摘要
目的:探讨社区护理干预在脑卒中合并高血压患者中的作用。方法:2013年2月-2014年7月收治脑卒中合并高血压患者80例,随机分成干预组和对照组各40例,对照组只在患者就诊时给予健康指导和家庭护理,干预组进行护理干预,包括心理干预、组织健康讲座普及健康知识、建立健康档案,成立专门的护理队伍、指导患者养成良好的生活习惯,不能擅自停药,严格遵医嘱执行等。结果:干预组干预前舒张压(93.9±11.5)mm Hg,收缩压(149.6±21.2)mm Hg,干预后舒张压(75.5±6.9)mm Hg,收缩压(120.3±7.8)mm Hg;对照组干预前舒张压(93.7±10.9)mm Hg,收缩压(149.8±21.1)mm Hg,干预后舒张压(87.8±9.1)mm Hg,收缩压(133.6±16.8)mm Hg;两组患者干预前血压比较差异无统计学意义(P>0.05),干预后干预组明显低于对照组,两组比较有统计学意义(P<0.05)。两组患者干预前Bathel、Fugl-Meye、Ashworth指数评分比较无统计学意义(P>0.05),干预后干预组明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论:社区护理干预可以明显提高护理质量和临床疗效,值得推广。
Objective:To explore the effect of community nursing intervention in patients with stroke and hypertension.Methods:80 hypertensive patients with stroke were selected from February 2013 to July 2014.They were randomly divided into the intervention group and the control group with 40 cases in each group.The control group were given health guidance and nursing home care.The intervention group were given nursing intervention,including psychological intervention,organizational health lectures for popularizing health knowledge,establishing health files,establishment of nursing team specifically,guiding the patients to develop good habits,not arbitrarily stopping drug,strictly following the doctor's advice and so on.Results:In the intervention group, before intervention,diastolic pressure was(93.9±11.5)mm Hg,and systolic blood pressure was(149.6±21.2)mm Hg;after intervention,diastolic blood pressure was(75.5±6.9)mm Hg,and systolic blood pressure was(120.3±7.8)mm Hg.In the control group,before intervention,the diastolic pressure was(93.7±10.9)mm Hg,and systolic blood pressure was(149.8±21.1)mm Hg;after intervention,diastolic blood pressure was(87.8±9.1)mm Hg,and systolic blood pressure was(133.6±16.8)mm Hg.Blood pressure was compared between the two groups before the intervention,and there was no significant difference(P>0.05);after the intervention,the intervention group was significantly lower than the control group,and the difference was statistically significant(P<0.05).Compared two groups of patients before the intervention of Bathel,Fugl-Meye,Ashworth index scores,and there was no statistical significance(P>0.05);after the intervention,the intervention group was significantly higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Community nursing intervention can obviously improve the quality of nursing and clinical curative effect.It is worth promoting.
