护理干预对高血压患者生活方式影响及效果评价.docVIP

护理干预对高血压患者生活方式影响及效果评价 　　[摘要] 目的:探讨护理干预对高血压患者生活方式及血压的影响。方法:将378例高血压患者随机分成干预组190例和对照组188例,对照组每人发放一本高血压防治手册,干预组在此基础上进行全面的护理干预,干预方式包括疾病相关知识宣教、心理干预、饮食干预、运动干预、吸烟饮酒干预,跟踪随访6个月,与对照组对比生活方式的改善和血压控制情况。结果:干预组患者情绪、运动、限盐、体重、吸烟、饮酒、定期复诊等7项生活方式干预指标较对照组有明显改善(P0.01),血压控制较对照组有明显改善(P0.01)。结论:通过护理干预可使高血压患者有良好的生活方式,并使血压得到良好的控制。 　　[关键词] 高血压;生活方式;护理干预;效果评价 　　[中图分类号] R473.5[文献标识码]C [文章编号]1673-7210(2010)05(a)-109-02 　　 　　Effect and evaluation of nursing interventions on lifestyle in hypertension patients 　　XIE Lili, XU Rune, RONG Feng 　　(The Central Hospital of Yiyang City, Hu′nan Province, Yiyang413000, China) 　　[Abstract] Objective: To investigate the effect of nursing interventions on lifestyle and blood pressure in hypertension patients. Methods: A total of 378 hypertension patients were randomly divided into the interventional group (n=190) and control group (n=188).The control group was delivered to a piece of hypertension prevention and cure handbook, while the interventional group received comprehensive nursing interventions including disease related knowledge education, psychological, diet, activity, cigarette smoking, alcohol consumptionintervention. After 6 months follow-up, a comparison was conducted in terms of lifestyle and blood pressure control between both two groups. Results: Seven items of the lifestyle indices such as emotion, activity, salt restriction, weight, cigarette smoking, alcohol consumption and periodic re-visit were markedly improved in the interventional group as compared to those of the control group, and the blood pressure control was also considerably improved, all P0.01.Conclusion: Nursing interventions can facilitate the formation of the better lifestyle and blood pressure control in hypertension patients. 　　[Key words] Hypertension; Lifestyle; Nursing intervention; Efficacy evaluation 　　 　　高血压是严重危害人类健康的最常见疾病之一[1]。据2002年卫生部组织的全国居民营养与健康状况调查资料显示,我国成人高血压患病率为18.8%,全国有高血压患者约1.6亿,与1991年比较患病率上升31%[2],而高血压患者一经确诊就需终生治疗,控制其病情的发展[3],高血压与遗传因素及肥胖、不合理的膳食结构、吸烟