PDCA质量环理论指导家庭访视护理对老年高血压患者遵医行为及家庭功能影响.docVIP

PDCA质量环理论指导家庭访视护理对老年高血压患者遵医行为及家庭功能影响 　　[摘要]目的 探讨质量环（PDCA）理论指导的家庭访视护理对老年高血压患者遵医行为及家庭功能的影响。方法 选取2015年2月～2017年4月我院收治的90例因高血压就诊的老年患者作为研究对象，采用随机数字表法分为对照组和观察组，每组45例。对照组患者出院后采用常规家庭访视护理，观察组患者采用PDCA理论指导的家庭访视护理，6个月为1个疗程，比较护理效果的差异。结果 干预后观察组患者遵医行为评分及家庭功能总评分高于对照组，差异有统计学意义（P0.05）；观察组总满意率（93.33%）高于对照组（75.56%），差异有统计学意义（P0.05）。结论 应用PDCA理论指导的家庭访视护理模式可有效改善老年高血压患者的治疗依从性，改善家庭功能，值得推广。 　　[关键词]PDCA理论指导；家庭访视护理；老年；高血压；遵医行为；家庭功能 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）1（a）-0163-04 　　[Abstract]Objective To explore the effect of family visit nursing guided by PDCA theory on compliance behavior and family function in elderly patients with hypertension.Methods 90 patients admitted to our hospital for elderly patients with hypertension from February 2015 to April 2017 were selected as the subjects，and divided into the control group and observation group by random number table method，45 cases in each group.Patients in the control group were treated with routine family visit after discharge，and patients in the observation group were treated with the family visit care under the theory guide of PDCA，6 months a course of treatment.The difference of nursing effect between the two groups was compared.Results After the intervention，the compliance score and family function score of the observation group were higher than those in the control group，the differences were statistically significant （P0.05）.The total satisfaction rate of the observation group （93.33%） was higher than that in the control group （75.56%），the difference was statistically significant （P0.05）.Conclusion The family visit nursing model guided by PDCA theory can effectively improve the treatment compliance and family function of elderly patients with hypertension，which is worthy of promotion. 　　[Key words]PDCA theory guidance；Home visit nursing；elderly；Hypertension；Compliance behavior；Family function 　　原?l性高血压以血压升高为主要表现，好发于中老年人，发生率逐渐升高且发病呈现年轻化趋势。本病病机复杂，目前认为与饮食、遗传、神经精神等因素关系密切[1-2]。钙离子通道阻滞剂、ACEI等药物的应用在血压控制方面发挥着重要作用，但由于老年患者治疗