文档介绍：
老年高血压患者的护理干预效果观察
[摘要] 目的:比较老年高血压药物治疗加护理干预与单纯药物治疗的效果。方法:选择 140例原发性老年高血压患者,随机分成2组,观察组用药物治疗加护理干预,对照组进行单纯药物治疗。结果:观察组患者的按医嘱服药情况和健活方式采纳情况明显好于对照组;观察组患者的血压控制情况明显好于对照组,两组相比较,差异有显著意义。结论:老年高血压的患者采用药物治疗加护理干预的效果优于单纯药物治疗。
[关键词] 高血压;老年人;护理干预;疗效观察
[中图分类号] [文献标识码]C [文章编号]1673-7210(2010)01(b)-087-03
Elderly patients with hypertension to observe the effect of nursing intervention
ZHAN Yanhua
(Liaobu Hospital of Dongguan City, Dongguan 523400)
[Abstract] Objective: To compare the treatment of hypertension in elderly nursing intervention plus drug treatment and simple results. Methods: 140 cases of primary hypertension in elderly patients, were randomly divided into 2 groups, group therapy with drug plus nursing intervention, the control group carried out a simple drug treatment. Results:The observation group of patients and medication as directed by your doctor to adopt a healthy lifestyle was obviously better than the control group; observation of the patient's blood pressure control group was obviously better than the control group, compared the two groups, the difference was significant. Conclusion: Elderly patients with hypertension, the use of drug therapy increases the effectiveness of nursing intervention is better than drug treatment.
[Key words] Hypertension; The elderly; Nursing intervention; Clinical Observation
目前,我国是全世界老龄人口最多的国家之一,同时也是全世界老龄化速度最快的国家[1]。高血压是最常见的心血管疾病之一,随着年龄的增加,高血压发病率也随之增高。老年性高血压常常会导致中风、冠心病、心肌梗死及心力衰竭的发生。目前,高血压病的诊治进展很快,不少新的观点引起了护理工作者的重视。笔者将具体的护理工作作如下报道与分析:
1临床资料
我院的老年内科综合病房2006年 10月～2008年10月共收治高血压患者140例,其中,男108例,女32例,年龄最大93岁,最小66岁。其中合并脑出血的8例,脑梗死126例,脑卒中16例,心衰31例,肾衰17 例。文化程度:大专8例,高中 46例,初中 78例,小学27例,文盲 11例。随机分为观察组和对照组,各70例,两组患者的年龄、性别、病情、文化程度等比较差异无显著性,具有可比性。
2护理方法
老年患者情绪容易波动,忧虑、悲伤、焦急以及紧张的情绪,均可引起交感神经兴奋,同时血液中的儿茶酚***等血管活性物质的增加,会引起全身血管的收缩,导致心跳加快,血压上升,严重会引起脑溢血。所以护理方面要创造良好的护理环境和气氛,让患者保持愉快的心情。减少应激心理的刺激源,对患者富有同情心和理解心,