社区综合性护理干预对原发性高血压患者遵医行为及生活质量的影响

Influence of community comprehensive nursing intervention on compliance behavior and quality of life for patients with of primary hypertension

目的探讨社区综合性护理干预对原发性高血压患者遵医行为及生活质量的影响。方法选取2011年12月-2013年12月本社区80例高血压患者,采用随机数字表法分为研究组和对照组,每组40例。对照组仅由社区医护人员予对症指导,研究组采用综合性护理干预措施,包括心理、饮食、运动、用药干预及健康教育、家庭访视。比较两组患者的降压效果、遵医率、生活质量改善总良好率。结果研究组患者血压控制的总有效率达97.5%、总遵医率达95.0%、生活质量改善的总良好率达95.0%,分别明显高于对照组（P〈0.05）。结论社区综合性护理干预可以提高原发性高血压患者遵医行为及生活质量,从而有效控制血压水平。

Objective To investigate the influence of community comprehensive nursing intervention on compliance behavior and quality of life for patients with of primary hypertension. Methods From December 2011 to December 2013,selected 80 cases of hypertension in this community,they were divided into study group and the control group,40 cases in each group.The control group only took symptomatic guided by community health care workers,the study group used an integrated care interventions,included psychological,diet,exercise,medication intervention and health education,home visits.Antihypertensive effect,medical compliance rate,good rates of improving quality of life were compared. Results The total effective rate of antihypertensive effect of study group was 97.5%,the total medical compliance rate of study group was 95.0%,improving the overall quality of life,good rates of improving quality of study group was 95.0%,respectively,significantly higher than the control group（P〈0.05）. Conclusion Community comprehensive primary care interventions can improve compliance behavior and quality of life in patients with hypertension,thereby effectively control blood pressure levels.