原发性高血压社区护理干预效果评价

Evaluation of community nursing intervention on primary hypertension

目的:探讨社区护理对原发性高血压患者的综合干预效果。方法:选取示范点原发性高血压患者79例,组成社区护理综合干预小组,制定具体的干预计划并组织实施,有针对性地开展疾病相关知识宣教、运动指导、饮食指导、心理指导、药物治疗指导,干预前后分别进行问卷调查、医学体检和生化指标检测。结果:经过3年的社区护理干预,高血压患者知识知晓率、非药物治疗及服药依从性均较干预前显著改善(P<0.01);患者的收缩压和舒张压较干预前显著下降(P<0.05);血生化指标均有不同程度下降,降低了高血压引起的心脑血管并发症,提高了高血压患者控制高血压行为的依从率。结论:实施社区护理干预对于控制高血压、延缓心脑血管并发症的发生及提高患者的生活质量效果显著。

Objective：To discuss the effect of comprehensive community nursing Intervention in patients with primary hypertension. Methods ：79 patients with primary hypertension in the demonstration sites were selected. We have set up comprehensive intervention group of community nursing, questionnaire, physi- cal examination and biochemical parameters were implemented respectively before and after the intervention. We have also developed a specific intervention plan and put it into practise, knowledge of the disease, guidance on exercise, diet,psychology, and other drug treatment were made and promoted. Results： After three years community nursing intervention, the cognition ratio of hypertension knowledge, non - drug treatment and drug addiction is improved significantly （ P 〈 0.05 ）. Systolic and diastolic pressure of the patients have also decreased statistically（ P 〈 0.05 ）. Biochemical index and cardiovascular complications caused by hypertension have declined in different degree, and the formation rate of hypertension control in patients with hypertension was raised. Conclusion：There is remarkably effect of community nursing intervention to control hypertension, delay the occurrence of cardiovascular complications and improve life quality of the patients.