社区护理干预对高血压合并脑卒中老年患者中的影响

Effect of community nursing intervention on elderly hypertension patients with stroke

目的探讨社区护理干预对高血压合并脑卒中老年患者的影响,为临床治疗老年高血压合并脑卒中提供参考依据。方法选取2013年5月-2014年5月社区老年原发性高血压合并脑卒中患者120例,按随机列表法分为对照组和观察组各60例。所有患者均接受原发性高血压的常规药物治疗,对照组采用常规护理,观察组实施个性化社区护理。比较2组患者疾病复发、血压变化、疾病知识掌握情况和遵医行为。结果观察组疾病复发率(8.33%)明显低于对照组(21.67%),舒张压和收缩压均明显低于对照组(t=7.783,P<0.001;t=10.642,P<0.001),疾病知识掌握情况好于对照组(Z=-2.584,P=0.010),遵医行为好于对照组。结论采用个性化社区护理路径可降低高血压合并脑卒中患者的复发率,改善患者血压情况,提高患者对疾病知识的掌握能力和遵医行为。

Objective To explore the effect of applying community nursing intervention in elderly hypertension patients with stroke. Methods Totally 120 elderly hypertension patients with stroke were selected and divided into an observation group and a control group,each of 60, according to a random number table. All patients received conventional drug treatment for primary hypertension. The control group was given conventional nursing , while the observation group was provided with individualized community nursing , The two groups were compared in recurrence rate , blood pressure changes , disease knowledge mastery and compliance. Results In the observation group,the average disease recurrence rate （8. 33%） was significantly lower than that in the control group （21. 67%）. The diastolic and systolic blood pressure of the observation group were significantly lower than those of the control group , and the diseases knowledge and compliance were significantly better than the latter. Conclusion Individualized community nursing can significantly lower the recurrence rate , improve blood pressures,promote disease knowledge and compliance among elderly primary hypertension patients with cerebral stroke .