针对性护理对老年原发性高血压病患者高血压疾病知识知晓率、服药依从性和血压控制情况的影响(1)
[摘要] 目的 對针对性护理对老年原发性高血压病患者高血压疾病知识知晓率、服药依从性和血压控制情况的影响进行分析和探究。 方法 方便选择该院于2016年5月—2017年5月期间收治的140例老年原发性高血压病患者为研究对象，将其分为对照组和观察组两组，每组患者为70例。对对照组患者主要进行常规护理，观察组患者则采取针对性护理，之后再对两组患者的知识知晓率、服药依从性和血压控制情况进行对比分析。 结果 观察组中患者的完全知晓率和基本知晓率分别为45.7%和38.6%，均高于对照组的28.6%和34.4%，观察组患者的不知晓率为4.3%，低于对照组患者不知晓率的21.4%(χ2=9.180，P<0.05)；两组患者中，对照组患者的服药服从率57.1%，基本服从率为30.0%，不服从率为12.9%，观察组中患者服药依从率为64.3%，基本服从率为32.9%，不服从率为2.9%，整体来说，观察组中患者的服药依从性优于对照组(χ2=2.353，P<0.05)；所有患者在治疗前后舒张压和收缩压都有所下降，其中治疗后观察组中患者血压的收缩压以及舒张压分别为(165.00±10.8)mmHg以及(93.00±6.2)mmHg，控制情况均优于对照组的(139.00±9.2)mmHg(t=15.333，P<0.05)和(80.00±5.4)mmHg，差异有统计学意义(t=13.229，P<0.05)。 结论 对老年原发性高血压病患者患者进行针对性的护理干预，对于提高其疾病知晓率、服药依从性以及控制血压均由积极的作用，值得在临床治疗中推广。
[关键词] 针对性护理；老年原发性高血压；知识知晓率；服药依从性；血压控制情况；影响
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742(2019)01(b)-0125-03
[Abstract] Objective To analyze and explore the influence of targeted nursing on knowledge， rate of compliance and blood pressure control of hypertension patients with essential hypertension. Methods Convenient select a total of 140 elderly patients with essential hypertension who were admitted to our hospital from May 2016 to May 2017 were enrolled in the study. They were divided into two groups： control group and observation group， with 70 patients in each group. The patients in the control group were mainly treated with routine care， and the patients in the observation group were treated with targeted care. Then the knowledge awareness rate， medication compliance and blood pressure control of the two groups were compared and analyzed. Results The complete awareness rate and basic awareness rate of the observation group were 45.7% and 38.6%， respectively， which were higher than 28.6% and 34.4% of the control group. The unawareness rate of the observation group was 4.3% lower than that of the control group of 21.4% (χ2=9.180， P<0.05). Among the two groups， the control group had a drug compliance rate of 57.1%， the basic compliance rate was 30.0%， and the disobedience rate was 12.9%. The patient's medication compliance rate in the observation group of 64.3%， the basic compliance rate was 32.9%， and the disobedience rate was 2.9%. Overall， patients in the observation group were better than the control group (P<0.05)； all patients were dilated before and after treatment. Both systolic and systolic blood pressure decreased. The systolic blood pressure and diastolic blood pressure of the patients in the observation group were (165.00±10.8)mmHg and (93.00±6.2) mmHg， respectively. The control situation was better than that of the control group (139.00±9.2)mmHg (t=15.33， P<0.05) and (80.00±5.4)mmHg， the difference was statistically significant(t=13.229， P<0.05). Conclusion Targeted nursing intervention for elderly patients with essential hypertension has a positive effect on improving their disease awareness， medication compliance and blood pressure control， and it is worthy of promotion in clinical treatment., 百拇医药(孙宁 毛羽)
[关键词] 针对性护理；老年原发性高血压；知识知晓率；服药依从性；血压控制情况；影响
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742(2019)01(b)-0125-03
[Abstract] Objective To analyze and explore the influence of targeted nursing on knowledge， rate of compliance and blood pressure control of hypertension patients with essential hypertension. Methods Convenient select a total of 140 elderly patients with essential hypertension who were admitted to our hospital from May 2016 to May 2017 were enrolled in the study. They were divided into two groups： control group and observation group， with 70 patients in each group. The patients in the control group were mainly treated with routine care， and the patients in the observation group were treated with targeted care. Then the knowledge awareness rate， medication compliance and blood pressure control of the two groups were compared and analyzed. Results The complete awareness rate and basic awareness rate of the observation group were 45.7% and 38.6%， respectively， which were higher than 28.6% and 34.4% of the control group. The unawareness rate of the observation group was 4.3% lower than that of the control group of 21.4% (χ2=9.180， P<0.05). Among the two groups， the control group had a drug compliance rate of 57.1%， the basic compliance rate was 30.0%， and the disobedience rate was 12.9%. The patient's medication compliance rate in the observation group of 64.3%， the basic compliance rate was 32.9%， and the disobedience rate was 2.9%. Overall， patients in the observation group were better than the control group (P<0.05)； all patients were dilated before and after treatment. Both systolic and systolic blood pressure decreased. The systolic blood pressure and diastolic blood pressure of the patients in the observation group were (165.00±10.8)mmHg and (93.00±6.2) mmHg， respectively. The control situation was better than that of the control group (139.00±9.2)mmHg (t=15.33， P<0.05) and (80.00±5.4)mmHg， the difference was statistically significant(t=13.229， P<0.05). Conclusion Targeted nursing intervention for elderly patients with essential hypertension has a positive effect on improving their disease awareness， medication compliance and blood pressure control， and it is worthy of promotion in clinical treatment., 百拇医药(孙宁 毛羽)