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对住院老年高血压患者实施健康教育路径的效果观察
引用本文:杨苓,魏雪梅,肖娴.对住院老年高血压患者实施健康教育路径的效果观察[J].国际护理学杂志,2009,28(9).
作者姓名:杨苓  魏雪梅  肖娴
作者单位:川北医学院附属医院心血管内科,四川南充,637000
摘    要:目的 探讨健康教育路径在住院老年高血压患者中的实施效果.方法 随机将200例住院老年高血压患者分为观察组和对照组各100例,对照组采用一般常规宣教,对观察组患者根据健康教育路径图实施健康教育.并对两组患者进行书面测试、自我护理操作考核、服药依从性、血压的控制等方面的比较.结果 观察组患者书面测试、自我护理操作考核及护理满意度得分明显高于对照组,差异有显著性(P<0.001);观察组患者服药依从性、血压的控制率及健康教育达标率明显高于对照组,差异有显著性(P<0.005).结论 实施健康教育路径能够提高患者对高血压健康教育知识及服药依从性,从而使患者的血压得到有效的控制,减少患者的并发症,同时促进了护患沟通,提高了患者及家属对护理工作的满意度,获得良好的护理效果.

关 键 词:老年高血压患者  健康教育路径  健康教育

Effect of health education pathway on the aged inpatients with hypertension
YANG Ling,WEI Xue-mei,XIAO Xian.Effect of health education pathway on the aged inpatients with hypertension[J].international journal of nursing,2009,28(9).
Authors:YANG Ling  WEI Xue-mei  XIAO Xian
Abstract:Objective To study the effects of health education pathway in aged inpatients with hyperten-sion. Methods 200 aged inpatients with hypertension were randomly divided into experimental group (health edu-cation pathway, n = 100) and control group (routine health education, n = 100) . Results The scores of health knowledge test, practical operating test and satisfaction rate of nursing service were all higher in the experi-mental group than those of the control group (all P <0. 001) . Besides, the inpatients'rates of medicine -taking obedience and effective blood pressure control as well as checkout rate of health education were all higher than those of the control group (all P < 0. 005) . Conclusions Implementation of health education pathway is able to improve inpatients' hypertension knowledge level and their medicine -taking obedience rate, therefore it could make their blood pressure be controlled effectively and their complications are decreased;meanwhile, it could al-so enhance nurse -patient communication and patient's satisfaction rate on nursing service and as a result, obtain a favorable nursing efficacy.
Keywords:Aged inpatients with hypertension  Health education pathway  Health education
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