摘要
目的了解中年人群动脉硬化发生情况与危险因素，探讨综合护理干预在动脉硬化患者中的应用效果。方法采用检测脉搏波传导速度（PWV）对2015年在该院健康体检的中年人群中进行动脉硬化筛查，分析动脉硬化患者的高危因素及其对疾病的认知水平、遵医行为。580例动脉硬化患者随机分为对照组和观察组，各290例。对照组给予常规护理，观察组在此基础上，给予综合护理干预。1年后分析两组患者对疾病认知水平、遵医行为和动脉硬化程度的变化。结果1765例中年体检者中筛出动脉硬化580例，阳性率为32．86％，年龄、BMI、SPB、DBP、HCY和TG与动脉硬化发生相关。两组患者对动脉硬化的病因、临床表现、治疗方法、危险因素、并发症、预防措施等知晓率和饮食控制、体重控制、有氧运动、血压／血糖监测和心理调整等遵医行为高于干预前，观察组高于对照组，差异均有统计学意义（均P〈0．05）；两组患者PWV水平低于干预前，观察组也低于对照组，差异有统计学意义（P〈0．05）；两组动脉硬化程度改善的分别有64例和14例，差异有统计学意义（P〈0．05）。结论该地区中年人群动脉硬化发生率较高，年龄、BMI、SPB、DBP、HCY和TG升高是其危险因素。综合护理干预能有效提高动脉硬化患者对疾病的认知水平、遵医行为并预防动脉硬化的进展。
Objective To understand the occurrence and risk factors of middle-aged people with atherosclero- sis and explore the application effect of comprehensive nursing intervention in middle-aged patients with atherosclerosis. Methods Arteriosclerosis screening was conducted in the middle-aged population who had a health examination in the hospital in 2015 by detecting pulse wave conduction velocity （PWV）. The risk factors, cognitive level of disease and compliance behavior with atherosclerosis were analyzed. A total of 580 cases of patients were randomly divided into the control group and the observation group, 290 cases of each group. The control group was treated with the routine nurs- ing, and the observation group was treated with the comprehensive nursing intervention on the basis of the routine nurs- ing. After 1 year, the changes of cognition level, medical behavior and arteriosclerosis of the two groups were ana- lyzed. Results Among the 1 765 middle-aged patients, 580 cases of arteriosclerosis were screened out. The positive rate was 32. 86%. Age, BMI, SPB, DBP, HCY and TG were associated with arteriosclerosis. The awareness rate of the two groups of patients on the causes, clinical manifestations, treatment methods, risk factors, complications, pre- Ventive measures of arteriosclerosis, as well as the following obic exercise, blood pressure/blood glucose monitoring and medical behaviors such as diet control, weight control, aer- psychological adjustment was higher than that before the＇ in- tervention, and the observation group was higher than the control group, with statistically significant differences （P〈 0. 05 ）. The PWV level of the two groups was lower than that of the control group and the observation group was lower than that of the control group. The difference was statistically significant （P〈0. 05 ）. There were 64 and 14 cases of arte- riosclerosis improvement in the two groups, and the difference was statistically significant （P〈0. 05 ）. Conclusion The occurrence rate of art
作者
谢伟玲
秦国伟
杨敏
覃素娇
李妮
罗珍玉
Xie Weiling;Qin Guowei;Yang Min;Qin Sufiao;Li Ni;Luo Zhenyu(Department of Medical Examination Center,the People＇s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《国际护理学杂志》
2018年第18期2468-2472,共5页
international journal of nursing
基金
广西卫生和计划生育委员会计划课题（Z2015339）
关键词
中年人群
动脉硬化
危险因素
综合护理
Middie-aged people
Atherosclerosis
Risk factor
Comprehensive nursing
