摘要
目的探讨延续护理在提高中老年高血压合并脑卒中患者的治疗依从性及对患者神经功能的效果。方法选取本院接受诊治的高血压合并脑卒中患者400例作为研究对象,随机数分为对照组和研究组,各200例。对照组采用常规护理干预,研究组在常规护理基础上予以延续护理干预。观察并对比护理前后2组患者血压、神经功能及治疗依从性情况。结果2组护理后的收缩压、舒张压均低于护理前,且研究组低于对照组(P<0.05);护理后2组患者神经功能MMSE评分均高于护理前,且研究组高于对照组(P<0.05);研究组饮食控制、服药、血压监测、运动以及定期复诊等治疗依从性高于对照组(P<0.05)。结论延续护理实施饮食指导、用药指导、运动指导、检测血压指导、建立网络信息平台可长期有效控制患者血压,降低脑卒中复发率,改善患者神经功能,提高患者治疗依从性,值得临床推广。
Objective To study the effect of continued nursing on treatment compliance and neurological function of patients with middle-aged and elderly hypertensive patients with stroke. Methods A total of 400 hypertensive patients with stroke enrolled in this study were divided into control group and study group according to random number table method,with 200 cases in each group,treated with routine nursing intervention,and continued nursing on the basis of conventional care. The blood pressure,nerve function and treatment compliance of the two groups were observed and compared before and after nursing. Results The systolic and diastolic blood pressure of the two groups were lower than nursing before,and the study group was lower than the control group( P < 0. 05).The MMSE scores of the neurological function of the two groups were higher than nursing before,and the study group was higher than the control group( P < 0. 05). The treatment compliance in diet control,medication,blood pressure monitoring,exercise and regular recheck in the study group were higher than that in the control group( P < 0. 05). Conclusion Continued nursing intervention include dietary guidance,medication guidance,exercise guidance,blood pressure guidance,and establishment of network information platform can be effective in long-term control of blood pressure,reduce stroke recurrence rate,improve patients ' neurological function,and improve patients' compliance,so it is worthy of clinical promotion.
出处
《实用临床医药杂志》
CAS
2018年第4期20-23,共4页
Journal of Clinical Medicine in Practice
基金
中国医科大学附属盛京医院院内课题(ME04)
关键词
延续护理
高血压
脑卒中
依从性
神经功能
continued nursing intervention
hypertension
stroke
compliance
neurological function
