老年高血壓病的社区护理干预.docVIP

论 文 老年高血压病的社区护理干预  摘 要 目的：及时发现和预防高血压病，探讨护理干预对社区高血压患者的降压效果，确保患者健康。 方法：将65例高血压病患者（符合WHO诊断标准）随机分为干预组33 例和对照组32例，两组患者一般资料具有可比性。对照组32例，仅给予常规的药物治疗，干预组33 例除给予常规的药物治疗外辅以非药物治疗的护理干预措施。经过12周的治疗，观察两组患者血压变化、遵医服药、合理饮食、控制体重、适量运动及保持平常心理等方面的认知行为情况。经统计学处理，分析两组患者的治疗效果。单纯的药物治疗虽能降低血压，但从平稳降压和改善病人生活方式的效果上均不及护理干预组。 结果：二组干预前后平均血压均有下降。但干预组下降幅度与对照组差别有显著性意义（P0.01），干预组在遵医服药，合理饮食，控制体重，适量运动及保持平常心理等方面的认知行为有较大的变化。 结论：护理干预组能有效平稳降低血压，在遵医服药，合理饮食，控制体重，适量运动及保持平常心理等方面的认知行为有较好的作用，提高自我保健意识。是社区高血压病防治的一项积极重要的措施，值得推广。 关键词：老年高血压病；社区；护理干预 论文类型：研究报告 Title: Old age high blood pressure the community nursing of the disease intervention Speciality: nursing Applicant: Li Qiong Supervisor: Prof. Shang CuiXia ABSTRACT Objectives: In time detection and prevention high blood pressure disease, study nursing intervention press effect to the decline of community high blood pressure sufferer, insure a sufferer health. Methods: 65 of high blood pressure patient random is divided into intervention set 33 be 32, two sets of sufferer general the data have can ratio.The matched control is 32, only give the medicine treatment of normal regulations, intervention set 33 in addition to give the medicine of normal regulations treatment assist with the non- medicine treatment of nursing intervention measure.Through 12 weeks of treatment, observation two sets of sufferer blood pressure variety, the Zun cure medicine, reasonable food, control weight, just the right amount of sport and keep common mental state etc. of cognition behavior circumstance.Through statistics to learn a processing, analysis two sets of sufferer of treatment effect.Pure of medicine treatment although ability lower blood pressure, from steady decline to press with improvement patients life style of effect top all can not compare with nursing intervention set. Results: Two sets of intervention in front and back the average blood pressure all have already descend.But intervention sets descending range and matched control difference have