临床护理路径在高血压患者健康教育中应用效果.docVIP

临床护理路径在高血压患者健康教育中应用效果 　　 　　[摘要] 目的 探讨临床护理路径在高血压患者健康教育中的应用效果。 方法 将60例高血压患者随机分为实验组和对照组，每组各30例。对照组采用一般健康教育方式，实验组将临床路径引入健康教育中，根据患者的情况与医疗小组共同制订教育路径图，由管床护士从入院到出院对患者及家属有计划地进行健康教育。 结果 实验组患者的健康知识掌握率、服药依从性、护理满意度、健康教育达标率高于对照组（P＜0.05）。 结论 应用临床护理路径开展健康教育是一种有效的工作方法。 　　[关键词] 临床路径；高血压；健康教育 　　[中图分类号] R473.5[文献标识码] B[文章编号] 1674-4721（2014）05（b）-0133-03 　　 　　Application effect of clinical nursing pathway in health education of patients with hypertenson 　　YU Mei 　　Department of the Third Internal Medince,People′s Hospital of Dongzhi County in Chizhou City of Anhui Province,Dongzhi 247200,China 　　[Abstract] Objective To explore the clinical nursing pathway in health education of patients with hypertension. Methods 60 patients with hypertension were randomly divided into the observation group and the control group,each group contains 30 cases.The control group was given general way of health education while in the research group,the clinic pathway was introduced to health education,and cooperating with medical team the education path graph was formulated according to the patients′ conditions.Health education was conducted designedly for patients and patients′ family members by bedside nurses. Results Mastery rate of health knowledge,medication adherence,satisfaction degree of nursing and standard-reaching rate standard-reaching rate standard-reaching rate standard-reaching rate standard-reaching rate of health education in the observation group were higher than those in the control group (P＜0.05). Conclusion Implementing health educating based on clinicalnursing pathway is an effective job way. 　　[Key words] Clinical pathway;Hypertension;Health education 　　近年来，高血压的发病率逐年升高。据调查我国成年人高血压患病率已达18.8%，且呈年轻化趋势[1]。目前，我国高血压患者普遍存在着治疗率低、知晓率低、控制率低的“三低”现象，与患病率高、致残率高、致死率高的“三高”现象[2]。研究证实，不健康的生活方式是导致高血压发生发展的重要因素，因此如何对高血压患者进行正确的健康教育，制订合理的高血压健康教育路径，有效控制血压，减少靶器官损害显得极为重要[3]。临床路径是指导护理工作、实施健康教育的有效工具，是依据标准护理计划，为某一类特殊患者设定的住院护理图，能够帮助护理人员判断患者的预后[4]。为探讨高血压患者最有效的健康教育方法，2012年10月～2013年6月本科针对60例高血压患者采用临床路径进行健康教育，取得满意效果。