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健康教育应用于老年高血压护理中的价值及对患者血压改善的分析

The value of health education applied in nursing care of elderly patients with hypertension and the improvement of blood pressure
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摘要 目的:探究健康教育应用于老年高血压患者护理中的可行性,并分析干预对患者血压改善的应用价值。方法:选择2020年5月至2021年2月于本院接受治疗的120例老年高血压患者为研究对象,将其按照随机数字表法区分为研究组与对照组(每组各60例),对照组患者开展常规高血压护理,研究组患者加用健康教育干预,对比两组患者干预前后血压控制情况、自我效能得分以及治疗依从性差异。结果:护理后研究组患者的血压控制更佳,数据差异明显(P<0.05);干预后研究组患者的治疗依从性各维度得分均高于对照组,数据差异明显(P<0.05);研究组患者在干预1个月内出现不良事件诸如卒中、死亡、慢性肾脏性疾病等的发生率为1.67%(1/60),低于对照组的6.67%(4/60),但组间差异不具有统计学意义(P>0.05)。结论:对于老年高血压患者,在护理时加入健康教育,有助于改善其临床症状,小幅降低不良事件发生率,分析其原因可能与健康教育能提高患者治疗依从性有关。 Objective:To explore the feasibility of applying health education to the nursing of elderly patients with hypertension,and analyze the application value of intervention on improving blood pressure of patients.Methods:120 elderly patients with hypertension who were treated in our hospital from May 2020 to February 2021 were selected as the research objects,and they were divided into the study group and the control group(60 patients in each group)according to the random number table method.The patients in the control group received routine hypertension care.The patients in the study group received health education intervention,and compared the differences in blood pressure control,self-efficacy scores and treatment compliance between the two groups before and after the intervention.Results:After nursing,the blood pressure of patients in the study group was better controlled,and the data diference was significant(P<0.05).After intervention,the scores of all dimensions of treatment compliance in the study group were higher than those in the control group,with significant diference(P<O.05).The incidence of adverse events such as stroke,death and chronic renal disease in the study group within one month of intervention was 1.67%(1/60),lower than 6.67%(4/60)in the control group,but the difference between groups was not statistically significant(P>0.05).Conclusion:For elderly patients with hypertension,health education in nursing can help to improve their clinical symptoms and reduce the incidence of adverse events slightly.Analysis of the reasons may be related to health education can improve patients'treatment compliance.
作者 朱万芬 Zhu Wanfen(Dongying Second People's Hospital,Dongying Shandong,257335,China)
出处 《中外女性健康研究》 2022年第18期8-9,37,共3页 Women's Health Research
关键词 健康教育 老年高血压患者 护理干预 血压 不良心血管事件 Health Education Elderly patients with hypertension Nursing intervention Blood pressure Adverse cardiovascular events
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