中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
9期
1043-1045
,共3页
高血压%社区保健护理%治疗结果
高血壓%社區保健護理%治療結果
고혈압%사구보건호리%치료결과
Hypertension%Community health nursing%Treatment outcome
目的 探讨对高血压患者进行社区护理干预的效果.方法 采用简单随机抽样法选择北京九渡河镇4个村的216例高血压患者作为干预对象.为216例高血压患者建立健康档案进行规范化管理,并定期随访,向其普及高血压相关知识.干预1年后评价其干预效果,包括高血压患者相关知识知晓率、干预前后生活习惯的改变、干预前后患者血压复查率、规律服药率及血压控制率.结果 干预后216例患者对高血压诊断标准(54.63％)、需坚持服药(86.11％)等相关知识知晓率均高于干预前(25.93％ 、49.54％),差异均有统计学意义(x2分别为36.99,66.20;P均＜0.01).干预后,患者在控制体质量、限制食盐、适量运动、限制饮酒、戒烟方面均有较大改变,干预前后差异有统计学意义(P＜0.01).干预后高血压患者总复查率、规律服药率和总控制率较于预前分别提高了29.16％,10.65％和11.11％,差异均有统计学意义(x2分别为39.93,4.91,7.02；P均＜0.05).结论 对高血压患者建档实施规范化管理,定期进行社区护理干预,有助于高血压患者进行连续性、系统性治疗,是有效控制高血压、提高离血压患者生活质量的方法.
目的 探討對高血壓患者進行社區護理榦預的效果.方法 採用簡單隨機抽樣法選擇北京九渡河鎮4箇村的216例高血壓患者作為榦預對象.為216例高血壓患者建立健康檔案進行規範化管理,併定期隨訪,嚮其普及高血壓相關知識.榦預1年後評價其榦預效果,包括高血壓患者相關知識知曉率、榦預前後生活習慣的改變、榦預前後患者血壓複查率、規律服藥率及血壓控製率.結果 榦預後216例患者對高血壓診斷標準(54.63％)、需堅持服藥(86.11％)等相關知識知曉率均高于榦預前(25.93％ 、49.54％),差異均有統計學意義(x2分彆為36.99,66.20;P均＜0.01).榦預後,患者在控製體質量、限製食鹽、適量運動、限製飲酒、戒煙方麵均有較大改變,榦預前後差異有統計學意義(P＜0.01).榦預後高血壓患者總複查率、規律服藥率和總控製率較于預前分彆提高瞭29.16％,10.65％和11.11％,差異均有統計學意義(x2分彆為39.93,4.91,7.02；P均＜0.05).結論 對高血壓患者建檔實施規範化管理,定期進行社區護理榦預,有助于高血壓患者進行連續性、繫統性治療,是有效控製高血壓、提高離血壓患者生活質量的方法.
목적 탐토대고혈압환자진행사구호리간예적효과.방법 채용간단수궤추양법선택북경구도하진4개촌적216례고혈압환자작위간예대상.위216례고혈압환자건립건강당안진행규범화관리,병정기수방,향기보급고혈압상관지식.간예1년후평개기간예효과,포괄고혈압환자상관지식지효솔、간예전후생활습관적개변、간예전후환자혈압복사솔、규률복약솔급혈압공제솔.결과 간예후216례환자대고혈압진단표준(54.63％)、수견지복약(86.11％)등상관지식지효솔균고우간예전(25.93％ 、49.54％),차이균유통계학의의(x2분별위36.99,66.20;P균＜0.01).간예후,환자재공제체질량、한제식염、괄량운동、한제음주、계연방면균유교대개변,간예전후차이유통계학의의(P＜0.01).간예후고혈압환자총복사솔、규률복약솔화총공제솔교우예전분별제고료29.16％,10.65％화11.11％,차이균유통계학의의(x2분별위39.93,4.91,7.02；P균＜0.05).결론 대고혈압환자건당실시규범화관리,정기진행사구호리간예,유조우고혈압환자진행련속성、계통성치료,시유효공제고혈압、제고리혈압환자생활질량적방법.
Objective To study the effects of community nursing intervention on the hypertensive patients.Methods Total of 216 hypertensive patients from four villages in Jiuduhe town were selected.They were followed up regularly and popularized with hypertension knowledge and their health records received standard management.One year later,the intervention effects indexes such as the awareness rate of hypertension knowledge,the change of lifestyle before and after intervention,the rate of taking medicine regularly,and the rates of blood pressure control and review,were observed.Results After intervention,the awareness rate of hypertension diagnosis standard and needing medication adherence was 54.63％ and 86.11％ respectively,which was higher than 25.93％ and 49.54％ before intervention,and the differences were statistically significant ( x2 =36.99,66.20 ; P ＜ 0.01 ).Before and after intervention,patients' change of weight control,salt and dink limit,moderate exercise,smoking was significantly different ( P ＜ 0.01 ).The rate of total review,taking medicine regularly and blood pressure control respectively increased by 29.16％,10.65％,11.11％,when compared with that before intervention ( x2 =39.93,4.91,7.02; P ＜ 0.01 ).Conclusions The intervention of building files,standard management and regular community nursing can effectively control hypertension and improve hypertensive patients' life quality,which is good for patients to receive constant and system therapy.
