高血压患者152例住院治疗的护理研究  

The nursing research of 152 in-patients with hypertension

作　　者：范秀华[1] 马勇[1] 杜华[1] 

机构地区：[1]四川省射洪县人民医院,629200

出　　处：《山西医药杂志（上半月）》2013年第7期747-749,共3页Shanxi Medical Journal

摘　　要：目的探索高血压患者住院治疗的医疗护理方式对有效控制血压的影响。方法将患者分为A组和B组,2组治疗用药相同,采用的医疗护理方式不同。A组80例,采用药物治疗护理、非药物治疗护理、其他治疗护理等3种护理方式。B组72例,采用药物治疗护理、非药物治疗护理2种护理方式。①高血压药物治疗护理:根据药物制剂给药,按时按量用药,根据病情选用药物与用药剂量。②高血压非药物治疗护理:改善食物结构,增加适当的体力活动,有氧锻炼,减轻精神压力,保持心理平衡。③高血压的其他治疗护理:降血脂指导,抗血小板干预,血糖控制,康复按摩,心理辅导。结果 A组收缩压平均降低(34±8)mm Hg(1mm Hg=0.133kPa),B组收缩压平均降低(19±5)mm Hg,比A组低(15±3)mm Hg;A组舒张压平均降低(14.0±2.0)mm Hg,B组舒张压平均降低(9.0±1.0)mm Hg,比A组低(5.0±1.0)mm Hg,治疗效果A组优于B组。高血压患者对护理依从性:年龄大者、文化程度高者、农民的依从性好。结论坚持防治相结合的原则,建立有效的护理干预措施,提高患者依从性,全面拓展护理工作,高血压能够得到有效控制与降低。Objective To find out the impact on treatment of hypertensive inpatients through proper nursing patterns. Methods Patients were divided into two groups： group A and group B, and both were given the same drugs, but different nursing care. In the experiment, 80 patients in group A were given three nursing patterns of drug, non--drug, and other nursing caring, while 72 patients in group B were given two nursing patterns of drug, non--drug therapeutic care. And the first nursing pattern with hypertensive drugs care was that patients were giv- en drugs on time according to the disease, pharmaceutical preparations, the dosage and the amount of medication; the second nursing pattern with non-drug care was trying to improve the patients＇ diet, increase the amount of their physical activity, enhance their aerobic exercise, reduce stress, and maintain their mental balance; the third nursing pattern of hypertensive care was guiding the patients what to do： blood pressure lowering, anti--platelet intervention, glycemic control, rehabilitation, massage and psychological counseling. Results SBP in group A was reduced by an average of （34±8）mm Hg, and SBP in group B was reduced by an average of （19±5）mm Hg. The reduced SBP values in group A was （15±3）mm Hg higher than that in group B. DBP in group A was reduced by an average of （14.0±2.0）mm Hg, while by an average of （9.0±1. 0）mm Fig in group B. The reduced DBP values in group A was （5.0±1.0）mm Hg higher than that in group B, which was inferior to group A in the treatment effect （group A P〈0.01, group B P〈0.05）. In terms of compliance with treatment and nursing of hypertension, better effects were achieved among younger patients than the aged, among those with higher education than with lower education, and among cadres than farmers. Conclusion Hypertension can be effectively prevented and improved, on the basis of adhering to the principle of combining prevention and treatment, ensuring better nursing care and promoting patients＇ c

关 键 词：高血压 住院 护理 患者依从 

分 类 号：R473.5[医药卫生—护理学]