高龄高血压病患者个体化服药的护理干预及效果研究

Study of nursing intervention on individualized drug therapy of senile patients with hypertension

目的通过对高龄高血压患者个体化服药方案实施综合护理干预,比较干预前后的个体化服药方案的降压效果。方法将84例高龄高血压患者分为对照组(n=42)和干预组(n=42),对干预组患者于入院后至出院前1d内及出院后0.5 a内由固定的专科护师实施综合护理健康教育和护理干预。对照组患者接受常规护理健康教育。结果干预组患者经过护理干预后,个体化服药方案的效果明显提高,对降压的目标和药物服用及注意事项的认识性明显提高,降压控制率明显提高,依从性明显增加,平稳血压控制达标率明显提高,且明显优于对照组患者。结论综合的护理干预对高龄高血压患者个体化服药方案可起到良好促进作用。

Objective It is to compare the anti-hypertensive effects of individualized anti-hypertension medication before and after the nursing intervention through enforcing individualized anti-hypertension medication on senile patients with prima- ry hypertension. Methods 84 senile patients with primary hypertension were divided into intervention group and control group in which there was 42 cases. Patients in intervention group received comprehensive nursing intervention, while patients in control group only received routine nursing education. Results after comprehensive nursing intervention, patients in intervention group showed greater performance on the aspects such as the understanding for the anti-hypertension goal and individualized anti-hypertension medication, the recognition in hypertension related problems, the complications of medication and the rate of blood pressure control. Conclusion The comprehensive nursing intervention on the individualized anti - hypertension medication has favorable effects in elderly patients with hypertension.