摘要
目的观察评价社区综合护理干预对非住院冠心病合并高血压患者的控制效果。方法选择2018年1月至2019年2月期间在南海区里水镇社区卫生服务中心就诊的冠心病合并高血压86例,随机对照试验分为两组;对照组43例患者给予常规治疗及常规基础护理方法,观察组43例患者在对照组的基础上采取社区综合干预,并比较两组的护理干预效果。结果观察组总有效率为97.67%,高于对照组的81.40%(χ^2=6.408 3,P=0.000 0);观察组与对照组DBP较护理前均明显降低(分别t=21.284 7、14.602 4,均P<0.05),且观察组显著低于对照组(t=6.814 6,P<0.05);观察组与对照组SBP较护理干预前均明显降低(分别t=31.104 6、19.076 5,均P<0.05),且观察组显著低于对照组(t=12.5728,P<0.05);观察组患者的相关知识掌握程度均明显高于对照组(均P<0.05)。结论社区综合干预可以明显提高冠心病合并高血压患者的自我护理管理水平,有效改善血压状况,提高患者的遵医嘱及依从性。
Objective To observe and evaluate the effect of community comprehensive nursing intervention for patients with non-hospital coronary heart disease complicated with hypertension.Methods 86 patients with coronary heart disease complicated with hypertension were enrolled in our center from January,2018 to February,2019.The randomized controlled trial (RCT) was used to divided them into a control group and an observation group,43 for each group.The control group was given routine treatment and basic nursing care.The observation group underwent community-based comprehensive intervention on the basis of the control group.The effects of nursing intervention were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(97.67%vs.81.40%,χ^2=6.408 3,P=0.000 0).The DBP of the observation group and the control group were significantly lower after than before the nursing(t=21.284 7 and 14.602 4,both P<0.05);and that in the observation group was significantly lower than that in the control group(t=6.814 6,P<0.05).The SBP of the observation group and the control group were significantly lower after than before the nursing intervention(t=31.104 6 and 19.076 5,both P<0.05);and that in the observation group was significantly lower than that in the control group(t=12.572 8,P<0.05).The relevant knowledge of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Community comprehensive intervention can significantly improve the self-care management level of patients with coronary heart disease and hypertension and effectively improve their blood pressure and compliance.
作者
吴燕清
利艳红
彭小梅
官计彬
Wu Yanqing;Li Yanhong;Peng Xiaomei;Guan Jibin(Lishui Community Health Service Center,Nanhai Hospital,Southern Medical University,Foshan 528244,China)
出处
《国际医药卫生导报》
2019年第19期3329-3332,共4页
International Medicine and Health Guidance News
关键词
冠心病合并高血压
社区综合干预
控制效果
Coronary heart disease complicated with hypertension
Community comprehensive intervention
Control effect
作者简介
通信作者:吴燕清,Email:2700875365@qq.com。
