循证护理干预在社区高血压患者护理中的应用

Application of evidence-based nursing intervention in community hypertension patients

目的探讨社区高血压患者采用循证护理干预模式的效果。方法选取2015年1月-2016年12月滨海新区汉沽辖区内的100例高血压患者,随机分为观察组和对照组各50例。对照组采用常规护理,观察组采用循证护理,比较两组生活质量评分情况及不良行为发生率。结果观察组高血压的治疗总有效率明显高于对照组;两组护理后的总体健康、精神健康、生理功能、情感职能、生理职能、躯体疼痛、社会功能以及活力等生活质量评分值均明显升高,且观察组的生活质量评分值明显高于对照组;观察组护理后的饮酒、吸烟、熬夜、饮食不当、服药不当、缺乏体育锻炼以及肥胖等不良行为发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论循证护理干预模式有助于提高社区高血压患者的治疗效果,改善生活质量,减少不良行为。

Objective To investigate the effect of evidence-based nursing intervention on hypertensive patients in community. Methods From January 2015 to December 2016, 100 hypertensive patients in our jurisdiction were randomly divided into observation group and control group, 50 cases in each group. The control group received routine nursing, while the observation group received evidence-based nursing. The scores of quality of life and the incidence of bad behavior were compared between the two groups. Results The total effective rate of hypertension in the observation group was significantly higher than that in the control group. After nursing, the total health, mental health, physiological function, emotional function,somatic pain, social function and vitality were all significantly higher in two groups, and the quality of life of the observation group was significantly higher than that of the control group. After nursing, the incidence of bad behaviors such as drinking, smoking, staying up late, improper diet, improper medication, lack of physical exercise and obesity were significantly lower than those in the control group. The differences were statistically significant(P <0.05). Conclusion Evidence based nursing intervention helps to improve the treatment effect, improve the quality of life and reduce bad behavior of hypertensive patients in community.