综合护理干预配合厄贝沙坦片治疗老年高血压的效果观察

目的 探讨综合护理干预配合厄贝沙坦片治疗老年高血压的临床效果.方法 选取2012年2月～2013年4月于南京医科大学附属南京市第一医院心内科就诊的老年高血压患者126例,将患者随机分为干预组和对照组,干预组与对照组都给予厄贝沙坦片治疗,干预组在此基础上给予健康教育、用药指导、心理干预、康复训练、自我监测等综合性护理干预,观察两组患者治疗前后血脂、血压变化,患者对病症认知程度的变化,并进行生活质量比较.结果 血脂、血压方面,治疗前后干预组三酰甘油（TG）分别为（6.35±1.25）、（5.15±0.93） mmol/L,总胆固醇（TC）为（1.84±0.29）、（1.28±0.14）mmol/L,高密度脂蛋白胆固醇（HDL-C）为（1.36±0.85）、（1.10±0.78） mmol/L,血脂明显改善,血压明显下降,与对照组相比差异有统计学意义（P＜0.05）;认知行为方面的评分,干预组[（91.47±3.20）分]明显高于对照组[（41.13±4.20）分],差异有高度统计学意义（P＜0.01）;生活质量方面,治疗前后干预组患者的总指数[（0.85±0.15）、（0.94±0.17）],与对照组[（0.86±0.20）、（0.9±0.22）]相比,差异有统计学意义（P＜0.05）,干预组患者生活质量明显提高.结论 综合护理干预能够提高患者生活质量,值得临床推广与肯定.

Curative effect observation of the comprehensive nursing intervention with Irbesartan Tablets for senile hypertension

Objective To observe the curative effect of the nursing intervention with Irbesartan Tablets for the senile hypertension.Methods 126 senile patients with hypertension who were admitted to Cardiologic Department of Nanjing First Hospital affiliated to Nanjing Medical University from February 2012 to April 2013 were divided into the intervention group and the control group randomly.The intervention group and the control group were both given the treatment of Irbesartan Tablets.The intervention group was given health education,medication guide,psychological intervention,rehabilitation training,serf-monitoring based on the treatment of Irbesartan Tablets.The changes of blood lipid,blood pressure,cognition degree of disease,and life quality were observed and compared before and after treatment in the two groups.Results The blood lipid and blood pressure in intervention group,the level of TG before and after treatment was （6.35±1.25）,（5.15±0.93）mmol/L respectively,the level of TC was （1.84±0.29）,（1.28±0.14） mmol/L respectively,the level of HDL-c before and after treatment were （1.36±0.85）,（1.10±0.78） mmol/L respectively,the blood lipid was improved and the blood pressure was reduced significantly,which were significantly different from those in control group （P ＜ 0.05）.The cognitive behavior,the score in the intervention group [（91.47±3.20） point] was higher than that in control group [（41.13±4.20） point],the difference was highly statistically significant （P ＜ 0.01）.The life quality,the combined index in the intervention group before and after treatment [（0.85±0.15）,（0.94±0.17）]were significantly different from those in the control group [（0.86±0.20）,（0.90±0.22）],the difference was statistically significant （P ＜ 0.05）,the life quality was significantly improved in intervention group.Conclusion Comprehensive nursing intervention can improve the life quality of patients and is worthy of promotion and affirmation in clinic.