高血压患者实施护理干预重要性分析

Analysis of the Importance of Nursing Intervention on Hypertension Patients

目的观察护理干预对高血压病人及其心脑血管等并发症的临床意义。方法106例高血压住院病人随机分为干预组(52例)和对照组(54例)。干预组主要采取经常性的健康教育和健康促进活动,对照组只进行同步跟踪观察。结果干预组与对照组基线(2004年)和终点(2006年)2次调查结果显示:两组病人的高血压健康知识均有增长,态度和行为(KAB)都有所改变,但干预组的变化更为显著,特别是在"行为"方面有明显改变:关心重视高血压危险因素及保健知识的患者由基线时的68%上升至78.6%,经常进行体育锻炼的人由58.9%上升为71.4%,高血压患者定期测量血压和坚持规律服药情况干预组显著好于对照组(P<0.01)。结论对高血压患者经常性地进行面对面的健康教育和健康促进活动,是预防和控制高血压并发症的切实有效的措施之一。

Objective To observe the effect of nursing intervention on the hypertension patients so as to decrease cardio-cerebrovascular complications. Methods 106 hypertension patients were randomly divided into two groups： 52 in intervention group and 54 in control group. Nursing interventions such as health education and health promotion were used in intervention group constantly, while control group was observed without any special measures. Two investigations of both groups were made both on the base line （2004） and the end line（2006）. Results The KAB in both groups were improved, especially in the behaviors of the intervention group： the patients cared more about danger factors and personal hygeine （from 68% to 78.6%） and the ones doing exercises constantly rised from 58.9% to 71.4%. It was also showed that the intervention group behaved better than the control one in periodic measurement of blood pressure and regular administration of medicine （P〈0.01）. Conclusion Giving face to face health education and health promotion to hypertension patients is an effective way to prevent and control hypertension complications.