摘要
目的了解北京市朝阳区社区居民高血压患者的家庭护理现状及护理需求，为高血压患者的家庭预防控制及健康管理提供科学依据。方法采用方便抽样法，于2016年3月-2017年8月对北京市朝阳区6个社区的1060例高血压患者进行问卷调查，问卷包括一般资料调查表、家庭自我护理调查表、服药依从性量表、家庭护理需求情况调查表，采用SPSS20．0统计软件对患者的自我护理现状、服药依从性及家庭护理需求进行分析。结果共发放问卷1060份，有效问卷1014份，有效回收率95．66％。社区高血压患者中自测血压者占52．2％，限盐勺的使用率为46．1％；社区高血压患者服药依从性得分中服药时间得分（3．51±0．68）分和服药次数得分（3．52±0．68）分；社区高血压患者对护理模式的需求以社区（55．6％）和医院（51．1％）为主，对生活方式指导需求为药物指导（84．8％）和饮食指导（76．7％）为主。结论社区高血压患者血压的自我管理水平及服药依从性有待提高，患者对社区护理的需求水平较高，对高血压防治及护理的指导应从医院走向社区，以满足患者需求。
Objective To investigate the home care status and nursing needs of community hypertensive in Chaoyang district Beijing city, so as to provide scientific evidences for home preventing control and health management of hypertensive. Methods A total of 1 060 cases of hypertensive from 6 communities in Chaoyang district Beijing city from March 2016 to August 2017 were selected using convenient sampling and surveyed with questionnaires, including general information questionnaire, home self-care questionnaire, medication compliance questionnaire, and home nursing needs questionnaire. SPSS 20.0 software was used to analyze the current self-care situation, medication compliance and home nursing needs of hypertensive. Results Of 1 060 questionnaires, 1 014 questionnaires were retrieved with a rate of 95.66%. Among the community hypertensive, 52.2% of them self-monitored blood pressure, and 46.1% of them used the salt restriction spoon. The scores of medication compliance were low in two respects： medication time （3.51±0.68） and medication frequency （3.52 ± 0.68）. The main demands for nursing model of community hypertensive were community （55.6%） and hospital （51.1%）; while the demands for lifestyle guidance were mainly medication guide （84.8%） and diet guide （76.7%）. Conclusions The self-management level and medication compliance of community hypertensive require the improvement. Patients＇ needs for community nursing is high. The guidance of hypertension preventing and nursing should be promoted from hospital to community, so as to meet patients＇ needs.
作者
王吉英
肖光青
王彦
徐玮玉
闫江楠
Wang Jiying;Xiao Guangqing;Wang Yah;Xu Weiyu;Yan Jiangnan(Department of Nursing,Beijing Chuiyangliu Hospital,Beijing 100022;Coronary Care Unit,Beijing Chuiyangliu Hospital,Beijing 100022;Injection Room,Beijing Chuiyangliu Hospital,Beijing 10002;Intensive Care Unit,Beijing Chuiyangliu Hospital,Beijing 10002)
出处
《中华现代护理杂志》
2018年第19期2319-2323,共5页
Chinese Journal of Modern Nursing
基金
2015年度北京市朝阳区科技计划（CYSF151507）
