护理干预对社区老年高血压病人药物治疗依从性的影响(1)
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【摘要】目的:探讨护理干预在社区老年高血压病人药物治疗依从性中的护理效果，总结护理经验，提高临床治疗效果。方法：96例本社区老年高血压患者随机分成观察组(48例)和对照组(48例)，对照组采用传统的护理方法，观察组采用综合护理干预措施，比较二者的护理效果。结果:观察组护理效果明显好于对照组，差异有统计学意义(P<0.05)。结论：护理干预可以改善老年患者不良的生活方式、消除不利的心理状态、增强社会支持度，还有利于提高患者治疗的依从性，使患者的血压得到良好控制，降低心血管疾病的发生率和发病率，值得临床推广应用。
【关键词】护理干预;社区;老年高血压
Nursing intervenes to the community old age hypertension patient pharmacological treatment compliance influence
ZHENG Yong-li (The First People's Hospital of Longquanyi District, Chengdu 610100)
[Abstract] Objective: To investigate the nursing intervention in community drug treatment in elderly hypertensive patients in the care compliance effect, summarize nursing experience, improve clinical outcomes. Methods: 96 cases of elderly patients with hypertension in this community were randomly divided into observation group (48 cases) and control group (48 cases), the control group using traditional methods of care, integrated care and observation group interventions, more care of both effects. Results: The care obviously better than the control group, the difference was statistically significant (P <0.05). Conclusion: Nursing intervention can improve the lifestyle of poor elderly patients, elimination of negative psychological state, enhance social support, but also help improve patient adherence to treatment, the patient's blood pressure is well controlled, reducing the incidence of cardiovascular disease and incidence, is worthy of clinical application.
[Key words] nursing intervention; community; hypertensive
高血压病是老年人最常见的心血管疾病一，随着人均寿命的延长，老年人日益增多，老年高血压患者也相继增多，经人群调查，我国65岁以上老年人群高血压病的患病率达57%，80岁以上老年人群，高血压的患病率达65.6%。发病率高，控制率低，并发症重，致残致死率高，严重地威胁着人类的健康。长期合理地药物治疗是目前较理想的治疗方式，但许多老年人由于各种因素造成药物治疗的依从性差，是高血压得不到有效控制的重要原因之一。为了提高我社区老年高血压患者药物治疗的依从性，2009年1月至2010年1月，对社区管辖的老年高血压患者采取综合性的护理干预，取得了较好地效果，现汇报如下：
1 临床资料
1.1 一般资料 选择2009年1月～2010年1月在我院建立健康档案且被确诊为原发性高血压的老年患者96例作为观察对象。其中男64例，女32例，年龄65～79岁，平均71 ......
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