社区护理干预对高血压患者治疗效果的影响

Effect of Community Nursing Intervention on the Therapeutic Effect of Patients with Hypertension

目的探讨社区护理干预对高血压患者治疗的效果。方法选自2012年1月—2012年12月进入到该社区的高血压患者80例,将这80例患者随机分成两组,每组40例患者,分别命名为观察组和对照组。对两组患者均采用抗高压药物,在此基础之上,对观察组的40例患者采用社区干预,主要包括饮食,锻炼以及心理干预。结果观察组的40例患者采用抗高压药的基础之上,进行社区护理干预,在干预之前的收缩压为(160±11)mmHg,干预之后的收缩压为(131±9)mmHg,在干预之前的舒张压为(98±14)mmHg,在干预之后的舒张压为(82±11)mmHg。对对照组的40例患者单纯的采用抗高压药进行治疗,在治疗之前的收缩压为(161±12)mmHg,在治疗之后的收缩压为(133±11)mmHg,在治疗之前的舒张压为(99±15)mmHg,在治疗之后的舒张压为(91±12)mmHg。在治疗前后,观察组患者的收缩压和舒张压的下降幅度明显的大于对照组。在治疗前后患者的血压变化上,差异有统计学意义(P<0.05)。观察组患者采用抗高压药加社区护理干预,显效29例,有效7例,无效4例。观察组的临床治疗的总有效率为90%。对照组采用单纯抗高压药治疗,显效27例,有效6例,无效7例。对照组临床治疗的总有效率为82.5%。在两组患者的临床治疗效果上,差异有统计学意义(P<0.05)。结论社区护理干预对降低高血压患者的血压,提高患者自我管理能力和生活质量具有重要的意义。

Objective To study the effect of community nursing intervention on the therapeutic effect of patients with hypertension.Methods 80 cases of patients with hypertension moved into our community from January, 2012 to December, 2012 were randomly divided into 2 groups, named as the observation group and the control group, each group of 40 patients. Anti-hypertension drugs were given to the 2 groups. In addition, 40 patients in the observation group were given community intervention, including diet,exercise, and psychological intervention. Results 40 patients in the observation group were given community nursing intervention on the basis of anti-hypertension drugs. Before the intervention, the systolic pressure and diastolic pressure of the patients in the observation group was（160±11）mmHg,（98±14）mmHg, respectively, after the intervention, the systolic pressure and diastolic pressure was（131±9） mmHg,（82±11） mmHg, respectively. 40 patients in the control group were treated with anti-hypertension drugs alone. Before the treatment, the systolic pressure and diastolic pressure of the patients in the control group was（161 ±12） mmHg,（99±15） mmHg,respectively, after the treatment, the systolic pressure and diastolic pressure was（133±11） mmHg,（91±12） mmHg, respectively.Before and after treatment, the systolic pressure and diastolic pressure of the observation group declined much greater than that of the control group. Blood pressure changes in patients before and after treatment had statistically significance（P 〈0.05）. Of the observation group treated with anti-hypertension drugs and community nursing intervention, marked effective in 29 cases, effective7 cases, invalid in 4 cases, and the total effective rate of clinical treatment was 90%. Of the control group treated by anti-hypertension drugs alone, marked effective in 27 cases, effective in 6 cases, invalid in 7 cases and the total effective rate of clinical treatment was 82.5%. The difference in clinical treatment effect between the 2 groups was statistically significant（P〈0.05）.Conclusion Community nursing intervention is of great significance to reducing the blood pressure of patients with hypertension and improving their self-management ability and quality of life.