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社区联动延续护理对原发性高血压患者遵医行为的影响 被引量:27

Effect of community-based post-discharge continuing care on medical compliance behavior in primary hypertensive patients
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摘要 目的探讨社区联动延续护理对提高原发性高血压患者疾病知识、服药依从性及健康行为的影响。方法于2016年8月—2017年4月,选取上海市虹口区江湾医院收治的120例原发性高血压患者作为研究对象,采用随机数字表法分为对照组和观察组各60例。对照组予以常规护理,观察组在对照组基础上实施社区联动延续护理,分别在患者就诊时及诊疗后1、3、6个月进行高血压防治相关知识、服药依从性及健康行为的调查。结果干预6个月后,观察组患者高血压防治知识掌握度、服药依从性及健康行为评分高于对照组(P <0. 05),收缩压、舒张压低于对照组(P <0. 05)。结论社区联动延续护理能提高原发性高血压患者高血压防治知识和服药依从性,促进健康行为,提高降压治疗效果,值得临床推广。 Objective To explore the effect of community-based post-discharge continuing care on medical compliance and health behaviors in primary hypertensive patients. Methods A total of 120 patients with primary hypertension in Jiangwan Hospital of Hongkou District,Shanghai were selected from August 2016 to April 2017. They were randomly and equally divided into the control group( routine nursing) and the observation group( community-based continuing care based on the routine nursing). The knowledge levels of hypertension prevention,medical compliance and health behaviors were investigated on admission and 1,3,6 months after treatment. Results The observation group had better knowledge levels of hypertension prevention,medical compliance and health behaviors than the control group( P < 0. 05),with lower blood pressure( P <0. 05). Conclusion The community-based post-discharge continuing care can improve the knowledge levels of hypertension prevention,medical compliance and health behaviors in primary hypertension patients.
作者 项丽敏 赵瑾 龚永丽 王玲 史晓岚 李爱萍 王亚光 XIANG Limin;ZHAO Jin;GONG Yongli;WANG Ling;SHI Xiaolan;LI Aiping;WANG Yaguang(Jiangwan Hospital of Hongkou District,Shanghai 200434,China)
出处 《上海护理》 2018年第12期34-37,共4页 Shanghai Nursing
基金 上海市虹口区卫生和计划生育委员会基金项目(虹卫1602-09)
关键词 原发性高血压 社区联动 护理 服药依从性 健康行为 Primary hypertension Community-based Nursing Medical compliance Health behavior
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