中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
14期
136-137
,共2页
个体化护理%老年高血压%血压管理%达标率
箇體化護理%老年高血壓%血壓管理%達標率
개체화호리%노년고혈압%혈압관리%체표솔
Individualized nursing intervention%Elderly hypertensive patients%Hypertension management%Control rate
目的个体化护理干预对社区老年高血压患者血压管理达标率的影响。方法制定个人体化治疗方法，强化健康教育，干预患者不良生活习惯、体重指数和血脂水平等，规范化管理社区老年高血压患者，观察干预前后高血压患者相关指标达标率的变化。结果个体化护理干预前，血压达标率为74.28%，其中患者血清低密度脂蛋白、总胆固醇、甘油三酯、高密度脂蛋白达标率分别为：30%、28%、55.71%和54.00%，吸烟率、体重指数正常率和服药治疗率分别为68.19%、51.43%和81.14%，个体化护理后患者血压达标率升高至85.14%，与干预前比较差异有统计学意义（P＜0.05）；患者低密度脂蛋白、总胆固醇、甘油三酯和高密度脂蛋白水平达标率升高至64.00%、56.58%、73.14%和78.57%，吸烟率、体重指数正常率和服药治疗率也分别升高至49.71%、70.57%和95.71%，与干预前比较差异有统计学意义（P＜0.05）。结论对社区老年高血压患者给予个体化综合护理干预措施，可显著改善患者生活习惯、血脂水水平，提高血压管理达标率。
目的箇體化護理榦預對社區老年高血壓患者血壓管理達標率的影響。方法製定箇人體化治療方法，彊化健康教育，榦預患者不良生活習慣、體重指數和血脂水平等，規範化管理社區老年高血壓患者，觀察榦預前後高血壓患者相關指標達標率的變化。結果箇體化護理榦預前，血壓達標率為74.28%，其中患者血清低密度脂蛋白、總膽固醇、甘油三酯、高密度脂蛋白達標率分彆為：30%、28%、55.71%和54.00%，吸煙率、體重指數正常率和服藥治療率分彆為68.19%、51.43%和81.14%，箇體化護理後患者血壓達標率升高至85.14%，與榦預前比較差異有統計學意義（P＜0.05）；患者低密度脂蛋白、總膽固醇、甘油三酯和高密度脂蛋白水平達標率升高至64.00%、56.58%、73.14%和78.57%，吸煙率、體重指數正常率和服藥治療率也分彆升高至49.71%、70.57%和95.71%，與榦預前比較差異有統計學意義（P＜0.05）。結論對社區老年高血壓患者給予箇體化綜閤護理榦預措施，可顯著改善患者生活習慣、血脂水水平，提高血壓管理達標率。
목적개체화호리간예대사구노년고혈압환자혈압관리체표솔적영향。방법제정개인체화치료방법，강화건강교육，간예환자불량생활습관、체중지수화혈지수평등，규범화관리사구노년고혈압환자，관찰간예전후고혈압환자상관지표체표솔적변화。결과개체화호리간예전，혈압체표솔위74.28%，기중환자혈청저밀도지단백、총담고순、감유삼지、고밀도지단백체표솔분별위：30%、28%、55.71%화54.00%，흡연솔、체중지수정상솔화복약치료솔분별위68.19%、51.43%화81.14%，개체화호리후환자혈압체표솔승고지85.14%，여간예전비교차이유통계학의의（P＜0.05）；환자저밀도지단백、총담고순、감유삼지화고밀도지단백수평체표솔승고지64.00%、56.58%、73.14%화78.57%，흡연솔、체중지수정상솔화복약치료솔야분별승고지49.71%、70.57%화95.71%，여간예전비교차이유통계학의의（P＜0.05）。결론대사구노년고혈압환자급여개체화종합호리간예조시，가현저개선환자생활습관、혈지수수평，제고혈압관리체표솔。
Objective To observe the effect of individualized nursing intervention on control rate of blood pressure in community elderly hypertensive patients. Methods Used individualized therapeutic program, enhancing health education, improve the bad life habits, body mass index and blood lipid levels, and standardize the hypertension management in community elderly hypertensive patients program. The changes of blood pressure achieved rate were observed before and after nursing intervention. Results The control rate of blood pressure was 74.28% before individualized nursing intervention, and the serum LDL, CHOL, TG and HDL was 30%, 28%, 55.71% and 54.00%, respectively. The smoke rates, BMI normal rate and medication treatment rate were 68.19%, 51.43% and 81.14%, respectively. But the control rate of blood pressure rose to 85.14%after individualized nursing intervention, there was a significant statistic difference compare to that before individualized nursing intervention(P<0.05). And the serum LDL, CHOL, TG and HDL rose to64.00%, 56.58%, 73.14% and 78.57%, respectively. The smoke rates, BMI normal rate and medication treatment rate rose to 49.71%, 70.57%and 95.71%, respectively. Conclusion The individualized comprehensive nursing intervention measures is provide for elderly hypertensive patients in community, and can change the bad life habits and blood lipid levels, and improve BP control rate.
