old age
High blood pressure
Clinical pathway
Health education
Care
