高血压患者社区护理干预效果剖析.docVIP

高血压患者社区护理干预效果剖析 　　【摘要】 目的 探讨社区高血压患者的护理干预效果。方法 将2007年3月~2009年3月的夏港街社区360例高血压患者随机分为观察组(178例)和对照组(182例),仅对观察组实施护理干预。比较2组患者对降压药物的依赖性、发病时需服降压药来控制血压的次数和需住院治疗来控制血压的次数及血压控制达标率。结果 观察组与对照组相比,患者对降压药物的依赖性较比(P0.05);2组患者血压控制达标率有明显差别(观察组93.26%、对照组75.83%)。结论 护理干预有利于降低社区高血压患者对降压药物的依赖性,稳定血压,提高降压药物的治疗效果。 　　【关键词】社区高血压 护理干预 效果分析 　　中国分类号:R473.5 文献标识号:A 文章编号:1005-0515(2010)10-165-02 　　【Abstract】 Objective To explore the effect of nursing interventions on patients with hypertension in community. Methods 360 cases with hypertension were collected in Xiagang Street community during March 2007 to March 2009 ,who were randomly divided into observation group (178 cases) received the nursing and control group (182 cases) received no nursing. Antihypertensive drug dependence, the times of antihypertensive drug needed to control blood pressure , the times of hospitalization due to hypertension and the standard-reaching rate of antihypertension were comparred between two groups. Results The antihypertensive drug dependence, the times of antihypertensive drug needed to 　　control blood pressure in observation group were both less than control group, the differences were statistically significant (P0.05). The standard-reaching rate of controlling blood pressure in nursing patients was 93.26%, which was higher than patients in control group75.83%.Conclusions Nursing interventions on patients with hypertension in community can reduce dependence on antihypertensive drugs and control blood pressure, and improve the therapeutic effect of antihypertensive drugs . 　　【Keywords】 Hypertension in community, Nursing interventions, Effect analysis 　　 　　高血压病是中老年人的常见病、高发病,是我国心脑血管最主要的危险因素[1]。其社区门诊量大,一般门诊治疗可以控制,重者常需住院治疗,该病血压易波动,心理因素、吸烟、酗酒、不良饮食习惯等均可成为高血压病的成因和复发的诱因。夏港街社区通过对高血压患者的心理、吸烟、酬酒、不良饮食习惯进行护理干预,取得了较好的效果。现报告如下: 　　1 对象与方法 　　1.1 对象 2007年3月―2009年3月将已明确诊断,血压已控制至正常,回到社区门诊随访的360例高血压患者,按就诊的先后顺序,随机分为观察组及对照组。观察组178例,男102例,年龄35-72岁,平均年龄60岁,女76例,年龄50-80岁,平均年龄64岁。对照组180例,男100例,年龄38-76岁,平均年龄59岁,女80例,年龄52-78岁,平均年龄65岁,