社区护理干预对高血压患者血压控制的影响

目的通过社区护理干预改变高血压患者不良的生活习惯，提高血压患者对高血压病的认识，提高高血压病人的遵医行为，有效控制血压减少并发症的发生。方法选取到本社区中心服药治疗的高血压患者90例，随机分观察组45例和对照组45例。对照组只是给予常规高血压治疗。观察组45例给予病人及家属进行健康教育，改变不良生活方式，饮食，运动，心理，服药等指导，说明坚持运动，控制体重腰围的重要性。结果观察组在高血压病知识知晓43例，不良生活饮食习惯改变率43例，服药医从性45例，血压控制42例明显高于对照组高血压知识知晓32例，不良生活饮食习惯改变25例，服药医从性30例，血压控制23例，两组比较差异有统计学意义（P〈0．05）。结论社区护理干预可以改变高血压患者的不良生活习惯，提高高血压病知识知晓率，从而提高遵医行为，坚强自我保护意识，坚持正规治疗，有效控制血压，可预防并发症的发生，保持良好的生活质量，减粹绎济压力。

Effect of community nursing intervention onhypertension control

Objective To intervene to change the habits of hypertensive patients badthrough community nursing, improve blood pressure in patients withawareness of hypertension, improve the compliance behavior of patients with hypertension, effective control of blood pressure and reduce the occurrence of complication. Methods 90 patients with hypertension in thecommunity center to take medication for patients, were randomly divided into observation group of 45 cases and a control group of 45 cases. The control group was given conventional treatment of hypertension. 45 cases in observation group give the patient and family health education, changing lifestyle, diet, exercise, psychology, medicine and other guidance, illustrate the importance of exercise, weight control waist. Results In the observation group, 43 in the awareness rate of knowledge about hypertension, bad living habits change rate of 43, medication compliance of 45, blood pressure control rate was 42 was significantly higher than the control group of hypertension knowledge rate of 32, badliving habits change rate of 25 medication compliance 30, blood pressure control rate was 23, P 〈 0.05. Conclusion Community nursing intervention can change the hypertension patient＇s had habits, improve the awareness rate of hypertension knowledge, so as to improve thecompliance behavior, strong awareness of self-protection, adhere to regular treatment, effective control of blood pressure, prevention of complications,to maintain a good quality of life, and reduce the economic pressure.