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(CHDEH)患者的控制效果。方法选择2017年8月至2019年1月于东莞市厚街镇社区卫生服务中心及广东医学院附属厚街医院内科就诊的CHDEH患者138例,按照随机数字表法分为对照组与观察组,各69例。对照组给予常规治疗及常规基础护理;观察组在对照组基础上采取社区综合干预;比较两组护理干预效果。结果观察组总有效率高于对照组(98.55%比72.46%,χ^2=18.946,P<0.05)。治疗前,两组DBP差异无统计学意义(t=0.514,P>0.05);治疗后,观察组与对照组DBP较治疗前均明显降低(t=20.174、14.591,均P<0.05),且观察组显著低于对照组(t=6.753,P<0.05)。治疗前,两组SBP差异无统计学意义(t=0.499,P>0.05);治疗后,观察组与对照组SBP较治疗前均明显降低(t=31.094、20.186,均P<0.05),且观察组显著低于对照组(t=11.462,P<0.05);观察组经护理干预后各项相关控制知识掌握程度均显著高于对照组(均P<0.05)。结论社区综合干预可以明显提高CHDEH患者自我护理管理水平,有效改善其血压状况,提高患者遵医嘱及依从性,值得在社区大力推广应用。
Objective To observe and evaluate the effect of community comprehensive nursing intervention for non-hospital coronary heart disease complicated with hypertension(CHDEH).Methods A total of 138 cases of coronary heart disease complicated with hypertension(CHDEH)were collected from Community Health Service Center of Houjie Town and Houjie Hospital from August,2017 to January,2019,and were divided into a control group and an observation group,69 cases for each group.The control group were given conventional treatment and routine basic nursing;the observation group were treated with community comprehensive intervention on the basis of the control group.The nursing intervention effects were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(98.55%vs.72.46%;χ^2=18.946,P<0.05).There were no statistical differences in DBP and SBP between the two groups before the treatment(t=0.514 and 0.499,both P>0.05);after the treatment,the DBP and the SBP were lower than those before the treatment in the observation group and the control group(t=20.174 and 14.591;t=31.094 and 20.186;all P<0.05),and were lower in the observation group than in the control group(t=6.753 and 11.462;both P<0.05).The observation group command the relevant control knowledge better than the control group after the intervention(P<0.05).Conclusion Community comprehensive intervention can significantly improve the self-care management level of patients with CHDEH,and effectively improve their blood pressure and compliance,so it is worthy of promotion in community.
作者
吴淑君
陆琳
陈翠琴
许有凡
Wu Shujun;Lu Lin;Chen Cuiqin;Xu Youfan(Community Health Service Center of Houjie Town,Dongguan 523960,China;Department of Internal Medicine,Houjie Hospital,Guangdong Medical College,Dongguan 523960,China)
出处
《国际医药卫生导报》
2019年第23期3868-3871,共4页
International Medicine and Health Guidance News
基金
东莞市社会科技发展项目(2018507150231382)。
关键词
冠心病合并高血压
社区综合干预
控制效果
Coronary heart disease with hypertension
Community comprehensive intervention
Control effect
作者简介
通信作者:吴淑君,Email:308716537@qq.com。
