社区护理干预对高血压患者生活质量的影响

An effect of community nursing intervention on the quality of life in patients with hypertension

目的研究护理干预对本社区高血压患者生活质量的影响及其血压控制效果评价。方法对172例原发性高血压患者采用答卷方式调查其生活质量指标,并检测其动态血压指标。实施社区综合防治管理后复查并比较实施前、后动态血压变化及生活质量的变化。结果实施社区干预后其动态血压各指标,患者的健康感觉、躯体症状、工作能力、性生活状况、认识功能、社会参与能力、生活满足感等均有显著改善并有统计学意义(P均<0.01),唯睡眠状态变化不明显(P>0.05)。结论社区护理干预对高血压患者无论在改善高血压患者行为变化即生活方式、提高生活质量、降低其血压水平、提高其血压控制率等方面有积极作用。

Objective To study the effect of community nursing intervention on the quality of life and blood pressure control in patients with hypertension. Methods A questionaire survey of the quality of life was conducted in 172 cases of patients with essential hypertension and their dynamic blood pressure were detected. Afterwards, the combinated community prophlactico-therapeutic measures were carried on and the results were analysed by contrast. Results After community intervention the change of patients＇ dynamic blood pressure, feeling of health, physical symptoms, the ability to work, condition of sex life, cognitional functiona, the ability to participate in the community, life satisfaction, et al., all were significant improvement（P were 〈0.01） except sleep （P〉 0.05） Community healthnursing management intervention for patients with hypertension can improve the quality of life and, increase the blood pressure control rates and so on have a positive effect