CAJ | 학술논문

目的：观察综合性护理干预对原发性高血压患者遵医行为及生活质量的影响。方法全部入选患者均为2013年1月~2014年1月确诊的原发性高血压病患者合计64例，所有入选患者按1：1比例随机分为干预组（n=32）和对照组（n=32），对照组行随机对症护理，干预组实施全面的、系统的综合性护理干预措施，比较两组干预后的遵医率、各项生活质量评分、血压控制有效率。结果干预组高血压患者的遵医率达96.87%（31/32），显著高于对照组的75.00%，差异有统计学意义（P<0.05）。干预组患者的生活质量中的生理功能、社会功能、生理职能与躯体疼痛评分均显著高于对照组，差异具有统计学意义（P<0.05）。干预组患者的血压控制有效率达87.50%（28/32），显著高于对照组的71.87%，差异具有统计学意义（P<0.05）。结论在对高血压患者进行治疗的同时实施综合性护理干预措施，可以有效控制血压、提高患者的遵医行为，改善患者的生活质量。
목적：관찰종합성호리간예대원발성고혈압환자준의행위급생활질량적영향。방법전부입선환자균위2013년1월~2014년1월학진적원발성고혈압병환자합계64례，소유입선환자안1：1비례수궤분위간예조（n=32）화대조조（n=32），대조조행수궤대증호리，간예조실시전면적、계통적종합성호리간예조시，비교량조간예후적준의솔、각항생활질량평분、혈압공제유효솔。결과간예조고혈압환자적준의솔체96.87%（31/32），현저고우대조조적75.00%，차이유통계학의의（P<0.05）。간예조환자적생활질량중적생리공능、사회공능、생리직능여구체동통평분균현저고우대조조，차이구유통계학의의（P<0.05）。간예조환자적혈압공제유효솔체87.50%（28/32），현저고우대조조적71.87%，차이구유통계학의의（P<0.05）。결론재대고혈압환자진행치료적동시실시종합성호리간예조시，가이유효공제혈압、제고환자적준의행위，개선환자적생활질량。
Objective To observe the influence of comprehensive nursing intervention on compliance behavior and quality of life of patients with primary hypertension. Methods Atotal of 64 patients with primary hypertension were se-lected from 2013 January to 2014 January,according to the ratio of 1:1 were randomly divided into intervention group(n=32) and control group (n=32), the control group underwent random symptomatic care, the intervention group un-derwent com prehensive nursing intervention implementation, after the intervention rate of compliance, quality of life score, the blood pressure control efficiency were compared between two groups. Results The intervention group patients with hypertension compliance rate was 96.87% (31/32), was significantly higher than that in the control group (75.00%), with significant difference (P<0.05). The quality of life of the patients in the intervention group in physiological func-tion, social function, role physical and bodily pain scores were significantly higher than those in the control group, with significant difference (P<0.05). The intervention of blood pressure in patients'effective rate in the observation group was 87.5% (28/32), significantly higher than that in the control group(71.87%), with significant difference(P<0.05). Conclusion Comprehensive nursing intervention measures for the patients with hypertension at the same time the implementation can effectively control blood pressure, improve the compliance behavior of patients, improve the quality of life of the patients.