中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
3期
280-282
,共3页
高血压%高龄老人%用药%护理%健康教育
高血壓%高齡老人%用藥%護理%健康教育
고혈압%고령노인%용약%호리%건강교육
Hypertension%Elder%Medication%Care%Health education
目的 探讨加强健康教育对高龄(≥80岁)高血压患者用药依从性的影响.方法 选取海军总医院2010年1月至2011年7月在于部门诊就诊的高龄高血压患者78例,采用随机数字表法分为对照组(60例,在用药期间给予常规护理)和实验组(48例,在常规护理基础上进行针对性健康教育),比较两组患者用药依从性及生活方式改善情况.结果 实验组用药依从性平均分为(7.67±0.81)分,对照组为(5.24±1.08)分,两者比较差异有统计学意义(t=11.32,P＜0.05)；实验组遵医嘱戒烟、戒酒、适当运动、合理饮食者分别占77.50％,71.94％,75.76％,73.17％,与对照组25.00％,18.18％,30.43％,41.67％比较,差异有统计学意义(x2值分别为18.414,16.154,11.368,6.348;P ＜0.01).结论 在高龄老年高血压患者用药期间加强健康教育非常重要,可有效提高老年患者的遵医嘱行为,改善不良生活方式,提高用药依从性,使血压控制效果更好.
目的 探討加彊健康教育對高齡(≥80歲)高血壓患者用藥依從性的影響.方法 選取海軍總醫院2010年1月至2011年7月在于部門診就診的高齡高血壓患者78例,採用隨機數字錶法分為對照組(60例,在用藥期間給予常規護理)和實驗組(48例,在常規護理基礎上進行針對性健康教育),比較兩組患者用藥依從性及生活方式改善情況.結果 實驗組用藥依從性平均分為(7.67±0.81)分,對照組為(5.24±1.08)分,兩者比較差異有統計學意義(t=11.32,P＜0.05)；實驗組遵醫囑戒煙、戒酒、適噹運動、閤理飲食者分彆佔77.50％,71.94％,75.76％,73.17％,與對照組25.00％,18.18％,30.43％,41.67％比較,差異有統計學意義(x2值分彆為18.414,16.154,11.368,6.348;P ＜0.01).結論 在高齡老年高血壓患者用藥期間加彊健康教育非常重要,可有效提高老年患者的遵醫囑行為,改善不良生活方式,提高用藥依從性,使血壓控製效果更好.
목적 탐토가강건강교육대고령(≥80세)고혈압환자용약의종성적영향.방법 선취해군총의원2010년1월지2011년7월재우부문진취진적고령고혈압환자78례,채용수궤수자표법분위대조조(60례,재용약기간급여상규호리)화실험조(48례,재상규호리기출상진행침대성건강교육),비교량조환자용약의종성급생활방식개선정황.결과 실험조용약의종성평균분위(7.67±0.81)분,대조조위(5.24±1.08)분,량자비교차이유통계학의의(t=11.32,P＜0.05)；실험조준의촉계연、계주、괄당운동、합리음식자분별점77.50％,71.94％,75.76％,73.17％,여대조조25.00％,18.18％,30.43％,41.67％비교,차이유통계학의의(x2치분별위18.414,16.154,11.368,6.348;P ＜0.01).결론 재고령노년고혈압환자용약기간가강건강교육비상중요,가유효제고노년환자적준의촉행위,개선불량생활방식,제고용약의종성,사혈압공제효과경호.
Objective To study the effect of health education on the medication compliance of elder people (≥80 years) with hypertensive.Methods Between January 2010 and July 2011,78 cases of cadres outpatient elderly hypenensive patients were randomly divided into experimental group and control group,experimental group (n =48) received the routine care intervention on the basis of the enhancement of health education,control group (n =30) treated with conventional medication during the nursing intervention,medication compliance and prescribed circumstances were compared between the two groups after nursing intervention.Results The compliance average score were (7.67 ± 0.81) and (5.24 ± 1.08) respectively in the experimental group and the control group,and the difference was statistically significant (t =11.32,P ＜0.05).The rate of refrain from smoking,drinking,adequate exercise,proper diet of experimental group were significantly higher than that of control group [(77.50％ vs 25.00％),(71.94％ vs 18.18％),(75.76％ vs30.43％),(73.17％ vs 41.67％); x2 =18.414,16.154,11.368,6.348,respectively; P ＜ 0.01)]Conclusions It is very important to strengthen health education for elderly hypertensive patients so as to improve their compliance behaviors of elderly patients,their lifestyle,medication compliance,blood pressure control.
