城镇高血压患者程序式居家护理的研究

Applying systemic home care services to patients with hypertension in urban areas

目的探讨程序式居家护理对高血压患者血压控制及依从性的影响。方法以性别、年龄、高血压等级为配对条件,筛选70例(35对)满足配对条件的高血压患者随机分为居家组和常规组,居家组35例给予程序式居家护理;常规组35例给予常规性社区护理,共干预6个月。结果两组患者干预3个月、6个月后降压效果及依从性差异均存在显著性意义(P<0.05)。结论程序式居家护理可提高高血压患者的依从性,促进血压的降低,有利于患者生存质量提高,同时具有可操作性与实用性,值得在社区护理中推广应用。

Objective To evaluate the effects of systemic home care services on the control of blood pressure and compliance with treatment in patients with hypertension. Methods A total of 70 patients with hypertension were recruited and randomly assigned to routine community care condition and systemic home care services condition for six months matched on gender,age and severity of hypertension. Results At three months and six months after the intervention,the patients＇ compliance and the control of blood pressure were significantly different between the two groups （P〈0.05）. Conclusion Systemic home care services can enhance the compliance,promote the control of blood pressure,and thereby to improve the quality of life for patients with hypertension. It is proved to be feasible and practical,which is worth to be spread in community nursing.