社区护理干预对高血压患者家庭血压监测的效果评价

陈东燕+刘海英

摘 要 目的：探讨制定家庭血压监测社区护理干预方案与实施对社区高血压患者自我血压监测的影响。方法：选取2015年4月-8月202例社区高血压患者，按照预先制定的干预流程与内容，由社区护士负责实施干预，比较干预前后患者对家庭血压监测相关知识和方法的掌握情况以及血压变化情况。结果：干预后，高血压患者家庭血压监测相关知识掌握情况较前提高，自测血压正确率较前提高。结论：制定家庭血压监测社区护理干预方案可提高高血压患者掌握家庭血压监测相关知识和自测血压的正确性，对提高社区高血压控制率及高血压患者的生存质量有重要意义。

关键词 血压监测 社区护理 家庭

中图分类号：R544.1 文献标志码：A 文章编号：1006-1533（2016）-16-0054-03

Evaluation of the effect of community nursing intervention on the home blood pressure monitoring of patients with hypertension

CHEN Dongyan， LIU Haiying

（Pengpuxincun Community Health Service Center of Jingan District， Shanghai 200435， China）

ABSTRACT Objective： To investigate the effect of formulation and implementation of community nursing intervention program of home blood pressure monitoring on self blood pressure monitoring in patients with hypertension in the community. Methods： From April to August 2015， 202 cases of hypertension were selected and intervened by the community nurses according to according to the pre-established intervention process and content. The mastered knowledge and methods of home blood pressure monitoring in community patients with hypertension were compared before and after the intervention. Results： After the intervention， the knowledge of home blood pressure monitoring in patients with hypertension was higher and the accuracy rate of self testing blood pressure better than before. Conclusion： Formulation and implementation of community nursing intervention program for home blood pressure monitoring can improve hypertension patients to master the related knowledge of home blood pressure monitoring and correctness of self testing blood pressure and it is of great significance to improve the control rate of hypertension in the community and the quality of life of patients with hypertension.

KEY WORDS blood pressure monitoring； community nursing； home；

高血压是我国常见的慢性病之一，可引起严重的心、脑、肾功能障碍。在接受降压治疗的患者中，有75%血压没有达到控制水平，究其原因，主要与高血压患者的依从性欠佳、疏于血压监测及患者对自身疾病缺乏系统的管理有关。高血压控制成为社区卫生服务的重要工作任务，而进行定期血压监测又是改善高血压治疗率和控制率的一个重要因素。调查显示：高血压病人在高血压相关知识及监测方法上知之甚少[1]，影响了高血压的准确诊断和疗效的评估。家庭血压测量在家中进行，可以连续多次监测，能更准确、全面地反映个人日常生活状态下的血压水平[2]。家庭自测血压是受测者在家中或其他环境里给自己测量血压，这在高血压早期诊断、评估降压疗效、指导降压治疗、提高患者治疗依从性和参与积极性等诸多方面都有独特的优势。……