个性化护理干预对老年高血压患者用药依从性和血压控制效果的影响

郁丽静 梅丽霞

摘 要 目的：探讨家庭医生签约模式下个性化护理干预措施改善社区老年高血压患者用药依从性和血压控制的效果。方法：选取2018年9月至2019年9月与上海市某街道社区卫生服务中心签约的80例高血压患者进行随机分组，试验组中男性13例，女性27例，平均年龄为（68.45±4.06）岁。对照组中男性15例，女性25例，平均年龄为（67.60±5.09）岁。对对照组患者提供社区常规护理干预，对试验组患者在常规干预基础上给予个性化护理干预。比较两组患者用药依从性和血压值的变动情况。结果：干预3个月和6个月后试验组患者的药依从性得分均高于对照组（P<0.05）。干预6个月后试验组患者的收缩压和舒张压值均低于对照组（P<0.05）。结论：个性化护理干预措施对改善老年高血压患者用药依从性和血压水平具有明显效果。

关键词 老年高血压；个性化护理干预；服药依从性；血压控制

中圖分类号：R47 文献标志码：A 文章编号：1006-1533（2021）16-0041-04

Influence of personalized nursing intervention on medication compliance and blood pressure control effect of elderly hypertensive patients

YU Lijing， MEI Lixia

（Outpatient Clinic of Jiading Community Health Service Center of Jiading District， Shanghai 201899， China）

ABSTRACT Objective： To discuss the application effect of personalized nursing intervention measures on the medication compliance and blood pressure control of elderly hypertensive patients in the community under the family doctor contract mode. Methods： Eighty patients with hypertension who signed a contract with a community health service center in Shanghai from September 2018 to September 2019 were selected and randomly divided into two groups， in the experimental group， there were 13 males and 27 females， with an average age of （68.45±4.06） years. In the control group there were 15 males and 25 females， with an average age of （67.60±5.09） years. The patients of the control group was given routine community nursing intervention， while the patients of the experimental group received personalized nursing intervention on the basis of routine intervention. The changes of medication compliance and blood pressure were compared between the two groups. Results： After 3 and 6 months of intervention， the scores of drug compliance in the experimental group were higher than those in the control group（P<0.05）. After 6 months of intervention， the systolic blood pressure and diastolic value in the experimental group were lower than those in the control group（P<0.05）. Conclusion： Personalized nursing intervention has obvious effect on improving medication compliance and blood pressure level of elderly patients with hypertension.

KEY WORDS elderly hypertension； personalized nursing intervention； medication compliance； blood pressure control

高血压是居民的常见病和多发病。根据2020年中国高血压年会最新调查数据显示，目前中国已有3亿左右的高血压患者，每年新增高血压病例达1 000万[1]。高血压是老年人罹患脑卒中、心肌梗死等心血管病死亡的主要危险因素，对社区老年高血压患者进行有效管理意义重大。目前全国各地的社区卫生服务中心均建立了家庭医生团队服务模式，患者按照自愿原则与家庭责任医生团队签订服务协议[2]。在社区全科服务团队中，社区护士与居民的接触最为密切，不仅为居民提供基础护理服务，也是居民获得卫生信息的中转人，又是居民获得健康教育、心理护理、人文关怀的重要途径[3]。本研究旨在探索家庭医生签约模式下个性化护理干预对社区老年高血压患者的用药依从性和血压的影响。……