老年高血压患者社区护理干预的研究进展

Research progress of community nursing intervention for elderly patients with hypertension

高血压是临床常见的慢性疾病之一,该疾病高发人群以老年患者居多。随着我国经济的不断提升,人们生活水平明显改善,生活节奏也发生了变化,造成大多数老年患者存在不合理、不规律的作息习惯以及饮食习惯,提高了高血压的发生风险。若不对高血压患者进行有效的护理干预,能够诱发脑卒中、中重度心脑血管疾病以及冠心病,威胁患者的生命安全。目前,临床上针对老年高血压患者普遍采用药物干预结合针对性的护理干预,以改善患者血压。但老年人高血压药物的使用应从小剂量开始、多种药物联合治疗以取得良好的降压效果,应用单药大剂量治疗不仅会影响降压效果,还会增加中风和心血管疾病的风险。本文对老年高血压非药物治疗的影响因素、老年高血压患者不同社区护理干预效果进行综述,以期为老年高血压患者的临床治疗及护理提供帮助。

Hypertension is one of the common chronic diseases in clinic.The high incidence population of this disease is mostly elderly patients.With the continuous improvement of China's economy and the significant improvement of people's living standards,the pace of life has also changed,which cause most elderly patients to have unreasonable and irregular work and rest habits and eating habits,and improve the incidence risk of hypertension.Without effective nursing intervention on patients with hypertension,it can induce stroke,moderate and severe cardiovascular and cerebrovascular diseases and coronary heart disease,which poses a serious threat to the lives safety of patients.At present,drug intervention combined with targeted nursing intervention is widely used in clinic to improve the blood pressure of elderly patients with hypertension.However,the use of hypertensive drugs in the elderly should start with a small dose and combine multiple drugs to achieve a good blood pressure reduction effect.The use of a single drug for highdose treatment will not only affect the blood pressure reduction effect,but also increase the risk of stroke and cardiovascular disease.This paper reviews the influencing factors of non-drug treatment of elderly hypertension,and the effects of different community nursing interventions for elderly patients with hypertension,in order to provide assitance for the clinical treatment and nursing of elderly patients with hypertension.