本文選題：循證護(hù)理 + 高血壓　； 參考：《右江民族醫(yī)學(xué)院學(xué)報(bào)》2017年01期

【摘要】：目的探討循證護(hù)理對(duì)高血壓腦梗死患者預(yù)后的影響。方法將92例高血壓并發(fā)腦梗死患者隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組各46例,對(duì)照組患者施行高血壓腦梗死常規(guī)護(hù)理,實(shí)驗(yàn)組從健康教育、飲食生活習(xí)慣、服藥依從性、心理、自我管理實(shí)施方面循證護(hù)理,并進(jìn)行出院后3個(gè)月、6個(gè)月、12個(gè)月、24個(gè)月電話或微信定期隨訪,比較兩組患者出院兩年的生活方式、血壓、血糖、血脂、體重、心腦血管病意外事件的差異。結(jié)果實(shí)驗(yàn)組在出院后兩年的血壓、生活方式、血糖、血脂、體重、心腦血管病意外事件的控制方面優(yōu)于對(duì)照組,經(jīng)比較差異均具有統(tǒng)計(jì)學(xué)意義(P0.05、P0.01或P0.001)。結(jié)論循證護(hù)理對(duì)高血壓腦梗死患者的預(yù)后有重要影響作用,可以改變不良飲食及生活方式,規(guī)范正確指導(dǎo)患者服藥并提高服藥依從性,有效控制患者的高血壓,改善患者預(yù)后及生活質(zhì)量,定期隨訪可以為出院后的血壓、血脂、血糖管理長(zhǎng)期達(dá)標(biāo)打下基礎(chǔ),預(yù)防并減少腦卒中復(fù)發(fā)。
[Abstract]:Objective to investigate the effect of evidence-based nursing on the prognosis of patients with hypertensive cerebral infarction. Methods 92 cases of hypertension complicated with cerebral infarction were randomly divided into experimental group and control group, 46 cases in the experimental group and the control group. The control group performed routine nursing care of hypertensive cerebral infarction. The experimental group was based on health education, diet habits, medication compliance, psychology and self-management implementation. After 3 months, 6 months, 12 months, 12 months, 24 months of telephone or WeChat regular follow-up, the difference between the two years of life style, blood pressure, blood sugar, blood lipid, body weight, cardiovascular and cerebrovascular accident were compared between the two groups. Results the blood pressure, lifestyle, blood sugar, blood lipid, weight, cardiovascular and cerebrovascular accident after discharge were two years after discharge. The control of events is better than that of the control group, and the difference is statistically significant (P0.05, P0.01 or P0.001). Conclusion evidence-based nursing has an important influence on the prognosis of patients with hypertensive cerebral infarction, which can change the unhealthy diet and lifestyle, guide the patients to take the medicine correctly and improve the compliance of the medicine, and effectively control the high blood of the patients. Pressure, improve the patient's prognosis and quality of life. Regular follow-up can lay the foundation for the long-term standard of blood pressure, blood lipid and blood glucose management after discharge, and prevent and reduce the recurrence of stroke.
【作者單位】： 廣西柳州市工人醫(yī)院廣西醫(yī)科大學(xué)第四附屬醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】：R473;R-03

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本文編號(hào)：2106721