中医综合护理对老年高血压患者血压的影响
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摘要
目的:探讨中医综合护理对老年高血压病患者血压的影响。方法:将120例患者随机分为观察组和对照组各60例。观察组给予情志护理、辨证护理,并给予中医护理技能干预,对照组给予高血压病基础护理。比较2组降压效果。结果:收缩压、舒张压干预前后2组组内比较,差异有统计学意义(P<0.05);干预后组间比较,差异也有统计学意义(P<0.05)。血压达标率观察组为81.66%(49/60),对照组为68.33%(41/60),2组比较差异有统计学意义(P<0.05)。结论:实施辨证施护可有效降低老年高血压患者血压,并有助于改善患者因血压升高导致的眩晕、头痛等症状,提高患者生活质量。
Objective: To discuss the effects of TCM comprehensive nursing on blood pressure of senile patients with hypertension. Methods: All 120 patients were randomized into the observation group and the control group, 60 cases each group.The observation group were given emotional care and syndrome differentiation and care,and intervened by TCM nursing skills, the control group accepted basic nursing of hypertension. The effects of lowering blood pressure of both groups were compared. Results: The difference showed statistical meaning in the comparisons of systolic pressure and diastolic pressure within both groups before and after intervention(P<0.05);the difference was statistically significant in the comparisons between both groups after the intervention(P<0.05).The rate of blood pressure reaching to the standard in the observation group was 81.66%(49/60), higher than68.33%(41/60) of the control group, the difference was statistically significant(P<0.05). Conclusion: Implementing syndrome differentiation and care could effectively reduce blood pressure of senile patients, which is helpful to mitigate the symptoms including vertigo, headache caused by elevation of blood pressure, and raise quality of life of the patients.
Objective: To discuss the effects of TCM comprehensive nursing on blood pressure of senile patients with hypertension. Methods: All 120 patients were randomized into the observation group and the control group, 60 cases each group.The observation group were given emotional care and syndrome differentiation and care,and intervened by TCM nursing skills, the control group accepted basic nursing of hypertension. The effects of lowering blood pressure of both groups were compared. Results: The difference showed statistical meaning in the comparisons of systolic pressure and diastolic pressure within both groups before and after intervention(P<0.05);the difference was statistically significant in the comparisons between both groups after the intervention(P<0.05).The rate of blood pressure reaching to the standard in the observation group was 81.66%(49/60), higher than68.33%(41/60) of the control group, the difference was statistically significant(P<0.05). Conclusion: Implementing syndrome differentiation and care could effectively reduce blood pressure of senile patients, which is helpful to mitigate the symptoms including vertigo, headache caused by elevation of blood pressure, and raise quality of life of the patients.
引文
[1]罗艳霞,石晶,周涛,等.社区中老年人高血压患病及血压控制情况调查分析[J].中国全科医学,2013,16(9A):3015-3018.
[2]扎瓦德,宋美扬,郭长青.中医治疗高血压病的优势[J].吉林中医药,2009,29(5):383-385.
[3]岑英凤.眩晕的辨证施护[J].右江民族医学院学报,1995,17(1):151-157.
[4]葛均波,徐永健.内科学[M].北京:人民卫生出版社,2013:171.
[5]王香玲,王军红.高血压的辨证施护[J].中国医药指南,2011,9(6):301-303.
[6]阎菊,李国臣.中西医结合治疗高血压病的临床思考[J].现代中医药,2004,24(4):19-21.
[7]尹目有,郭新民.高血压病辨证与成方治疗[M].北京:科学技术文献出版社,2006:78-81.
[8]刘希宏.中西药物联用对老年高血压合并2型糖尿病患者肾功能的保护作用[J].西部中医药,2012,25(7):9-10.
[9]常永智.家庭医生签约服务在实施老年高血压患者社区护理管理中的应用[J].中国医药导报,2014,11(10):98-100.
[10]马学芳.老年高血压中医证型与危险因素之间的相关性研究[J].西部中医药,2012,25(10):79-80.
[11]何连华.护理干预对老年高血压患者的影响[J].中国医药导报,2010,7(13):107-108.
[12]张帆,杨志杰,张保丽,等.老年高血压中医证型与血压变异性关系初探[J].西部中医药,2015,28(9):85-87.
[13]孙曙平.不同剂量缬沙坦联合氨氯地平治疗老年高血压的临床效果评价[J].中国医药导报,2014,11(4):81-83.
[2]扎瓦德,宋美扬,郭长青.中医治疗高血压病的优势[J].吉林中医药,2009,29(5):383-385.
[3]岑英凤.眩晕的辨证施护[J].右江民族医学院学报,1995,17(1):151-157.
[4]葛均波,徐永健.内科学[M].北京:人民卫生出版社,2013:171.
[5]王香玲,王军红.高血压的辨证施护[J].中国医药指南,2011,9(6):301-303.
[6]阎菊,李国臣.中西医结合治疗高血压病的临床思考[J].现代中医药,2004,24(4):19-21.
[7]尹目有,郭新民.高血压病辨证与成方治疗[M].北京:科学技术文献出版社,2006:78-81.
[8]刘希宏.中西药物联用对老年高血压合并2型糖尿病患者肾功能的保护作用[J].西部中医药,2012,25(7):9-10.
[9]常永智.家庭医生签约服务在实施老年高血压患者社区护理管理中的应用[J].中国医药导报,2014,11(10):98-100.
[10]马学芳.老年高血压中医证型与危险因素之间的相关性研究[J].西部中医药,2012,25(10):79-80.
[11]何连华.护理干预对老年高血压患者的影响[J].中国医药导报,2010,7(13):107-108.
[12]张帆,杨志杰,张保丽,等.老年高血压中医证型与血压变异性关系初探[J].西部中医药,2015,28(9):85-87.
[13]孙曙平.不同剂量缬沙坦联合氨氯地平治疗老年高血压的临床效果评价[J].中国医药导报,2014,11(4):81-83.