摘要
目的:探讨基于循证理念的个体化护理在维持性血液透析高血压患者中的应用价值。方法:选取本院2018年10月-2019年3月100例维持性血液透析高血压患者作为研究对象,按随机数字表法分为观察组与对照组,各50例。对照组给予常规护理干预,观察组在对照组的基础上给予基于循证理念的个体化护理干预,比较两组血压、BMI指数、用药与生活方式依从性、健康知识知晓情况及自我管理能力。结果:观察组干预后收缩压、舒张压及BMI指数均低于对照组(P<0.05);观察组用药依从率(96.00%)、饮食调节依从率(90.00%)、戒烟戒酒依从率(96.00%)与适当运动依从率(82.00%)均高于对照组(76.00%、56.00%、82.00%、60.00%),差异均有统计学意义(P<0.05);干预后,观察组各项健康知识知晓评分均高于对照组(P<0.05);干预后,观察组各项自我管理能力评分均高于对照组(P<0.05)。结论:基于循证理念的个体化护理可有效降低维持性血液透析高血压患者血压水平,增强患者服药依从性与生活方式依从性,提高对健康知识的知晓程度,加强患者自我管理水平。
Objective:To explore application value of individualized nursing based on evidence-based concept in maintenance hemodialysis patients with hypertension.Method:A total of 100 maintenance hemodialysis patients with hypertension from October 2018 to March 2019 in our hospital were selected as the study subjects.According to the random number table method,they were divided into observation group and control group,50 cases in each group.The control group was given routine nursing intervention.The observation group was given individualized nursing intervention based on evidence-based concept on the basis of control group.The blood pressure,BMI indexes,medication and lifestyle compliance,health knowledge awareness and self-management ability were compared between the two groups.Result:After intervention,systolic blood pressure,diastolic blood pressure and BMI indexes in observation group were lower than those in control group(P<0.05).Compliance rate of medication(96.00%),compliance rate of diet control(90.00%),compliance rate of smoking and drinking cessation(96.00%)and compliance rate of proper exercise(82.00%)in the observation group were all higher than those in the control group(76.00%,56.00%,82.00%,60.00%),the differences were statistically significant(P<0.05).After intervention,all scores of health knowledge awareness in the observation group were higher than those in the control group(P<0.05).After intervention,all scores of self-management ability in the observation group were higher than those in the control group(P<0.05).Conclusion:Individualized nursing based on evidence-based concept can effectively decrease blood pressure level of maintenance hemodialysis patients with hypertension,enhance their medication compliance and lifestyle compliance,improve the awareness of health knowledge,and strengthen their self-management level.
作者
周敏
ZHOU Min(Jingdezhen Second People’s Hospital,Jingdezhen 333000,China)
出处
《中国医学创新》
CAS
2019年第33期103-107,共5页
Medical Innovation of China
关键词
循证理念
个体化护理
维持性血液透析
高血压
Evidence-based concept
Individualized nursing
Maintenance hemodialysis
Hypertension
