社区老年高血压患者的综合护理干预

Intervention of comprehensive nursing in aged patients with hypertension in community

目的探究社区老年高血压患者的综合人性化护理干预疗效。方法将本社区自2010年1月1日至2010年12月31日经医院诊断为高血压的老年患者进行随机平均分组。一组为社区综合人性化护理组(以下简称护理组),采用心理干预、用药干预、饮食干预、日常运动干预、健康指导以及并发症的护理。另一组为社区护理对照组(以下简称对照组),不采取社区干预的任何形式。结果在对两组进行社区综合人性化护理干预前,护理组和对照组的收缩压与舒张压平均值差异不明显(P>0.05)。对护理组护理一年后,其平均血压值明显低于对照组(P<0.05),血压控制情况较好,并发症的发生率和死亡率明显降低。结论综合人性化的社区护理形式可有效控制老年高血压患者的病情,对患者生活质量的提高有重要意义。

Objective To investigate the efficacy of intervention of comprehensive nursing in aged patients with hypertension in a community. Methods Aged patients in our community diagnosed with hypertension were randomly and equally divided into two groups： comprehensive nursing group and control group. The nursing group received intervention of psychology, medication, diet, and daily exercise, health guidance, and complication nursing. And the control group did not receive any intervention. Results There were no significant differences in mean systolic and diastolic pressures between the two groups before the intervention of comprehensive nursing （P〉0.05）. The mean blood pressure was significantly lower in the nursing group than in the control group after one year of treatment （P〈0.05）. Also, the incidence of complications and mortality were significantly decreased in the nursing group. Conclusion Comprehensive nursing can effectively control the severity of hypertension in aged people and improve patients＇ life quality.