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老年高血壓患者優質護理干預

熱度0票  瀏覽40次 時間:2019年3月26日 15:30
  摘要: 目的:對老年高血壓患者進行優質護理干預,探討護理干預的效果。方法:選取我院自 2015 年 3 月到 2015 年 9 月收治的 88 例老年高血壓患者,隨機對 88 例患者進行分組,其中 44 例為對照組,采用一般給藥治療,另外 44 例患者作為觀察組,在用藥的基礎上對患者實行心理干預、飲食干預、運動干預以及用藥指導等優質護理干預。并對兩組的兩組的治療結果進行比較觀察。結果:通過六個月對觀察組和對照組的觀察和護理,觀察組 44 例患者的血壓比對照組 44 例患者的血壓明顯較低,其中對照組患者的平均血壓為 110 – 150 mmHg,而觀察組患者的平均血壓則為 95 – 135 mmHg。結論:在治療老年高血壓患者進行治療時,結合優質護理干預,可以有效的對患者的血壓進行控制,并且能夠正確的認識高血壓的相關知識,能夠對高血壓有正確的認識,在治療的過程中能夠積極的配合治療,從而使疾病的控制率和治愈率都得到提高。
  關鍵詞: 老年高血壓患者;優質護理干預;結果分析
    1 引言
  隨著人們生活水平的提高,隨之而來的是各種心腦血管疾病的增加,而最為常見的是高血壓疾病,其發病率在不斷的增加,而老年人作為高血壓的高發人群,患病人數也在不斷的增加,高血壓對老年人的健康影響非常嚴重,這主要是因為老年患者本身身體具有特殊性,因此在治療的過程中也要采用特殊的治療方法。據有關調查顯示,高血壓的高發病率在很大程度上是因為患者對高血壓的預防知識不夠掌握造成的。所以在治療的過程中要加強對患者知識的的普及,使患者能夠養成正確的生活習慣,而護理作為治療高血壓的關鍵手段,在治療高血壓中起著重要的作用,因此要加大對患者高血壓護理的研究。
  2 資料和方法
  2.1 一般資料
  選取我院自 2015 年 3 月到 2015 年 9 月收治的 88 例老年高血壓患者作為臨床研究和觀察對象,其中男性患者有 45例,女性患者有 43 例,年齡最大為 99 歲,最小為 65 歲,患者的平均年齡為 72 歲,隨機對 88 例患者進行分組,其中44 例為對照組,每組患者無論是在病例、性別、年齡、職業還是生活方式等存在的差異都不明顯,具有臨床研究的可比性,符合相關的統計學原理。
  2.2 觀察組優質護理干預方法
  (1)心理護理干預。在高血壓的治療過程中,病程比較長,并且疾病容易反復,患者要長期的進行服藥,從而在心理上給患者形成了很大的壓力,再加上由于患者為老年人,對自己治療高血壓已經失去了信心,因此在治療的過程中比較悲觀等。因此護理人員要對患者的心理活動進行了解,采取具有針對性的心理護理干預,降低患者在精神上的壓力,并能夠對高血壓有著正確的認識,從而能夠在治療自己的病情過程中有著正確的態度,在治療的過程中遇到問題可以及時的和醫護人員進行溝通。
  (2)飲食護理干預。護理人員要和患者家屬進行溝通,對患者日常的飲食進行了解,找出患者在日常飲食中存在的影響患者血壓的因素,要提醒患者要戒煙戒酒,在日常的飲食上要以清淡為主,降低鹽的攝入量,每天控制在 5 克左右,多吃蔬菜以及一些比較容易消化的食物,避免在飲食上暴飲暴食,多食一些具有保護血管的食品,像豆類、玉米以及大蒜等。
  (3)運動護理干預。要加強體育鍛煉,多做一些戶外運行,老年人進行適當的鍛煉,可以增強自己的體質,從而使血管壁的新陳代謝可以得到促進,從而有利于血壓的緩慢下降,還可以使體重得到減輕,舒筋活絡。作為老年人不適宜做一些劇烈的運動,要根據自身的實際情況制定一份比較科學的運動計劃,像行走、跑步、太極拳等這些有氧運動,每次運動不能過量,每次的運動時間要控制在半個小時左右,一周里鍛煉 3 到 5 天為宜。
  (4)用藥護理干預。高血壓在治療的過程中,治療過程比較長,患者要經常服用藥物,因此,患者在服藥的時候一定要聽從醫生的叮囑,在選藥的時候要按照自身的情況,選取一些副作用比較小的藥物,并有規律的服用降壓藥,不能私自對藥物進行增加和停止服用,也不能盲目的追求一些新藥和貴藥而盲目的更換藥物。
  2.3 對照組護理方法
  對照組在治療的過程中采取一般的用藥治療,在此不對其進行敘述。
  2.4 統計學處理方法
  對所得的數據采用 SPSS17.0 軟件進行數據的分析,計量資料用均數±標準差( ±s)表示;兩組間均數間比較采用t 檢驗,計數資料采用 X2 檢驗,以 P<0.05 為差異有統計學意義。
  3 結果
  通過六個月對觀察組和對照組的觀察和護理,觀察組 44例患者的血壓比對照組 44 例患者的血壓明顯較低,其中對照組患者的平均血壓為 110 – 150 mmHg,而觀察組患者的平均血壓則為 95 – 135 mmHg。不僅如此,觀察組的患者對高血壓的知識也有了比較全面的認識,在生活中也有所注意,提高了患者的生活質量,并且降低了高血壓的復發率。
  4 討論
  患者血壓的波動往往和心腦血管疾病的發生有著密切的聯系,因此,對高血壓患者血壓的有效控制可以減小患者心腦血管疾病的發病率。然而,高血壓的發病往往與生活習慣密切相關,所以在治療的過程僅僅依靠藥物時遠遠不夠的,加強護理干預是提高治療效果的有效措施。本組研究表明,在治療老年患者高血壓時,結合優質護理干預可以是患者的康復率得到有效的提升,這主要是因為,通過心理干預使患者能夠以正確的心理去面對高血壓,采取積極地態度去配合醫生的治療。飲食護理干預可以使患者能夠養成良好的飲食習慣,在日常的飲食上能夠避免一些影響血壓得食物的攝入。
  運動護理干預使患者的體質得到增強,結合用藥護理干預可以使患者的治療更加有效。總之,優質護理干預可以有效的對患者的血壓進行控制
  參考文獻
  [1]鄭紅薇,王蓓,潘銀珠,等.高血壓病患者護理干預與生活質 量 的 相 關 性 研 究 [J]. 中 國 實 用 護 理 雜 志 ,2006,22(9):9-10.
  [2]薛素蘭,楊彩華,楊李素,等.護理干預對老年高血壓患者的影響[J].現代中西醫結合雜志,2007,16(17) :2429-2431.
  [3]陳希萍,潘杰,李子萍,杜妙清,甘密密.護理干預對高血壓患者生活質量的影響[J]. 中國老年學雜志. 2009(01)
       [4]蔣小劍,朱正剛,陽珍金,韓萍,葉春桃,李紅梅.居家護理干預方案對人工髖關節置換術患者活動能力及生活質量的影響[J]. 護理學報. 2015(10)



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