护理干预对体检人群中高血压患者的临床疗效

Clinical effect of nursing intervention on hypertensive patients in physical examination

目的:观察护理干预对体检人群中高血压患者的临床疗效。方法:选择本院体检人群中180例高血压患者作为研究对象,根据随机数表法将其分为观察组和对照组,每组各90例。两组患者均接受常规药物治疗,观察组在此基础上给予针对性护理干预,对照组给予常规护理,随访1年。比较两组患者的疗效、血压、新发疾病以及治疗依从性。结果:观察组总有效率高于对照组(97.77%vs.84.44%),比较差异具有统计学意义(P<0.05);护理后,两组患者收缩压和舒张压均有下降,观察组低于对照组[(135.17±9.04)mm Hg vs.(147.52±9.15)mm Hg、(84.15±8.71)mm Hg vs(90.54±9.36)mm Hg)],比较差异有统计学意义(P<0.05);观察组1年内新发疾病发生率低于对照组(4.44%vs.14.44%),比较差异有统计学意义(P<0.05);观察组服药、饮食、锻炼依从性均高于对照组(85.56%vs.70.00%、82.22%vs.68.89%、88.89%vs.74.44%),比较差异有统计学意义(P<0.05)。结论:对体检人群中高血压患者采取积极有效的护理干预能够提高临床疗效,降低血压,减少临床新发疾病,提高治疗依从性。

Objective: To observe the clinical effect of nursing intervention on hypertensive patients in physical examination.Methods: 180 cases of hypertensive patients in our hospital were selected as the study subjects.According to the random number table,the selected subjects were divided into observation group and control group,90 cases in each group.Two groups of patients were treated with conventional drugs,and the patients in the observation group were given persistent care intervention,the patients in the control group were given routine care,followed up for 1 year.The efficacy,blood pressure,new disease,and treatment compliance were compared between the two groups.Results: The total effective rate in the observation group was higher than that in the control group(97.77% vs.84.44%),the difference was statistically significant(P < 0.05).After nursing,the systolic and diastolic blood pressure of the two groups decreased,and these in the observation group was lower than those in the control group(135.17 ± 9.04 mm Hg vs.147.52 ± 9.15 mm Hg,84.15 ± 8.71 mm Hg vs.90.54 ± 9.36 mm Hg),the difference was statistically significant(P < 0.05).The incidence of new disease in the observation group was less than that in the control group(4.44% vs.14.44%),the difference was statistically significant(P < 0.05).The medication,diet,exercise compliance in the observation group were higher than those in the control group(85.56% vs.70.00%,82.22% vs.68.89%,88.89% vs.74.44%),the difference was statistically significant(P < 0.05).Conclusion: Positive and effective nursing intervention can improve clinical curative effect,debase blood pressure,reduce clinical new disease and improve treatment compliance in hypertensive patients.