老年高血压患者的护理体会  

Nursing for Elderly Patients With Hypertension

作　　者：魏燕旋[1] 黄桂芝[1] 梁梅冰[1] 吴丽英[1] 郑春霞[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《辽宁医学院学报》2015年第1期85-87,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨优化护理干预对老年高血压患者的治疗效果。方法:选择本院收治的80例原发性老年高血压患者并随机分为观察组(n=40例)和对照组(n=40例)。对对照组患者根据疾病的发展情况进行内科治疗和常规的医学护理,观察组患者在以上治疗与护理的基础上进行系统的积极护理措施。包括用药护理、饮食护理、运动指导、心理护理和随访护理等。在患者出院之后进行3个月的随访。比较观察组和对照组护理前与护理后血压水平、患者服药依从性、对疾病的了解情况、并发症的发生情况以及生活质量。结果观察组患者进行护理后的血压明显降低且血压控制情况明显优于对照组(P<0.01);观察组患者进行护理后的高血压治疗有效率、服药的依从性和对疾病知识的知晓情况显著比对照组高(P<0.01);观察组患者进行护理后的高血压并发症的发生率明显比对照组小(P<0.01)。观察组患者进行护理后的健康感觉、睡眠质量、躯体感觉、认知功能和生活满足感等生活质量评分都明显比对照组患者高(P<0.01)。结论优化护理干预可以使老年高血压患者的血压控制情况明显改善,有助于提高老年血压患者的生活质量。Objective To investigate the treatment effect of active care of elderly patients with hypertension. Methods 80 cases of elderly patients with essential hypertension in this hospital were selected and randomly divided into observation group（ n = 65） and control group（ n = 65）. The patients in the control group were treated with internal medical treatment and routine nursing measures based on the progression of disease,while those in the observation group were treated with systematic active medical care,such as medication care,diet care,exercise guidance,mental care and follow- up care,apart from those basic medical care for the former group.With three- month follow- up after the patients were discharged,the blood pressure,treatment compliance,knowledge of hypertension,incidence of complication,and life quality of both groups before and after nursing were compared. Results After nursing,the blood pressure of the patients in the observation group was lowered,and the blood pressure control was significantly effective compared with that of the control group（ P〈0. 01）,the effective rate,treatment compliance,and knowledge of hypertension of the patients in the observation group after nursing were all significantly better than those of the control group（ P〈0. 01）,the incidence of complication of hypertension of the patients in the observation group after nursing was significantly lower than it of the control group（ P〈0. 01）,the health perception,sleep quality,somatesthesia,cognitive function and life satisfaction of the patients in the observation group,symbols of their life quality,were significantly higher than those of control group（ P〈0. 01）. Conclusions Proactive care can significantly improve the blood pressure control of elderly patients with hypertension and help improve their life quality.

关 键 词：老年高血压患者 护理 生活质量 

分 类 号：R473.5[医药卫生—护理学]