本刊首页 > 期刊目次 > 系统护理干预对高血压伴动脉粥样硬化患者适应状况及自我管理水平的影响

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系统护理干预对高血压伴动脉粥样硬化患者适应状况及自我管理水平的影响

  • 范艳梅, 马海霞 , 武芬,王轩 ,吴旭娟

* 通信作者: 范艳梅, 单位:西安交通大学第二附属医院门诊部

摘要

摘要
目的:探讨系统护理干预对高血压伴动脉粥样硬化(AS)患者适应状况与自我管理能力的影响。

方法:将132例高血压伴AS患者随机分为对照组与观察组各66例。对照组实施常规护理干预,观察组实施系统护理干预。比较两组血压控制效果,干预前、干预6个月后测定血压(SBP、DBP)、AS参数、自我管理行为测评工具(HP-SMBRS)评分、疾病心理社会适应问卷(PAIS-SR)评分。

结果:观察组的血压控制合格率为84.85%,显著高于对照组的69.70%(P<0.05);干预后,观察组的SBP、DBP、AS斑块面积、IMT、L-baPWV、R-baPWV和PAIS-SR评分均显著低于对照组(P<0.05),HP-SMBRS评分均显著高于对照组(P<0.05)。

结论:系统护理干预有利于增强高血压伴AS患者的自我管理能力与社会心理适应能力,从而延缓AS进程和提高血压控制效果。

关键词:关键词 高血压;动脉粥样硬化;系统护理干预;适应状况;自我管理

ABSTRACT

Abstract
Objective: To investigate the effect of systematic nursing intervention on psychosocial adaptability and self-management level of patients with hypertension and atherosclerosis (AS).

Methods: 132 patients with hypertension and AS were randomly divided into control group and observation group,each with 66 cases. The control group received conventional nursing intervention, the observation group received systematic nursing intervention.The qualified rate of blood pressure control between the two groups were compared,the blood pressure (SBP, DBP), AS parameters and scores of HP-SMBRS, PAIS-SR were measured before and after 6 months of intervention.

Results The qualified rate of blood pressure control in the observation group was 84.85%, significantly higher than 69.70% in the control group (P<0.05);After intervention,the levels of SBP, DBP, AS plaque, IMT, L-baPWV, R-baPWV and scores of PAIS-SR in the observation group were significantly lower than those in the control group (P<0.05), the HP-SMBRS scores were significantly higher (P<0.05).

Conclusion   Systematic nursing intervention is helpful to enhance the self-management ability and social psychological adaptability of patients with hypertension and AS, so as to delay the process of AS and improve the blood pressure control effect.

Key words: 【Key words】 Hypertension; Atherosclerosis; Systematic nursing intervention; Adaptability; Self-management

引用本文 / How to Cite This Article

范艳梅, 马海霞 , 武芬,王轩 ,吴旭娟. 系统护理干预对高血压伴动脉粥样硬化患者适应状况及自我管理水平的影响[J]. 国际精神病学杂志, 2018, 35(1): 134-137

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