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目的:探讨社区综合干预对老年临界高血压患者的预防治疗效果。方法:选取我社区医院2012年1月至2014年6月收治的140例老年临界高血压患者作为研究对象,将2012年1月至2013年3月的70例患者作为对照组,2013年4月至2014年6月的70例患者作为干预组。其中干预组患者给予社区综合干预,对照组患者仅给予常规干预,比较两组患者的干预效果。结果:两组患者经干预后收缩压、舒张压均有明显下降(P<0.01),但干预组下降得更为显著(P<0.01);经1年干预后,干预组有24.29%的患者进展至高血压,明显低于对照组(P<0.05),血压恢复正常的占40.00%,明显高于对照组(P<0.01);干预组躯体功能、心理功能、社会功能、物质生活得分分别为(93.1±5.3)分、(92.5±6.5)分、(93.4±3.9)分、(94.0±5.2)分,均显著高于对照组(P<0.01)。结论:社区综合干预可有效控制临界高血压患者的血压水平,提高患者的生活质量,值得推广应用。
Objective: To explore the prevention and treatment of community-based interventions in senile critical hypertensive patients. Methods: One hundred and seventy elderly hypertensive patients admitted to our community hospital from January 2012 to June 2014 were selected as the study subjects, and 70 patients from January 2012 to March 2013 were selected as the control group. In April 2013 To June 2014 in 70 patients as intervention group. Intervention group patients were given comprehensive community intervention, the control group of patients given only conventional intervention, the intervention effect of two groups of patients were compared. Results: The systolic blood pressure and diastolic blood pressure of the two groups were significantly decreased (P <0.01) after intervention, but decreased more significantly in the intervention group (P <0.01). After one year of intervention, 24.29% of the patients in the intervention group (P <0.05), and the blood pressure returned to normal was 40.00%, which was significantly higher than that of the control group (P <0.01). The body function, mental function, social function and material life of the intervention group were (93.1 ± 5.3) points, (92.5 ± 6.5) points, (93.4 ± 3.9) points and (94.0 ± 5.2) points respectively, which were significantly higher than those in the control group (P <0.01). Conclusion: Comprehensive community intervention can effectively control the blood pressure of patients with critical hypertension and improve the quality of life of patients, which is worth popularizing and applying.