高血压的高危因素分析及护理干预对社区高血压患者的影响

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• 英文论文题名：Analysis of the high risk factors of Hypertension and the influence of Nursing Intervention on Patients with Hypertension in Community
• 论文作者：杨洪珍
• 英文论文作者：Yang Hongzhen ; Community Health Service Centers of Guangwai Community ; Xicheng District ; Beijing
• 年：2017
• 作者机构：北京市西城区广外社区卫生服务中心;
• 论文关键词：社区高血压 ; 高危因素 ; 护理干预
• 英文论文关键词：community hypertension ; risk factors ; nursing intervention
• 会议召开时间：2017-05-26
• 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
• 语种：中文
• 分类号：R473.2
• 学会代码：ZHXB
• 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
• 会议地点：中国湖北武汉
• 主办单位：《中国组织化学与细胞化学杂志》社有限公司
• 学会名称：《中国组织化学与细胞化学杂志》社有限公司
• 页数：2
• 文件大小：228k
• 原文格式：O
• 会议级别：全国

摘要

目的:分析社区高血压的高危因素,并观察针对性护理干预对社区高血压患者的干预效果。方法:对我辖区常住社区居民进行面对面问卷调查和体格体检,调查内容包括社会人口学特征、生活方式、体检指标等,共计调查30岁以上居民3762例,进行高血压的影响因素的单因素分析,针对高血压的危险因素制定针对性的护理干预,评估干预效果及对患者生活质量的影响。结果:共计调查3762例常住居民,其中高血压患者956例(25.42%),无高血压2806例(74.58%),通过单因素卡方分析,结果显示,社区性高血压主要危险因素包括性别、年龄、文化、职业、月均收入、婚姻状况、饮酒、口味、蔬菜摄入、锻炼、每天睡眠时间、体重指数BMI(x2=8.172、380.781、72.723、36.294、65.259、39.043、136.858、19.839、11.445、33.893、62.317、62.317,P<0.01)。干预后患者的血压达标率、合理饮食比例、服药依从性比例、合理运动比例分别为80.65%、82.53%、87.66%、80.65%,均较干预前明显升高(x~2=409.463、323.195、380.146、324.436,P<0.01),抑郁症发生率为5.33%,较干预前明显降低(x~2=66.698,P<0.01),干预前后SF-36生活质量表PF、RP、RE、SF、EWB、Pain、Energ、GH各维度评分分别为(40.16±10.23)分和(63.39±19.54)分,(22.24±12.25)分和(39.89±16.34)分,(27.68±9.23)分和(40.23±12.68)分,(37.78±10.34)分和(53.12±12.36)分,(42.36±13.50)分和(64.88±16.20)分,(51.03±12.34)分和(67.90±16.36)分,(38.28±9.54)分和(52.54±13.13)分,(22.24±8.56)分和(36.68±10.14)分,差异具有统计学意义(t=6.528、8.523、5.142、5.753、5.772、4.805、6.178、6.721,P<0.01)。结论:影响社区高血压的可控危险因素主要有饮酒、口味、蔬菜摄入、锻炼、每天睡眠时间、体重指数,针对上述危险因素中的可控因素制定针对性的护理干预措施有助于提高社区高血压的防治水平,提高患者的遵医依从性及修正不良生活习惯,对患者生活质量提高具有积极意义。
Objective:To analyze the high risk factors of hypertension in community and observe the effect of nursing intervention on community hypertensive patients.Methods:3762 community residents were investigated by face-to-face questionnaire and were received Physical examination,The investigate subject included social demographic characteristics,lifestyle,physical examination index and so on.the influencing factors of hypertension were analyzed by Univariate analysis,according to the risk factors for hypertension,the Nursing Intervention were developed,then the effect of intervention and the impact on the quality of life were performed.Results:A total of 3762 residents were investigated,including 956 patients(25.42%) with hypertension and 2806 patients without hypertension(74.58%).The single factor chi-square analysis showed that the main risk factors of community hypertension included Sex,age,culture,occupation,monthly income,marital status,drinking,taste,vegetable intake,exercise,daily sleep time,body mass index(x~2 = 8.172,380.781,72.223,36.294,65.259,39.043,136.858,19.839,11.445,33.893,62.317,62.317,P<0.01).the Blood pressure compliance rate,a reasonable proportion of diet,medication compliance ratio,the proportion of reasonable exercise after treatment were 80.65%,82.53%,87.66%and 80.65%,which were were significandy higher than those before treatment(x~2= 409.463,323.195,380.146,324.436,P <0.01),The incidence of depression was 5.33%,which was significantly lower than that before intervention(x~2= 66.698,P <0.01).The scores of PF,RP,RE,SF,EWB,Pain,Energ,GH were(40.16 ± 10.23) and(63.39 ± 19.54),(22.24 ± 12.25) and(2)(37.38 ± 10.34)and(53.12 ± 12.36),(42.36 ± 13.50) and(64.88 ± 16.20),(51.03 ± 12.36),(27.68 ± 9.23) and(40.23 ± 12.68)(38.98 ± 9.54) and(52.54± 13.13),(22.24 ± 8.56) and(36.68 ± 10.14),the difference was statistically significant(t = 6.528,8.52,5.178,6.71,472,P<0.01).Conclusion:The control risk factors of community hypertension include drinking,taste,vegetable intake,exercise,daily sleep time,body mass index,the Nursing Intervention developed according to the above risk factors can Help to improve the level of community prevention and treatment of hypertension,improve compliance with patients with compliance and improve the bad habits of life,improve the quality of life of patients with positive significance.

引文

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