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目的探讨护理干预对慢性肾脏病中青年患者的影响效果和方法。方法将100例慢性肾脏病中青年患者按随机数字表法分为试验组和对照组,每组50例。2组患者均采用钙拮抗剂、利尿剂等药物进行常规治疗,共治疗6个月。在此基础上,试验组患者在社区健康服务中心建立专案,按照分级管理的要求,采取个体化社区护理干预;对照组患者采取常规的门诊护理措施。观察2组患者护理干预后6个月遵医行为、健康知识知晓及护理干预前、护理干预后6个月血压控制的情况。结果试验组患者护理干预后6个月的规律服药、主动测量血压、定期体检、知晓高血压诊断标准、知晓并发症和危害、学会自测血压、学会合理膳食、掌握运动的方法所占比例均明显高于对照组(均P<0.05)。结论个体化社区护理干预能有效地控制患者血压,降低并发症的发生率,提高疗效和患者的生活质量,在高血压的治疗与控制中具有重要的作用。
Objective To investigate the effect and method of nursing intervention on young patients with chronic kidney disease. Methods 100 cases of chronic kidney disease in young patients according to random number table divided into experimental group and control group, 50 cases in each group. 2 groups of patients were treated with calcium antagonists, diuretics and other drugs for a total of 6 months. On this basis, patients in the experimental group set up special cases in community health service centers and adopted individualized community nursing interventions according to the requirements of grading management. Patients in the control group took routine outpatient nursing measures. Observe the compliance of doctors, knowledge of health knowledge and blood pressure control 6 months after nursing intervention before 6 months after nursing intervention in 2 groups. Results The patients in trial group took 6 months’ regular medication after taking the intervention, taking the initiative to measure blood pressure, regular physical examination, knowing the diagnostic criteria of hypertension, knowing the complications and harms, learning self-test blood pressure, learning reasonable diet and controlling the proportion of exercise Obviously higher than the control group (all P <0.05). Conclusion Individualized community nursing intervention can effectively control the blood pressure, reduce the incidence of complications, improve the efficacy and quality of life of patients, plays an important role in the treatment and control of hypertension.