高血压前期人群社区护理干预调查研究

目的探讨对高血压前期患者实施护理干预的效果。方法 2012年7月-2013年1月将240例高血压前期患者随机分为干预组和对照组,每组120例,对照组不进行干预,干预组建立血压档案,给予健康教育、运动干预、饮食干预以及体质量干预等措施,比较6个月后两组的高血压健康知识知晓率、生活行为改善情况和血压控制情况。结果 6个月后,干预组在疾病知识、危险因素、并发症、预防与治疗方面的知晓情况高于对照组,差异有统计学意义（P〈0.05）。干预组在按计划控制饮食、增加运动、戒烟以及限制饮酒等行为改善评分均高于对照组,差异有统计学意义（P〈0.05）。干预组收缩压、舒张压以及体质量指数均低于对照组,差异有统计学意义（P〈0.05）。结论社区护理干预能够增加高血压前期患者的健康知识,帮助其建立良好的生活方式,有效控制血压,有利于减少高血压的发病率。

Research on Nursing Intervention for Pre-hypertension in Communities

Objective To explore the nursing intervention effect on pre-hypertension. Methods A total of 240 prehypertension patients in our community from July 2012 to.January 2013 were randomly divided into observation group and control group with 120 patients in each group. No intervention was carried out for the control group. Blood pressure profile was established for the observation group and health education, exercise intervention, diet and body weight intervention measures were also given to the patients in this group. The improvement of life behavior and blood pressure control, and the awareness of hypertension health knowledge were compared between the two groups. Results Awareness of the disease knowledge, risk factors, complications, prevention and treatment in the observation group was significantly better than those in the control group （P 〈 0.05）. After intervention, the improvement scores of diet control, exercise increase, smoking quitting and alcohol drinking control in the observation group were significantly higher than those in the control group （P 〈 0.05）. The systolic blood pressure, diastolic blood pressure and body mass index after intervention in the observation group were significantly lower than those in the control group （P 〈 0.05）. Conclusion Community nursing intervention can increase the health knowledge in pre-hypertensive patients, help patients establish a good way of life and control blood pressure effectively, and reduce the incidence of hypertension.