社区护理干预对轻度高血压病患者的影响  

Effect of community nursing on patients with mild hypertension.

作　　者：黄婷[1] 黄雪芹[1] 林琼申[1] 文素娟 

机构地区：[1]深圳市宝安区人民医院体检中心,518101

出　　处：《护理实践与研究》2011年第12期19-21,共3页Nursing Practice and Research

摘　　要：目的:观察社区护理干预对轻度高血压病患者的降压效果,探讨非药物干预手段对轻度高血压病患者的降压疗效。方法:选择经体检确诊的轻度高血压病患者154例为研究对象,采取集中面授、发放资料、电话随访、家庭探访等护理方式,指导患者改变不良生活方式和进行科学锻炼,并为患者提供心理护理,每季监测患者血压,1年后再对患者进行体检。结果:轻度高血压病患者经社区护理干预后血压逐渐下降,首季血压下降明显,患者收缩压从社区护理前的(148.6±7.3)mmHg降至1年后的(136.9±7.1)mmHg,舒张压从护理干预前的(93.6±6.5)mm-Hg降至1年后(80.9±6.3)mmHg(均P<0.01)。收缩压和舒张压下降与患者年龄呈负相关,而与性别无关。结论:在无降压药物治疗下,通过社区护理干预对轻度高血压病患者有明显的降压效果,年龄越轻降压效果越显著。Objective： To analyze effect of community nursing on hypertension control,and to explore a role of non-drug treatment for patients with mild hypertension.Methods： One hundred and fifty-four patients were diagnosed mild hypertension during a physical examination.Patients were cared with face to face education,free health data,phone interviews,and home visitation.Healthy life way and exercises in daily were advised to patients,and they were provided psychiatric nursing.Blood pressure measurement was done every season for patients with mild hypertension,and healthy was investigated one year later.Results： Blood pressure began to decrease since community nursing plans were performed,and significant lowering was observed after first season nursing.Systolic blood pressure（136.9±7.1 vs 148.6±7.3 mmHg,P0.01） and diastolic blood pressure（80.9±6.3 vs 93.6±6.5 mmHg,P0.01） were significantly lower in patients with mild hypertension after one year community nursing.Lowering of systolic blood pressure and diastolic blood pressure was negative correlation with patient age other than sex.Conclusion： Community nursing can control blood pressure for patients with mild hypertension without drug treatment.Effects become more significant for young patients.

关 键 词：轻度高血压病 社区护理干预 影响 

分 类 号：R473.2[医药卫生—护理学]