家属参与对老年高血压患者医疗护理依从性的影响.pdfVIP

解放军护理杂志 January 2012 ,29 (lA) Nurs J Chin Pl_A • 47 • 家属参与对老年高血压患者医疗护理依从性的影晌 陈晓睛，郭彩云 (解放军第 175 医院厦门大学附属东南医院心血管老年科，福建漳州 363000) I 摘要I 目的 探讨家属参与对老年高血压患者治疗与护理依从性的影响。方法 采用方便抽样法选择某驻军医院心血管 老年科 2009 年收治住院的老年高血压病患者 140 例.采用随机数字表法分为观察组和对照组各 70 例，对照组患者行常规高 血压病知识宣教，观察组患者除按常规宣教外，同时评估其家属认知、支持程度，要求与患者共同生活的成年家属中的 1 人参 与相关高血压病知识寓教，以具体指导家属如何督促患者配合治疗。出院 1 个月后比较两组间的治疗与护理依从性及血压达 标率。结果 观察组患者在坚持按原嘱服药、高血压病饮食、自我保健、血压监测等方面，治疗与护理依从性及血压达标率均 高于对照组，差异有统计学意义(均 PO.Ol) 。结论 家属参与可提高老年高血压患者的治疗与护理依从性，有利于患者康复。 I 关键词1 家属参与;老年高血压$依从性z 影响 I 中图分类号1 R544.1 (文献标志码1 A (文章编号1 1008-9993(2012)1A-0047--o 2 Influence of Family Members Participation to Compliance of Elderly Patients with Hyperten- sion Treatment and Nursing CHEN Xiao-qing ,GUO Cai-yun(Department of Cardiovascular Diseases and Geriatrics ,No.175 Hospital of PLA. Southeast Hospital Attached to Xiamen University. Zhangzhou 363000 ,Fujian Province ,China) Corresponding author:GUO Cai-yun.Email:chenxq810745@ [Abstractl Objective To investigate the influence of family members participation to the compliance of elderly patients with hypertension treatment and care. Methods From January to December 2009 , 140 elderly inpatients with hypertension were randomly divided into observational group(N=70) and control group(N=70). The patients of the control group underwent routine education of the hypertension knowledge and the patients in the observational were assessed on the family of cognitive and degree of support ,and requested to choose one of the family members living with the patient to participate in hypertension health-education lecture in addition to their regular education so as to provide specific guidance on how to supervise the families of patients with treatment. Comparisons were co