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沙琦,董飞.高龄高血压患者的个体化的服药疗效及其干预护理研究[J].上海护理,2016,16(7):

高龄高血压患者的个体化的服药疗效及其干预护理研究

DOI：

中文关键词: 高血压护理疗效治疗

英文关键词:hypertension care efficacy treatment

基金项目:

作者	单位	E-mail
沙琦^*	上海长征医院	heheshashaqi@163.com
董飞	长征医院

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中文摘要:

目的：观察个体化干预性护理对高龄高血压患者的疗效和依从性的影响。方法：选择2012年1月~2013年6月在我院就诊的高血压患者120例,随机分为干预组和对照组,每组各60例,对照组予以常规的护理,干预组在对照组的基础上予以个体化干预护理,观察两组的疗效,依从性及其对血压的影响。结果：干预组的遵医用药,定期自测,自我管理,饮食控制与运动和不良生活习惯改善评分明显高于对照(P<0.01)。干预组的总有效率为91.67%,对照组为75.00%,干预组的总有效率优于对照组(χ2=4.860,P<0.05)。治疗前两组的收缩压(SBP)和舒张压(DBP)水平差异无统计学意义(P>0.05),治疗后两组的SBP和DBP水平较治疗前明显降低(P<0.01),而干预组降低水平较对照组更为明显(P<0.01)。结论：个体化干预护理能提高患者的依从性,从而达到提高治疗高血压的疗效。

英文摘要:

Objective: To observe the efficacy and compliance of individualized nursing intervention in elderly patients with hypertension. Methods: 120 patients with hypertension , from January 2012 to June 2013, were randomly divided into intervention group and control group, each group had 60 cases, the control group received routine care, the intervention group were gave individualized nursing intervention in basis of control group, the intervention effects, compliance and their impact on blood pressure were observed in each groups. Results: The statue of medication , periodic self-test , self-management , diet control and exercise and bad habits were significantly higher in intervention group than those in control group (P <0.01). The total effective rate 91.67% in the intervention group, 75.00% in the control group, the total efficiency of intervention group was better compared with the control group (χ2= 4.860, P <0.05). Before treatment, the levels of SBP and DBP showed no significant difference between two groups (P> 0.05), after treatment, the levels of SBP and DBP were significantly lower compared with those before treatment (P <0.01), while the reducing levels in intervention group were more significantly obvious compared with the control group (P <0.01). Conclusion: The individualized nursing intervention can improve the compliance of patients, so as to improve the efficacy of hypertension.

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