循证护理在门诊高血压病患者中的应用  

Application of Evidence-based Nursing in Outpatients Suffering from Hypertension

作　　者：曹存凤[1] 吴为逊[1] 左维民[1] 苗忠[1] 卞春霞 

机构地区：[1]兴化市中医院心内科,江苏兴化225700 [2]兴化市人民医院门诊

出　　处：《护理学杂志》2008年第17期60-62,共3页

摘　　要：目的探讨循证护理在门诊高血压病患者中的应有效果,为护理干预模式提供依据。方法将131例高血压病患者随机分为循证组(67例)和非循证组(64例)。循证组从患者健康教育、依从性、改变生活方式、经济承受力4方面循证,得到最佳证据指导临床护理;对照组给予传统健康教育。比较两组血压控制率、有关生化指标和生活方式、依从性等康复情况。结果循证组血压控制率、相关指标、健康知识掌握情况及依从性满意率显著优于非循证组(P<0.05,P<0.01)。结论循证护理能有效提高门诊高血压病患者血压控制率和依从性,有效改善生活方式,增强自我监控能力。Objective To investigate the effect of evidence-based nursing used in outpatients suffering from hypertension in order to provide reference for nursing intervention. Methods A total of 131 hypertensive patients were randomly di vided into an evidence-based group （67 cases） and a non-evidence-based group （64 cases）. The non-evidence-based group was given general health education, while those in the evidence-based group were subjected to evidence-based nursing, including aspects of health education, compliance, altering unhealthy life style and controlling monthly medical expense. The rate of blood pressure control, values of related biochemical indicators, adoption rate of healthy life style and rate of compliance were compared between the two groups. Results All the indicators mentioned above showed obvious significances between the two groups（P〈0.05, P〈0.01 ）. Conclusion Application of evidence-based nursing in outpatients with hypertension can effectively elevate hypertension control rate and compliance, after unhealthy life style and strengthen self monitoring ability as well.

关 键 词：高血压病 循证护理 生活方式 健康教育 依从性 

分 类 号：R473.5[医药卫生—护理学]