摘要
目的:探讨医院与社区护理有效衔接对难治性高血压病患者预后的影响。方法:选取2011年6月~2014年10月156例难治性高血压病患者,并随机等分为一体组和常规组。一体组脱落8例,共70例有效病例入组,予以医院社区一体化随访护理方案;常规组脱落6例,共72例有效病例入组,予以常规护理干预措施。观察两组患者2年内血压控制效果、服药依从性及不良生活习惯(饮食不节、每日运动时间<2 h、熬夜、吸烟、酗酒)纠正情况。结果:末次随访时,一体组舒张压、收缩压水平较出院时无明显变化(P>0.05),常规组各血压检测结果则较出院时明显升高,差异有统计学意义(P<0.05)。一体组血压控制良好率、服药依从性均明显高于常规组,差异有统计学意义(P<0.05);饮食不节、每日运动时间不足2 h、熬夜、吸烟、酗酒等不良生活习惯发生率低于常规组,差异有统计学意义(P<0.05)。结论:医院社区一体化延续护理方案用于难治性高血压患者的院外护理干预,可纠正其不良生活习惯,提高服药依从性,改善血压控制效果。
Objective：To discuss the influence of effective linking of hospital and community nursing on the prognosis of patients with refractory hypertension. Methods ：Selected 156 patients with refractory hypertension from June 2011 to October 2014, and they were divided into integrated group and conventional group. There were 8 patients excluded in the integrated group, and 70 patients were selected, who were given the hospital - community integrated follow - up visit nursing; there were 6 patients excluded in the conventional group and 72 patients were selected, who were given conventional nursing interference measures. The blood pressure control effect, medicine compliance and bad life habit （ irregular diet, exercise time everyday less than 2 h, stay - up, smoking and alcohol abuse） correction of the patients in the two groups within 2 years were observed. Results：At the time of the final follow - up visit, there was no significant change in the diastolic pressure and systolic pressure of patients in the integrated group compared with those at the time of discharge （ P 〉 0.05 ）, the blood pressure detection result in the conventional group was significantly higher than that at the time of discharge （ P 〈 0.05 ）. The good blood pressure control rate and medicine compliance of the integrated group were significantly higher than those of the conventional group, and the difference was statistically significant （P 〈0.05）. Irregular diet, exercise time less than 2 h everyday, stay - up, smoking, alcohol abuse and other bad life habits in the integrated group were lower than those of the conventional group, and the difference was statistically significant （P 〈 0.05 ）. Conclusion：The application of hospital - community integrated continuing nursing in the out - hospital nursing interference of the patients with refractory hypertension could correct their bad life habit, improve medicine compliance and improve the blood pressure control effect.
作者
蔡世英
CAI Shi -ying(The Sixth People＇s Hospital of Longgang District,Shenzhen 518117)
出处
《护理实践与研究》
2017年第4期144-146,共3页
Nursing Practice and Research
关键词
医院社区一体化
延续护理
高血压
预后
Hospital - community integrated
Continuing nursing
Hypertension
Prognosis
