王雨燕

【摘要】 目的：探究老年高血压患者生活护理干预效果以及对收缩压和舒张压的影响。方法：选取本院在2017年1-12月收治的老年高血压患者118例，按照随机数字表法将其分为研究组和对照组，各59例。研究组采用生活护理干预，对照组采用常规护理。比较两组患者的治疗依从性（按医嘱用药、采纳健康生活方式）以及血压情况。结果：研究组谨遵医嘱用药情况为84.75%、健康生活方式采纳情况为93.22%，均明显高于对照组的50.85%和67.80%，差异均有统计学意义（P<0.05）。两组患者护理前的舒张压、收缩压比较，差异均无统计学意义（P>0.05）；护理干预后，研究组的收缩压、舒张压均低于对照组，差异均有统计学意义（P<0.05）。护理干预后，研究组血压正常率为88.14%，明显高于对照组的67.80%，差异有统计学意义（字2=4.012，P<0.05）。结论：在治疗老年高血压时，采取生活护理干预效果好，值得在临床上推广。

【关键词】 高血压； 生活护理； 收缩压； 舒张压

Life Nursing of Elderly Hypertensive Patients and Its Effect on Systolic Pressure and Diastolic Pressure/WANG Yuyan.//Medical Innovation of China，2018，15（14）：099-102

【Abstract】 Objective：To explore the effect of life nursing intervention and the effect on systolic and diastolic pressure in elderly patients with hypertension.Method：A total of 118 elderly patients with hypertension in our hospital from January 2017 to December 2017 were selected.According to the random digital table method，they were divided into study group and control group，59 cases in each group.The study group was given life nursing intervention，the control group was given routine nursing.The treatment compliance（take medicine according to doctors order，to adopt healthy lifestyles）and blood pressure of the two groups were compared.Result：The study group was prepared to comply with the doctors advice，the medication situation was 84.75% and the adoption of the healthy lifestyle was 93.22%，which were significantly higher than 50.85% and 67.80% in the control group，the differences were statistically significant（P<0.05）.There were no significant differences in diastolic blood pressure and systolic blood pressure between the two groups before nursing（P>0.05）；after nursing intervention，systolic blood pressure，diastolic blood pressure of the study group were lower than those of the control group，the differences were statistically significant（P<0.05）.After nursing intervention，the normal blood pressure rate of the study group was 88.14%，which was significantly higher than 67.80% of the control group，the difference was statistically significant（字2=4.012，P<0.05）.Conclusion：In the treatment of elderly hypertension，the effect of living nursing intervention is good，and it is worth popularizing in clinical.

【Key words】 Hypertension； Life nursing； Systolic pressure； Diastolic pressure

First-authors address：Zaozhuang Mental Health Center，Zaozhuang 277103，China

doi：10.3969/j.issn.1674-4985.2018.14.024

我國老年人口基数大，大多数老年人都面临着疾病的威胁，高血压就是常见的一种。高血压是一种随着年龄增加其发病率也增加的临床常见心血管类疾病，在老年群体中多发，如果不能及时有效控制高血压，会损害患者不同部位的靶器官，并伴有多种并发症，严重时会导致脑卒中、冠心病、心肌梗死等疾病[1]。老年患者因为年龄较大，身体功能下降，如果高血压不能够得到有效控制，更容易对健康产生伤害[2]。为了探究生活护理干预治疗老年高血压的效果以及对患者收缩压、舒张压的影响，本文选取本院收治的118例老年高血压患者进行研究，现报道如下。

1 资料与方法

1.1 一般资料 选取本院在2017年1-12月收治的老年高血压患者118例，纳入标准：病程>1年；年龄>60岁；符合高血压诊断标准（舒张压≥

90 mm Hg、收缩压≥140 mm Hg）[3]。排除标准：均不存在其他心肺疾病、免疫性疾病、肝肾疾病、高血压严重并发症、精神障碍、血液病等[4]。……