延续护理对高血压患者血压、血脂的影响  

The effect of continuous nursing on blood pressure and blood lipid in hypertension patients

作　　者：热孜万古丽·艾合买提[1] 郭英[1] 杨琴 吴巧云[2] 

机构地区：[1]新疆医科大学第六附属医院内分泌科,乌鲁木齐830011 [2]新疆医科大学第六附属医院护理部,乌鲁木齐830011

出　　处：《国际护理学杂志》2018年第1期18-21,共4页international journal of nursing

基　　金：新疆医科大学第六附属医院护理基金（LYF2016016）

摘　　要：目的探讨延续护理对原发性高血压患者血压及血脂的影响。方法选取2015年2月～2016年2月在新疆医科大第六附属医院内分泌科反复住院的已确诊的高血压患者300例，在知情同意情况下随机分为干预组和对照组各150例。干预组患者出院后护士定期进行电话回访，回访内容为遵医嘱用药、饮食习惯、运动方式、高血压知识宣传及心理辅导，前6个月每周1次，后6个月每2周1次，回访时间为12个月，并建立高血压患者护理随访记录档案，对照组不实施干预。两组均在1年后住院时记录血压及血脂等指标。结果①干预组出院前比较，入院后甘油三酯（TG）显著下降，高密度脂蛋白（HDL-C）显著增高（P〈0．01），低密度脂蛋白（LDL-C）下降不显著，总胆固醇（TC）下降显著（P〈0．001），血压值（收缩压和舒张压）下降不显著，但差异均有统计学意义（均P〈0．05）。②对照组出院前比较，入院后HDL-C下降不显著，但差异有统计学意义（P〈0．05）；TC、TG和血压值（收缩压和舒张压）均显著增高（P〈0．001），LDL-C下降，但差异无统计学意义（P〉0．05）。③与对照组比较，干预组TC、TG及血压值（收缩压和舒张压）均显著下降（P〈0．01～0．001），HDL-C明显增高（P〈0．05），LDL-C变化差异无统计学意义（P〉0．05）。结论延续护理教育能增强高血压患者对高血压的认识程度，并通过生活、运动、饮食及心理等方面干预血压和血脂等危险因素，从而有效控制疾病的复发，减轻患者的经济负担，值得进一步推广。Objective To explore the effect of continuous nursing on blood pressure and blood lipid in patients with primary hypertension. Methods A total of 300 patients with confirmed hypertension were selected from the endo- crinology department of the Sixth Affiliated Hospital of Xinjiang Medical University from February 2015 to February 2016. The patients were randomly divided into the intervention group and the control group, 150 patients of each group. After discharge of the intervention group, the nurse made regular phone calls. The content of the return visit was to follow the doctor＇s advice on medication, diet, exercise, knowledge of high blood pressure and psychological counseling. The first six months were once a week and the last six months were once every two weeks. The return visit were 12 months. The nursing follow-up record of hypertension patients was established. The control group did not inter- vened. Both groups recorded blood pressure and blood lipid before discharge, the triglyceride （TG） in the intervention levels after 1 year in hospital. Results ①Compared with group decreased significantly after admission, and HDL-C increased significantly （P〈0. 01 ）. The decrease of LDL-C in the intervention group was not significant, the total cho- lesterol （TC） decreased significantly （P〈0. 001 ）, and the decrease of blood pressure （systolic and diastolic blood pressure） was not significant, and the differences were statistically significant （P〈0. 05） . ②Compared with the con- trol group, the decrease of HDL-C after admission was not significant, but the difference was statistically significant （P〈0. 05 ）. TC, TG and blood pressure values （systolic and diastolic pressure） were significantly higher （P〈0. 001 ）. LDL-C decreased, but the difference was not statistically significant （P〉0. 05 ）. ③Compared with the control group, the TC, TG and blood pressure values （systolic and diastolic blood pressure） decreased significantly in the intervention group

关 键 词：延续护理 高血压 高脂血症 

分 类 号：R473.5[医药卫生—护理学]