护士主导护理模式在原发性高血压患者治疗中的应用价值  

The applying of nurse-led model of care in the essential hypertension patients

作　　者：马丽[1] 熊顺华[2] MA Li XIONG Shun-hua(First Affiliated Hospital of Harbin Medical University Clinic, Harbin 150001, China)

机构地区：[1]哈尔滨医科大学附属第一临床医学院门诊部,黑龙江省哈尔滨市150001 [2]湖北医药学院生理学教研室

出　　处：《中国心血管病研究》2016年第9期854-857,共4页Chinese Journal of Cardiovascular Research

基　　金：2012年度湖北省教育厅课题（项目编号：B20122419）

摘　　要：目的 探讨护士主导护理模式在原发性高血压患者治疗中的应用方法及效果.方法 2012年2月到2015年6月选择在我院诊治的原发性高血压患者160例,采取随机数字表法进行分配,将全部患者分成2组,即对照组和治疗组,每组患者均为80例,医治时间为28 d.将常规护理应用到对照组患者的治疗过程中,治疗组采用护士主导护理模式进行护理.结果 经过干预,治疗有效率对照组和治疗组分别为90.0％和98.8％,两组相比差异有统计学意义（P＜0.05）,治疗组疗效更好.两组干预后的收缩压和舒张压都明显下降,与干预前对比差异明显（P＜0.05）,并且治疗组比对照组下降更明显（P＜0.05）.干预期间治疗组的监测血压、控制体重、规律运动与行为转变评分都明显高于对照组（P＜0.05）.出院时经过调查,治疗组对于护理服务、护理技术、护理效果与护理形式的满意度为100.0％、100.0％、98.8％和97.5％,而对照组分别为90.0％ 、90.0％、88.8％和88.8％,组间对比差异均具有统计学意义（P＜0.05）.结论 护士主导护理模式用于原发性高血压患者的治疗能有效降低血压,促进预后的改善,从而能有效转变患者的行为状况,改善护患关系,有很好的应用价值.Objective To investigate the applying methods and effects of nurse-led model of care in the essential hypertension patients. Methods From February 2012 to June 2015, 160 patients with essential hypertension in our hospital were selected and were equally divided into the treatment group and control group according to the random number table, all patients were treated with conventional therapy, the treatment observation period were 28 days, the control group were received rouline care dnring treatment, the treatment group were received nurse-led model of care nursing. Results The response rates in the treatment group and control group were 98.8% and 90.0% respectively, and treatment group was significantly higher （P〈0.05）. The systolic and diastolic blood pressure in the two groups after the intervention were significantly decreased and compared before intervention were significantly different（P〈0.05 ）, while systolic and diastolic blood pressure after intervention in the treatment group were significantly lower than the control group（P〈0.05）. The monitoring blood pressure, eight control, regular exercise and behavior change scores in the treatment group during the intervention were significantly higher （P〈0.05）. The investigation after discharge showed that the satisfaction with the care, nursing skills, nursing care, benefits form in the treatment group were 100.0%, 100.0%, 98.8% and 97.5%, while the control group were 90.0%, 90.0%, 88.8% and 88.8% and compared between the two groups there were statistically significant difference（P〈0.05）. Conclusion The nurse-led models of care in patients with essential hypertension application can effectively lower blood pressure, promote the improvement of the prognosis, which can effectively change the behavior of the patient＇s condition and improve nurse-patient relationship.

关 键 词：护士主导护理模式 原发性高血压 依从性 满意度 

分 类 号：R544.1[医药卫生—心血管疾病]