CAJ | 학술논문

目的：观察护理干预对社区居家高血压患者治疗效果的影响。方法将80例社区高血压患者采取随机数字法分为干预组和对照组，各40例，两组均给予常规抗高血压治疗方案，干预组在此基础上实施护理干预，包括控制饮食、运动指导、自我管理和心理辅导等，随访1年。结果①随访1年，两组收缩压和舒张压较干预前明显下降(P<0.01)，且干预组优于对照组(P<0.01)；②干预组在高血压控制率(90.0%)、服药依从率(92.5%)、高血压知晓率(100.0%)高于对照组(67.5%)、(45.0%)、(37.5%)(P<0.05或P<0.01)，并发症发生率(2.5%)明显低于对照组(7.5%)(P<0.05)。结论合理的护理干预对社区居家高血压患者控制血压，提高患者服药依从性，减少并发症的发生率起到重要的作用。
목적：관찰호리간예대사구거가고혈압환자치료효과적영향。방법장80례사구고혈압환자채취수궤수자법분위간예조화대조조，각40례，량조균급여상규항고혈압치료방안，간예조재차기출상실시호리간예，포괄공제음식、운동지도、자아관리화심리보도등，수방1년。결과①수방1년，량조수축압화서장압교간예전명현하강(P<0.01)，차간예조우우대조조(P<0.01)；②간예조재고혈압공제솔(90.0%)、복약의종솔(92.5%)、고혈압지효솔(100.0%)고우대조조(67.5%)、(45.0%)、(37.5%)(P<0.05혹P<0.01)，병발증발생솔(2.5%)명현저우대조조(7.5%)(P<0.05)。결론합리적호리간예대사구거가고혈압환자공제혈압，제고환자복약의종성，감소병발증적발생솔기도중요적작용。
Objective To observe the effect of nursing intervention on patients with hypertension in community.MethodsDivided 80 patients with hypertension in community into intervention group and control group, 40 cases in each group, two groups were given conventional antihypertensive therapy, and the intervention group had nursing intervention on this basis, including diet control, exercise guidance, self management and psychological counseling, followed up 1 year.Results①Follow-up 1 year, systolic and diastolic blood pressure of two groups decreased significantly than before intervention(P<0.01), and intervention group was better than control group(P<0.01); ②Hypertension control rate, treatment compliance rate and hypertension awareness rate of the intervention group were higher than control group(P<0.05 orP<0.01), and complication rate was significantly lower than control group, (P<0.05).ConclusionRational nursing intervention plays an important role in controlling community hypertension patients’ blood pressure, improving patient compliance and reducing the incidence of complications .