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护理干预措施对改善老年性高血压患者血压控制情况的影响观察

  • 王璞,刘会玲,秦娅丽,王红,郝永红

* 通信作者: 郝永红, 单位:西安医学院第二附属医院心内科暨陕西省心血管内科疾病临床医学研究分中心

摘要

摘要
目的 探讨护理干预措施对于老年性高血压患者血压控制状况的改善效果。

方法 选取老年性高血压患者122例,随机分为研究组与对照组,每组61例。两组均予以常规药物治疗,研究组实施综合护理干预,对照组仅实施常规护理。比较两组干预前后临床疗效、血压水平变化、情绪状态及自我管理能力。

结果 研究组的药物治疗总有效率为95.08%,显著高于对照组的80.33%(P<0.05);干预后研究组的血压水平(SBP、DBP)及负性情绪评分(SAS、SDS)均显著低于干预前及对照组(P<0.05);干预后研究组的自我管理能力总分为(87.93±10.11)分,显著高于对照组的(60.33±8.71)分(P<0.05);研究组的并发症发生率为6.56%,显著低于对照组的19.67%(P<0.05)。

结论 护理干预措施能够改善老年性高血压患者的负性情绪及自我管理能力,提高血压控制效果并减少相关并发症发生。

关键词:关键词 高血压;老年;护理干预;负性情绪;自我管理能力

ABSTRACT

Abstract
Objective To investigate the effect of nursing intervention on the facilitate blood pressure control in elderly hypertension.

Methods A total of 122 cases elderly hypertension patients were collected and randomly divided into research group and control group,61 cases in each group. Both groups were treated with routine medicine, the research group implemented comprehensive nursing intervention, the control group implemented routine nursing only.The clinical efficacy,improvement of blood pressure, emotional state and self-management ability at before and after nursing between the two groups were compared.

Results The total effective rate of drug therapy was 95.08% in research group, significantly higher than 80.33% in the control group (P<0.05); After the intervention,the levels of blood pressure (SBP,DBP) and scores of negative emotions (SAS,SDS) in research group were significantly lower than these in the control group (P<0.05);After intervention,the self-management ability in research group maintained (87.93 ± 10.11) score, significantly higher than (60.33±8.71) score in the control group (P<0.05);The incidence of complications in the research group was 6.56%, significantly lower than 19.67% in the control group (P<0.05).

Conclusion   Nursing interventions can improve the negative emotions and self-management ability in elderly hypertension patients, improve the control effect of blood pressure and reduce the related complications.

Key words: Key words Hypertension; Elderly; Nursing interventions; Negative emotions; Self-management ability

引用本文 / How to Cite This Article

王璞,刘会玲,秦娅丽,王红,郝永红.护理干预措施对改善老年性高血压患者血压控制情况的影响观察[J]. 国际精神病学杂志, 2017, 34(6): 956-958

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