家庭干预对老年高血压合并记忆功能障碍患者的改善效果研究  

Improvement effect research of family intervention in elderly hypertensive patients with memory dysfunction

作　　者：蔡淑兰 陈长香 王荣菊 钱庆增 曹向可 

机构地区：[1]华北理工大学附属医院,河北唐山063000 [2]华北理工大学护理与康复学院,河北唐山063000 [3]华北理工大学公共卫生学院,河北唐山063000 [4]华北理工大学生命科学学院,河北唐山063000

出　　处：《华北理工大学学报（医学版）》2017年第6期491-495,461,共6页Journal of North China University of Science and Technology：Health Sciences Edition

基　　金：河北省科技厅重点课题(编号:162777228)

摘　　要：(1)目的探讨家庭干预对老年高血压合并记忆功能障碍患者的改善效果。(2)方法选取本院诊治的老年高血压合并记忆功能障碍患者94例,采用随机数字表法分为两组,对照组患者47例实施常规护理,观察组患者47例实施家庭干预,于护理前后行血压水平检测、记忆功能评定。(3)结果护理后,两组患者舒张压、收缩压、脉压差降低,记忆功能评分(立即回忆故事、立即回忆路线、立即回忆信件、面部再认、信件延迟回忆、故事延迟回忆、路线延迟回忆、回忆预约、回忆姓名)增加。观察组患者舒张压(82.5±1.9)mmHg、收缩压(113.6±11.4)mmHg、脉压差(31.1±3.1)mmHg低于对照组(89.0±2.7)mmHg、(131.5±10.1)mmHg、(42.5±3.6)mmHg。观察组患者记忆功能评分[立即回忆故事(5.3±0.6)分、立即回忆路线(10.8±0.9)分、立即回忆信件(2.8±0.2)分、面部再认(4.9±0.1)分、信件延迟回忆(2.8±0.2)分、故事延迟回忆(4.5±0.7)分、路线延迟回忆(11.3±0.6)分、回忆预约(1.7±0.2)分、回忆姓名(3.6±0.4)分)]高于对照组[(4.7±0.8)分、(9.7±1.1)分、(2.6±0.3)分、(4.4±0.3)分、(2.5±0.1)分、(3.9±0.6)分、(10.1±0.7)分、(1.3±0.3)分、(3.2±0.3)分]。差异有统计学意义(P<0.05)。(4)结论家庭干预可改善老年高血压合并记忆功能障碍患者的记忆功能,有助于控制血压水平。Objective To investigate improvement effect of family intervention in elderly hypertensive patients with memory dysfunction.Methods 94 elderly hypertensive patients with memory dysfunction were selected in hospital,who were divided into two groups by random number table method.47 patients received routine nursing as control group.47 patients received family intervention as observation group.Blood pressure and memory function evaluated before and after nursing.Results After nursing,diastolic blood pressure,systolic blood pressure,pulse pressure decreased in two groups.Memory function score（immediate recall story,immediate recall route,immediate recall letter,facial recognition,delayed recall letter,delayed recall story,delayed recall route,recall appointment,recall name）increased in two groups.Diastolic blood pressure（82.5±1.9）mmHg,systolic blood pressure（113.6±11.4）mmHg,pulse pressure（31.1±3.1）mmHg in observation group were lower than control group（89.0±2.7）mmHg,（131.5±10.1）mmHg,（42.5±3.6）mmHg.Memory function score[immediate recall story（5.3±0.6）points,immediate recall route（10.8±0.9）points,immediate recall letter（2.8±0.2）points,facial recognition（4.9±0.1）points,delayed recall letter（2.8±0.2）points,delayed recall story（4.5±0.7）points,delayed recall route（11.3±0.6）points,recall appointment（1.7±0.2）points,recall name（3.6±0.4）points]in observation group were higher than control group[（4.7±0.8）points,（9.7±1.1）points,（2.6±0.3）points,（4.4±0.3）points,（2.5±0.1）points,（3.9±0.6）points,（10.1±0.7）points,（1.3±0.3）points,（3.2±0.3）points].The difference was statistically significant（P 0.05）.Conclusion Family intervention can improve the memory function in elderly hypertensive patients with memory dysfunction,which is helpful to control blood pressure.

关 键 词：家庭干预 老年 高血压 记忆功能障碍 

分 类 号：R544.1[医药卫生—心血管疾病]