首都医药
首都醫藥
수도의약
CAPITAL MEDICINE
2014年
12期
66-67,68
,共3页
杨玉妹%杜鹏斌%王青华%赵志环
楊玉妹%杜鵬斌%王青華%趙誌環
양옥매%두붕빈%왕청화%조지배
心理护理干预%老年高血压%依从性%降压效果
心理護理榦預%老年高血壓%依從性%降壓效果
심리호리간예%노년고혈압%의종성%강압효과
Psychological Nursing Intervention%Elderly Patients with Hypertension%Compliance%Antihypertensive Effect
目的：探究心理护理干预对老年高血压患者治疗依从性及其效果的影响。方法选取我院自2010年12月～2011年12月收治的老年高血压患者100例，作为本次的研究对象，将上半年收治的50例患者作为对照组，该组患者治疗过程中采取一般护理；将下半年收治的50例老年患者作为观察组，在常规护理的基础上加以心理护理干预。随访3个月后观察两组患者血压的变化情况及治疗依从性。结果随访3个月后，两组患者血压均明显降低，且观察组降压效果更明显；护理后观察组依从率、主动服药率、血压控制率、疾病知晓率、合理生活率分别为92.0%、96.0%、96.0%、100.0%、92.0%，对照组分别为56.0%、62.0%、60.0%、70.0%、62.0%，观察组明显高于对照组，治疗后效果明显优于对照组；观察组护理干预后并发症发生率为6.0%，较对照组43.0%明显低，P均＜0.05，具有统计学意义。结论心理护理干预不仅对老年高血压患者的降压效果好，且明显的提高了患者对治疗的依从性，值得在临床上广泛应用。
目的：探究心理護理榦預對老年高血壓患者治療依從性及其效果的影響。方法選取我院自2010年12月～2011年12月收治的老年高血壓患者100例，作為本次的研究對象，將上半年收治的50例患者作為對照組，該組患者治療過程中採取一般護理；將下半年收治的50例老年患者作為觀察組，在常規護理的基礎上加以心理護理榦預。隨訪3箇月後觀察兩組患者血壓的變化情況及治療依從性。結果隨訪3箇月後，兩組患者血壓均明顯降低，且觀察組降壓效果更明顯；護理後觀察組依從率、主動服藥率、血壓控製率、疾病知曉率、閤理生活率分彆為92.0%、96.0%、96.0%、100.0%、92.0%，對照組分彆為56.0%、62.0%、60.0%、70.0%、62.0%，觀察組明顯高于對照組，治療後效果明顯優于對照組；觀察組護理榦預後併髮癥髮生率為6.0%，較對照組43.0%明顯低，P均＜0.05，具有統計學意義。結論心理護理榦預不僅對老年高血壓患者的降壓效果好，且明顯的提高瞭患者對治療的依從性，值得在臨床上廣汎應用。
목적：탐구심리호리간예대노년고혈압환자치료의종성급기효과적영향。방법선취아원자2010년12월～2011년12월수치적노년고혈압환자100례，작위본차적연구대상，장상반년수치적50례환자작위대조조，해조환자치료과정중채취일반호리；장하반년수치적50례노년환자작위관찰조，재상규호리적기출상가이심리호리간예。수방3개월후관찰량조환자혈압적변화정황급치료의종성。결과수방3개월후，량조환자혈압균명현강저，차관찰조강압효과경명현；호리후관찰조의종솔、주동복약솔、혈압공제솔、질병지효솔、합리생활솔분별위92.0%、96.0%、96.0%、100.0%、92.0%，대조조분별위56.0%、62.0%、60.0%、70.0%、62.0%，관찰조명현고우대조조，치료후효과명현우우대조조；관찰조호리간예후병발증발생솔위6.0%，교대조조43.0%명현저，P균＜0.05，구유통계학의의。결론심리호리간예불부대노년고혈압환자적강압효과호，차명현적제고료환자대치료적의종성，치득재림상상엄범응용。
Objective To study the influence of psychological nursing intervention for elderly patients with hypertension on treatment compliance and effects.Method 100 cases of elderly patients with hypertension who received the treatment in our hospital from December 2010 to December 2011 were selected as the research objects.50 patients who received the treatment in the first half were concluded into the control group and they adopted the conventional nursing;another 50 patients who received the treatment in the second half of the year were concluded into the observation group and they adopted psychological nursing intervention on the basis of conventional nursing.After 3 months,the blood pressure changes and treatment compliance of patients in both groups were observed and recorded.Result After 3 months,the blood pressure of patients in the two groups were lowered significantly,but the antihypertensive effect of patients in the observation group was more obvious;after nursing,the treatment compliance rate,active medicine taken rate,blood pressure control rate,disease awareness rate and reasonable living rate for patients in the observation group was 92.0%,96.0%,96.0%,100.0% and 96.0% respectively while that of the control group was 56.0%,62.0%,60.0%,62.0% and 62.0%;the rates for patients in the observation group were significantly higher than those of the control group,and the treatment effect for patients in the observation group was also obviously better than that of the control group;after nursing intervention,the incidence of complication rate for patients in the observation group was 6.0%,which was significantly lower than that of the control group whose was 43.0%, P<0.05,which were of statistical significance.Conclusion Psychological nursing intervention not only has a good antihypertensive effect for elderly patients with hypertension,but also can improve the treatment compliance of patients obviously,which deserves to be widely applied clinically.
