个体化社区护理干预对高血压患者的影响

目的探讨个体化社区护理干预对高血压患者的影响。方法将100例高血压患者按随机数字表法分为2组:试验组和对照组,每组50例。2组患者均采用钙拮抗剂、利尿剂等药物常规治疗。在此基础上,试验组患者在社区健康服务中心建立专案,按照分级管理的要求,采取个体化社区护理干预;对照组患者采取常规的门诊护理措施。观察2组护理干预后6个月遵医行为(规律服药、主动测量血压、定期体检)、健康知识知晓(知晓高血压诊断标准、知晓并发症和危害、学会自测血压、学会合理膳食、掌握运动的方法)及护理干预前、护理干预后6个月血压(SBP、DBP)控制的情况。结果试验组患者护理干预后6个月的规律服药、主动测量血压、定期体检、知晓高血压诊断标准、知晓并发症和危害、学会自测血压、学会合理膳食、掌握运动的方法所占比例均明显高于对照组(均P<0.05),试验组患者护理干预后6个月的SBP、DBP值均明显低于对照组(均P<0.05)。结论个体化社区护理干预可以提高高血压患者的健康知识知晓率,改善患者遵医行为和血压控制情况。

Effectiveness of Individual Community Nursing Intervention in Patients with Hypertension

Objective To discuss the effectiveness of individual community nursing intervention in patients with hypertension. Methods One hundred patients with hypertension were randomly divided into experimental group and control group, with 50 patients in each group. All patients were treated with calcium antagonist, diuretics and other conventional drugs.In experimental group,special project was established in the community health service center and individual community nursing intervention was performed in accordance with the classification management requirements. In control group,patients were given routine outpatient nursing measures. The compliance behaviors （regular medication,active measurement of blood pressure and periodic physical examination） and the awareness of health knowledge （diagnostic criteria of hypertension, complications and hazards, self-measurement of blood pressure, rational diet and movement methods） were observed 6 months after nursing intervention. In addition, systolic blood pressure （SBP） and diastolic blood pressure（DBP）were measured before and 6 months after nursing intervention. Results Compared with control group,compliance behaviors and awareness of health knowledge were significantly improved and SBP and DBP were obviously decreased in experimental group 6 months after nursing intervention（P〈0.05）. Conclusion Indivi~tual community nursing intervention can improve the awareness rate of health knowledge,compliance behaviors and blood pressure control in patients with hypertension.