强化性护理对老年高血压合并脑梗死患者的疾病认知及健康行为的影响  

Nursing intervention on healthy behavior of elderly patients with hypertension complicated with cerebral infarction

作　　者：占美荣[1] 郑蔚[1] ZHAN Meirong;ZHENG Wei(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450003

出　　处：《中国实用神经疾病杂志》2019年第24期2759-2764,共6页Chinese Journal of Practical Nervous Diseases

基　　金：2015年度河南省卫生厅科技攻关项目(编号:201503101)。

摘　　要：目的探讨强化性综合护理干预对老年高血压合并脑梗死患者健康行为及预后的影响。方法回顾性分析郑州大学第二附属医院76例老年高血压合并脑梗死患者的临床资料及护理情况,其中36例患者采取常规治疗及护理干预,简称常规护理组,40例患者采取强化性综合护理干预措施,简称强化护理组。强化护理组措施主要包括全面评估病情,及时处理高血压的相关危险因素,以及强化规范降压药物的使用、心理护理干预、早期康复训练、健康宣教等。干预后采用脑卒中健康知识问卷(stroke knowledge questionnaire,SKQ)评估2组患者对脑卒中预防知识的了解情况,采用健康促进生活方式量表Ⅱ(HPLPⅡ)对2组患者的健康行为进行评定,并对血压控制率进行对比分析。结果干预后2组患者情况比较,强化护理组SKQ总得分明显高于常规护理组,差异有统计学意义(P<0.05);强化护理组健康行为得分明显高于护理组,差异均有统计学意义(P<0.05);强化护理组血压控制率高于常规护理组,差异有统计学意义(P<0.05)。结论强化性综合护理干预可使老年高血压合并脑梗死患者更好地掌握脑卒中的预防知识,改变其健康行为,提高血压控制率,达到提高生活质量及预后效果。Objective To investigate the effect of intensive comprehensive nursing intervention on the health behavior and prognosis of elderly patients with hypertension complicated with cerebral infarction.Methods The clinical data and nursing status of 76 elderly patients with hypertension complicated with cerebral infarction were retrospectively analyzed.Among them,36 elderly patients with hypertension and cerebral infarction were treated with routine treatment and nursing intervention.40 elderly patients with hypertension and cerebral infarction were enrolled in intensive comprehensive nursing interventions,which were set as the experimental group,including comprehensive assessment of the condition,timely treatment of relevant risk factors for hypertension,and strengthening of the standard Use of drugs,psychological care interventions,early rehabilitation training,health education,etc.After the intervention,the stroke health knowledge questionnaire(SKQ)was used to evaluate the knowledge of stroke prevention knowledge in the two groups.The health promotion behavior scaleⅡ(HPLPⅡ)was used to evaluate the health behavior of the two groups.The blood pressure control rate was compared and analyzed.Results Before the intervention,there was no significant difference in the mastery of health knowledge between the two groups(P>0.05).The SKQ of the experimental group was significantly higher than that of the control group after intervention(P<0.05).There was no significant difference in the scores of healthy behavior between the two groups before intervention(P>0.05).After the intervention,the children in the HPLPII scale of the experimental group(exercise exercise,self-realization,health responsibility,stress management,nutrition,interpersonal relationship).The total scores were higher than the control group,and the differences were statistically significant(P<0.05).The blood pressure control rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Concl

关 键 词：脑卒中 高血压 强化性干预 健康行为 血压控制率 预后 

分 类 号：R473.74[医药卫生—护理学]