行动研究分析法对高血压患者再发脑出血的预防作用及对其适应状况的影响  

Effect of action research analysis on preventive effect of recurrent cerebral hemorrhage in hypertensive patients and its adaptation

作　　者：曹红 张相彤[1] CAO Hong;ZHANG Xiangtong(Department of Emergency Surgery,the First Affiliated Hospital of Harbin Medical University,Heilongjiang Province,Harbin150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院急诊外科,黑龙江哈尔滨150001

出　　处：《中国医药导报》2020年第35期156-159,180,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81041082)。

摘　　要：目的探究与分析行动研究分析法对高血压患者再发脑出血的预防作用及对其适应状况的影响。方法选取2018年1月—2020年1月哈尔滨医科大学附属第一医院收治的高血压合并脑出血患者80例,采取随机数字表法分为对照组与观察组,各40例。对照组给予常规干预,观察组在对照组基础上加用行动研究分析法,比较两组患者的行为改变、再发脑出血的发生风险系数以及适应状况。结果干预后,两组过咸或高脂饮食、吸烟、过量饮酒、缺乏锻炼、生活压力过大、无法坚持规律用药、无法定期监测血压患者所占比例低于干预前,且观察组上述指标均低于对照组,差异有统计学意义(P<0.05)。干预后两组饮食、用药、运动、排便及其他的发生风险系数均低于干预前,且观察组上述指标低于对照组,差异有统计学意义(P<0.05)。干预后两组情感职能、社会功能、生理功能、精神健康及总体健康评分均高于干预前,且观察组上述指标评分均高于对照组,差异有统计学意义(P<0.05)。结论行动研究分析法的应用能够有效地改变高血压患者再发脑出血的日常行为,降低再发脑出血的发生风险,同时提高了患者的适应状况。Objective To explore and analyze the preventive effect of action research analysis on recurrent cerebral hemorrhage in hypertensive patients and its impact on their adaptation.Methods From January 2018 to January 2020,80 cases of patients who had the hypertension with recurrent cerebral hemorrhage were treated in the First Affiliated Hospital of Harbin Medical University were selected.All the patients were taken a random number table method divided into control group and observation group,with 40 cases in each group.Control group was given the conventional intervention,on the basic of the control group,observation group was given the action research analysis.The behavior change,risk factor and adaptation status of recurrent cerebral hemorrhage were compared between the two groups.Results The proportion of patients who had a salty or high-fat diet,smoking,excessive drinking,lack of exercise,excessive stress in life,inability to adhere to regular medication,and unable to regularly monitor blood pressure in the two groups after intervention were lower than those before intervention,and the above indexes after the intervention in the observation group were lower than those in the control group after intervention,the differences had a statistically significant(P<0.05).The risk coefficients of diet,medication,exercise,defecation and other occurrences in the two groups after intervention were lower than those before intervention,and the above indexes after the intervention in the observation group were lower than those in the control group after intervention,the differences had a statistically significant(P<0.05).The emotional function,social function,physiological function,mental health and overall health scores in the two groups after intervention were higher than those before intervention,and the above-mentioned index scores in the observation group after intervention were higher than those in the control group after intervention,the differences had a statistically significant(P<0.05).Conclusion The application of ac

关 键 词：行动研究分析法 高血压 再发脑出血 预防作用 适应状况 

分 类 号：R473.6[医药卫生—护理学]