針對性護理對老年原發性高血壓病患者高血壓疾病知識知曉率、服藥依從性和血壓控制情況的影響

孫寧 毛羽

[摘要] 目的 對針對性護理對老年原發性高血壓病患者高血壓疾病知識知曉率、服藥依從性和血壓控制情況的影響進行分析和探究。 方法 方便選擇該院于2016年5月—2017年5月期間收治的140例老年原發性高血壓病患者為研究對象，將其分為對照組和觀察組兩組，每組患者為70例。對對照組患者主要進行常規護理，觀察組患者則采取針對性護理，之后再對兩組患者的知識知曉率、服藥依從性和血壓控制情況進行對比分析。 結果 觀察組中患者的完全知曉率和基本知曉率分別為45.7%和38.6%，均高于對照組的28.6%和34.4%，觀察組患者的不知曉率為4.3%，低于對照組患者不知曉率的21.4%（χ2=9.180，P<0.05）；兩組患者中，對照組患者的服藥服從率57.1%，基本服從率為30.0%，不服從率為12.9%，觀察組中患者服藥依從率為64.3%，基本服從率為32.9%，不服從率為2.9%，整體來說，觀察組中患者的服藥依從性優于對照組（χ2=2.353，P<0.05）；所有患者在治療前后舒張壓和收縮壓都有所下降，其中治療后觀察組中患者血壓的收縮壓以及舒張壓分別為（165.00±10.8）mmHg以及（93.00±6.2）mmHg，控制情況均優于對照組的（139.00±9.2）mmHg（t=15.333，P<0.05）和（80.00±5.4）mmHg，差異有統計學意義（t=13.229，P<0.05）。 結論 對老年原發性高血壓病患者患者進行針對性的護理干預，對于提高其疾病知曉率、服藥依從性以及控制血壓均由積極的作用，值得在臨床治療中推廣。

[關鍵詞] 針對性護理；老年原發性高血壓；知識知曉率；服藥依從性；血壓控制情況；影響

[中圖分類號] R473.5 [文獻標識碼] A [文章編號] 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.