健康教育对提高原发性高血压病人服药依从性的研究

[目的]探讨健康教育对提高原发性高血压病人服药依从性和治疗效果的作用。[方法]对我院门诊176例原发性高血压病人进行调查,随机分为实验组和对照组,实验组实施健康教育干预措施,随访6个月,比较两组得分及血压控制程度。[结果]两组间有统计学意义(P<0.01)。[结论]健康教育使病人掌握了原发性高血压的基本知识,增强了病人的服药依从性。     

健康信念模式教育对高血压脑出血病人的影响

[目的]探讨健康信念模式教育对高血压脑出血病人服药依从性及相关知识认知程度的影响。[方法]将120例高血压脑出血病人随机分为实验组和对照组各60例,实验组在药物治疗的同时根据健康信念模式对病人进行有针对性的健康教育,对照组行常规健康教育。比较健康教育前后两组病人疾病相关知识的认知程度及服药依从性。[结果]健康教育前两组病人疾病相关知识的认知程度及服药依从性比较差异无统计学意义（P均〉0．05）,健康教育后3个月随访观察,两组病人疾病相关知识的认知程度及服药依从性比较差异有统计学意义（P均〈0．05）。[结论]健康信念模式教育能提高高血压脑出血病人对疾病相关知识的认知程度及对药物治疗的依从性,提高病人生活质量。     

健康教育对老年高血压服药依从性及血压控制的影响

[目的]探讨健康教育对老年高血压服药依从性和血压控制情况的影响。[方法]将老年高血压住院病人90例随机分为对照组和实验组,在病人入院时采取自设的调查问卷评估病人入院前服药依从性和血压控制情况,实验组在住院期间进行系统化的健康教育,对照组只采取随机教育,出院后1个月进行电话随访比较两组病人出院后服药依从性和血压控制情况。[结果]实验组病人出院后在服药依从性和血压控制情况上均优于对照组（P〈0．05）,差异有统计学意义。[结论]实施系统化的健康教育对老年高血压病病人的治疗进程有积极意义。     

健康信念模式教育对高血压脑出血病人的影响

[目的] 探讨健康信念模式教育对高血压脑出血病人服药依从性及相关知识认知程度的影响.[方法]将120例高血压脑出血病人随机分为实验组和对照组各60例,实验组在药物治疗的同时根据健康信念模式对病人进行有针对性的健康教育,对照组行常规健康教育.比较健康教育前后两组病人疾病相关知识的认知程度及服药依从性.[结果]健康教育前两组病人疾病相关知识的认知程度及服药依从性比较差异无统计学意义(P均＞0.05),健康教育后3个月随访观察,两组病人疾病相关知识的认知程度及服药依从性比较差异有统计学意义(P均＜0.05).[结论]健康信念模式教育能提高高血压脑出血病人对疾病相关知识的认知程度及对药物治疗的依从性,提高病人生活质量.     

应用护理程序对社区高血压人群综合干预的探讨

[目的]探讨将护理程序应用于社区对原发性高血压人群综合护理干预的方法.[方法]将120名在本社区建档的原发性高血压病人随机分成两组.对照组只进行单纯的健康教育,实验组采取护理程序化的综合护理干预措施.[结果]实验组高血压病人的知晓率、随访率、服药依从性、控制率都有显著提高.[结论]采用护理程序对社区高血压病人的综合护理干预措施优于单纯的健康教育.     

应用护理程序对社区高血压人群综合干预的探讨

[目的]探讨将护理程序应用于社区对原发性高血压人群综合护理干预的方法.[方法]将120名在本社区建档的原发性高血压病人随机分成两组.对照组只进行单纯的健康教育,实验组采取护理程序化的综合护理干预措施.[结果]实验组高血压病人的知晓率、随访率、服药依从性、控制率都有显著提高.[结论]采用护理程序对社区高血压病人的综合护理干预措施优于单纯的健康教育.     

回馈教学对原发性高血压病人服药依从性及血压控制的影响

[目的]探讨回馈教学对原发性高血压病人服药依从性及血压控制的影响。[方法]选取120例原发性高血压病人,按随机数字表法分为观察组和对照组,各60例。观察组采用回馈教学的方法进行健康教育,对照组采用常规方法进行健康教育。[结果]出院1个月时观察组病人的Morisky服药依从性量表得分、血压达标率均高于对照组,差异有统计学意义(P0.05)。[结论]回馈教学可以提高原发性高血压病人的服药依从性,促进病人的血压控制,值得临床推广。     

综合干预对原发性高血压病人的影响

[目的]探讨综合干预对原发性高血压病人自我效能和服药依从性的影响。[方法]将89例原发性高血压病人随机分为两组,对照组采用心内科常规治疗及护理,干预组在心内科常规治疗及护理的基础上进行综合干预,在入院时和干预后1个月分别采用高血压病人自我效能调查表和高血压病人服药依从性问卷进行评定。[结果]干预后两组日常生活能力、健康行为、服药、遵医行为、服药依从性比较差异有统计学意义(P<0.01)。[结论]综合干预有利于增强原发性高血压病人的自我效能,提高病人的服药依从性。     

健康信念模式教育对慢性前列腺炎病人服药依从性的影响

[目的]探讨运用健康信念模式教育对慢性前列腺炎病人服药依从性的影响。[方法]将280例慢性前列腺炎病人随机分成两组,实验组在药物治疗的同时根据健康信念模式对病人进行有针对在的健康教育,对照组行常规健康教育。比较健康教育前后两组病人服药依从性。[结果]健康教育后3个月随访观察,两组病人服药依从性比较,差异有统计学意义（P〈0．01）。[结论]运用健康信念模式进行健康教育能提高慢性前列腺炎病人药物治疗的依从性。     

健康教育对农村社区老年高血压病病人的影响

[目的]探讨健康教育对农村社区老年高血压痛病人有关高血压知识知晓率、服药依从性、治疗率及血压控制率的影响。[方法]选择我区农村社区300例老年高血压病病人，随机分为教育组和对照组，仅对教育组进行有针对性的健康教育。[结果]教育组高血压相关知识知晓率、服药依从性、治疗率及血压控制率方面均较健康教育前有明显提高（均P〈0．01），而对照组入组时与1年后比较无统计学意义，1年后两组比较差异有统计学意义（P〈0．01）。 [结论]健康教育可提高农村社区老年高血压病病人有关知识的知晓率及服药依从性，从而提高病人的治疗率和血压控制率，健康教育在我国农村老年高血压人群中开展是可行的、有效的。     

Diagnosis and treatment of hypertension in children and adolescents

PURPOSE: To provide nurse practitioners (NPs) with updated information regarding the etiology, diagnosis, and treatment of childhood hypertension. DATA SOURCES: Extensive review of the scientific literature regarding hypertension, including the latest NIH recommendations. CONCLUSIONS: Hypertension affects more than 350,000 American children. While the majority of hypertension in early childhood occurs from secondary causes, the incidence of essential hypertension in later childhood and adolescence is rising, raising concerns as elevated pressures in childhood "track" into adulthood. Early detection and treatment of elevated childhood pressures represent important steps in reducing long-term cardiovascular risk. IMPLICATIONS FOR PRACTICE: NPs must be able to accurately differentiate between primary and secondary hypertension in childhood. Secondary hypertension requires prompt diagnosis and treatment, and controlling primary childhood hypertension has lifelong implications. Given the familial predisposition to hypertension, it is important for adult NPs to be aware of the risks faced by children of hypertensive patients.     

肾性高血压患者首剂应用降压药的临床护理体会

目的 探讨肾性高血压患者首剂应用降压药的临床护理措施和体会.方法 回顾性分析本院2012年12月-2014年5月收治的65例肾性高血压患者首剂应用降压药的临床护理资料.结果 经过精心治疗与护理,肾性高血压患者的血压有显著改善,头痛、头晕、心悸症状减轻或消失.结论 对肾性高血压患者采取积极治疗及护理措施是患者康复的关键,其中护理因素具有重要临床价值.     

Reaching for Goal: Incorporating the Latest Hypertension Guidelines Into Practice

Hypertension accounts for more cardiovascular disease deaths than any of the other modifiable risk factors. Despite the known benefits of lowering blood pressure, more than half of adults taking antihypertensive medications have blood pressures above current treatment goals. The purpose of this article is to inform nurse practitioners of the key highlights in the updated hypertension guidelines and provide guidance on incorporating the best available evidence into hypertensive care management.     

Primary care management of childhood and adolescent hypertension

Purpose: To educate advance practice nurses on the diagnosis, pharmacologic, and nonpharmacologic management of hypertension in children and adolescents.
Data sources: Information was collected through a search of published literature and clinical practice guidelines.
Conclusions: Increasing rates of hypertension in children and adolescents are correlated to risk for coronary artery disease in adulthood. Nonpharmacologic management includes lifestyle modifications addressing weight reduction, physical activity, and dietary modification. Pharmacologic management is typically reserved for patients with severe hypertension or those who do not respond to lifestyle modifications. Early intervention is critical for preventing target-organ damage and complications of long-term hypertension.
Implications for practice: Nurse practitioners must identify and address elevated blood pressure levels in children and adolescents. Many children and adolescents can successfully lower blood pressure readings through nonpharmacologic lifestyle changes. Education about lifestyle modification strategies should focus on family-based changes in order to increase likelihood of successful implementation.     

肾性高血压与原发性高血压患者动态血压观察

目的：观察肾性高血压与原发性高血压患者动态血压情况及节律变化。方法：采用美国无创性便携式动态血压监测仪,测试时间８～９ Ａｍ 至次日８～９ Ａｍ,测量间隔为３０ ｍｉｎ。结果：两组患者的２４ ｈ ＳＢＰ、２４ ｈ ＤＢＰ、ｄ ＳＢＰ、ｄ ＤＢＰ及血压负荷无明显差异（ Ｐ＞ ０．０５）。肾性高血压组ｎ ＳＢＰ、ｎ ＤＢＰ显著高于原发性高血压组（Ｐ＜ ０．００１）,原发性高血压组夜间ｎ ＳＢＰ、ｎ ＤＢＰ均低于白昼血压（ Ｐ值均＜ ０．０１）,肾性高血压组的夜间ｎ ＳＢＰ、ｎＤＢＰ与白昼血压无明显差异（Ｐ＞ ０．０５）。肾性高血压组ＳＢＰ、ＤＢＰ夜间下降百分率＜１０％ 者,明显高于原发性高血压组（分别为４８％ 、６０％ 及３０％ 、２２．５％ ,Ｐ＜ ０．０５） 。结论：原发性高血压患者的动态血压存在着昼夜节律,肾性高血压患者节律性消失。     

妊娠期高血压疾病的诊治要点与注意细节

妊娠期高血压疾病是妊娠女性常见的疾病,其发生率可高达10%。此类疾病是孕妇与胎儿致死、致残的重要原因之一。本文总结了妊娠期高血压疾病的临床要点,旨在为读者提供该病诊断、评估与治疗的实用性方案。     

Comparative analysis of Micrococcus luteus isolates from blood cultures of patients with pulmonary hypertension receiving epoprostenol continuous infusion

During the period 2002–2008, at the National Cardiovascular Center, Osaka, 28 Micrococcus luteus isolates and one Kocuria spp. isolate were obtained from blood cultures of pulmonary hypertension (PH) patients who were receiving continuous infusion therapy with epoprostenol. Pulsed-field gel electrophoresis patterns of the isolates were unrelated, suggesting that the infections had multiple origins. The preparation of epoprostenol solution by patients themselves was thought to be a risk factor.     

焦虑情绪与海员高血压及相关因素的分析

FromAugusttoOctober１９９７，wefoundanxietycorrelatewithbloodpressureapparently．Sowemakefurtherstudyontherela－tionshipofanxietyandprevalencerateofmarinehypertensionandmarinehypertensionrelatedsusceptiblefactors．１Subjectsandmethod１．１Subjects４２０１seamenreceivedSASandquestionnaireinquiry，４０４８caseswerevalid．Allthecasesweremale，averageagewas（２３．８１±４．３２）．Allthecasesworknormally１weekbeforeinquirywithoutspecialmissioninfluencesuchasdistalsail，longsail．１．２Method（…     

The Effect of Hypertension on Uncontrolled Hemorrhage in a Rodent Model

Patients with essential hypertension (EH) have higher mortality rates from hemorrhage. How the complex physiologic changes seen in EH affect the response to uncontrolled hemorrhage has yet to be adequately described. OBJECTIVE: To test the null hypothesis that there would be no difference in the hemorrhage volumes and hemodynamic responses to uncontrolled hemorrhage between hypertensive rats (SHRs) and normotensive rats (WKYs). METHODS: Twenty-four adult rats (12 WKYs and 12 SHRs) were anesthetized with althesin via the intra-peritoneal route. The femoral artery was cannulated by cutdown for mean arterial pressure (MAP) measurement and blood gas sampling. Twelve rats (6 WKYs and 6 SHRs) underwent uncontrolled hemorrhage by 50% tail amputation. Twelve rats (6 WKYs and 6 SHRs) served as non-hemorrhage controls. The MAP, base excess (BE), and cumulative blood loss were measured pre-hemorrhage and then every 15 minutes post-hemorrhage for 90 minutes. Data were reported as mean +/- standard error of the mean. Comparisons between control and uncontrolled hemorrhage groups were analyzed by analysis of variance (ANOVA) with repeated-measures post-hoc testing by Bonferroni. Statistical significance was defined by an alpha = 0.05. RESULTS: Mortality rates were significantly higher (p < 0.05) for the SHRs (100%) as compared with the WKYs (33%). Changes in time-averaged MAP post-hemorrhage were significantly greater (p < 0.001) in the SHR group (88 +/- 10 mm Hg) as compared with the WKY group (48 +/- 4 mm Hg). Hemorrhage volume was significantly lower (p = 0.02) in the SHR group (3.7 +/- 0.5 mL) as compared with the WKY group (6.1 +/- 0.7 mL). CONCLUSIONS: Hypertensive rats had a higher mortality rate than normotensives from a comparable vascular injury with lower hemorrhage volumes.     

肾性高血压临床特点及治疗对策

目的观察肾性高血压的临床特点,分析肾性高血压与原发性高血压降压治疗异同。方法回顾性分析我院自2007年1月至2009年12月收诊的高血压患者,观察组均为确诊肾性高血压患者326例;对照组均为原发性高血压患者673例,对两组进行年龄、血压情况对比,并进行降压治疗。结果观察组平均年龄低于对照组,差异有显著性（P〈0.05）,且〈20岁和〈30岁患者比率明显高于对照组,差异有非常显著性（P〈0.01）;观察组平均血压和高峰血压均明显高于对照组,差异有显著性（P〈0.05）。观察组需使用静脉降压药物抢救治疗的65例（19.9%）;对照组45例（6.7%）。观察组需4种降压药物联合治疗的病人数186例（57.1%）;对照组90例（13.4%）。两组需要使用静脉降压药物抢救治疗和需要4种降压药物联合治疗方面有显著差异（P〈0.01）。结论肾性高血压的危害大,应注重对患者血压的控制,应针对病情的不同选取不同的降压药物,并采用联合治疗的方法。