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研究家庭訪視護理對社區(qū)老年高血壓患者服藥遵從行為及家庭功能的影響

發(fā)布時間:2018-06-23 來源: 感恩親情 點擊:

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  【摘要】 目的 探究社區(qū)老年高血壓患者接受家庭訪視護理對其服藥遵從行為和家庭功能產(chǎn)生的影響。方法 76例老年高血壓患者, 應(yīng)用隨機數(shù)表法分為參照組和訪視組, 每組38例。參照組患者僅接受常規(guī)護理干預(yù), 訪視組患者在參照組護理基礎(chǔ)上接受家庭訪視。比較兩組患者干預(yù)前后服藥遵從行為評分及家庭功能評分。結(jié)果 干預(yù)前, 兩組患者服藥遵從行為評分比較差異無統(tǒng)計學(xué)意義(P>0.05);干預(yù)后, 訪視組患者服藥遵從行為評分明顯優(yōu)于參照組, 差異具有統(tǒng)計學(xué)意義(P<0.05)。干預(yù)前, 兩組家庭功能總分比較差異無統(tǒng)計學(xué)意義(P>0.05);干預(yù)后, 訪視組患者家庭功能總分為(6.9±1.7)分, 明顯高于參照組的(6.1±2.3)分, 差異具有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論 社區(qū)老年高血壓患者接受家庭訪視護理有助于規(guī)范其服藥遵從行為, 同時可使患者的家庭功能得到改善。
  【關(guān)鍵詞】 家庭訪視護理;社區(qū)老年高血壓;服藥遵從行為;家庭功能
  DOI:10.14163/j.cnki.11-5547/r.2018.12.088
  【Abstract】 Objective To investigate the effect of family visiting nursing on the drug compliance behaviour and family function of community elderly hypertensive patients. Methods A total of 76 elderly hypertensive patients were divided by random number table method into control group and visiting group, with 38 cases in each group. The control group received conventional nursing intervention, and the visiting group received family visiting on the basis of the control group. Comparison were made on drug compliance behaviour and family function score before and after intervention between the two groups. Results Before intervention, both groups had no statistically significant difference in drug compliance behaviour (P>0.05). After intervention, the visiting group had obviously better drug compliance behaviour than the control group, and the difference was statistically significant (P<0.05). Before intervention, both groups had no statistically significant difference in overall family function score (P>0.05). After intervention, the visiting group had obviously higher overall family function score as (6.9±1.7) points than (6.1±2.3) points in the control group, and the difference was statistically significant (P<0.05). Conclusion The family visit nursing in community elderly hypertensive patients can help to standardize their drug compliance behavior and improve their family function.
  【Key words】 Family visiting nursing; Community elderly hypertensive; Drug compliance behaviour; Family function
  高血壓是老年人高危高發(fā)疾病之一, 而且隨著我國老齡化趨勢不斷加快, 罹患高血壓的老年患者也不斷增多, 應(yīng)用降壓藥物為臨床控制和治療高血壓水平的主要方式, 因此, 服藥遵從行為對患者的病情改善和生活品質(zhì)有極大的影響, 此次研究特就社區(qū)老年高血壓患者接受家庭訪視護理對其服藥遵從行為和家庭功能產(chǎn)生的影響進(jìn)行探究,F(xiàn)報告如下。
  1 資料與方法
  1. 1 一般資料 選取2016年2月~2017年5月在新沙社區(qū)衛(wèi)生服務(wù)中心建立健康檔案的76例老年高血壓患者作為研究對象, 將患者應(yīng)用隨機數(shù)表法分為參照組和訪視組, 每組38例。參照組中女14例, 男24例, 年齡61~77歲, 平均年齡(67.8±3.1)歲, 病程3~21年, 平均病程(5.6±5.2)年。訪視組中女12例, 男26例, 年齡62~79歲, 平均年齡(66.4±4.2)歲,
  病程2~19年, 平均病程(5.3±4.6)年。兩組患者性別、年齡病程等一般資料比較差異無統(tǒng)計學(xué)意義(P>0.05), 具有可比性。罹患原發(fā)性醛固酮增多癥、嗜鉻細(xì)胞瘤等病癥的患者以及其他容易造成血壓升高疾病的患者均排除本次研究[1]。

相關(guān)熱詞搜索:家庭 服藥 遵從 高血壓患者 老年

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