临床健康教育路径对高血压肾病患者遵医行为、血压水平及肾功能的影响  

Effect of Clinical Health Education Pathway on Compliance Behavior,Blood Pressure Level and Renal Function in Patients with Hypertensive Renal Disease

作　　者：戴慧芳 DAI Huifang(Yingtan City People's Hospital,Jiangxi Province,Yingtan 335000,China)

机构地区：[1]江西省鹰潭市人民医院,江西鹰潭335000

出　　处：《中国医学创新》2023年第22期108-111,共4页Medical Innovation of China

摘　　要：目的:探讨高血压肾病患者采用临床健康教育路径干预对遵医行为、血压水平及肾功能的影响。方法:选取2020年1月—2022年3月鹰潭市人民医院收治的高血压肾病患者88例,根据随机数字表法分成干预组(n=44)和对照组(n=44)。对照组给予常规健康教育,干预组给予临床健康教育路径干预。比较两组遵医行为、血压水平及肾功能。结果:干预组规律服药、合理饮食、合理运动、自我监测、戒烟戒酒占比均较对照组更高(P<0.05);两组干预后收缩压(SBP)、舒张压(DBP)水平均降低,干预组均较对照组更低(P<0.05);两组干预后胱抑素C(Cys C)、血尿素氮(BUN)、血肌酐(Scr)水平均降低,24 h尿蛋白定量均减少,干预组Cys C、BUN、Scr水平较对照组均更低,24 h尿蛋白定量更少(P<0.05)。结论:高血压肾病患者采用临床健康教育路径干预,能够改善患者遵医行为,降低血压水平,改善肾功能。Objective:To explore the effect of clinical health education pathway on compliance behavior,blood pressure level and renal function in patients with hypertensive renal disease.Method:A total of 88 patients with hypertensive renal disease admitted to Yingtan City People's Hospital from January 2020 to March 2022 were selected and divided into intervention group(n=44)and control group(n=44)according to random number table method.The control group was given routine health education and the intervention group was given clinical health education pathway intervention.Compliance behavior,blood pressure level and renal function were compared between the two groups.Result:The proportions of regular medication,reasonable diet,reasonable exercise,selftesting,quit smoking and drinking in the intervention group were higher than those in the control group(P<0.05).The levels of systolic blood pressure(SBP)and diastolic blood pressure(DBP)in both groups were decreased after intervention,and those in the intervention group were lower than those in the control group(P<0.05).After intervention,the levels of cystatin C(Cys C),blood urea nitrogen(BUN),serum creatinine(Scr)and 24 h urine protein quantitation were decreased in both groups,the levels of Cys C,BUN and Scr in the intervention group were lower than those in the control group,and the 24 h urine protein quantitation in the intervention group was less than that in the control group(P<0.05).Conclusion:Clinical health education pathway intervention in patients with hypertensive renal disease can improve compliance behavior,blood pressure level and improve renal function.

关 键 词：临床健康教育路径 高血压肾病 遵医行为 血压 肾功能 

分 类 号：R473.5[医药卫生—护理学]