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目的探讨延续护理对提高老年高血压患者院外用药依从性的效果。方法选取本院2014年12月—2016年1月收治的136例老年高血压患者进行分析,将其随机分为研究组和对照组,每组68例患者,两组患者住院期间均接受常规治疗,对照组出院后每3个月电话随访1次,对患者院外用药情况进行了解,研究组则在此基础上给予延续护理。患者出院6个月后,比较两组的院外用药依从性、对高血压的了解、血压情况、再入院例数以及生活质量进行评价和比较。结果研究组遵医嘱用药患者51例(80.95%)显著高于对照组的37例(59.68%),差异有统计学意义(P<0.05);研究组患者对高血压的了解情况48例(76.19%)、血压控制情况52例(82.54%)均优于对照组[31例(50.00%)、35例(56.45%)],差异均有统计学意义(P<0.05)。研究组生活质量优良率84.13%显著高于对照组的66.13%,差异有统计学意义(P<0.05)。结论延续护理对于提高老年高血压患者院外用药依从性具有积极作用,同时对于提高患者血压控制情况以及生活质量均有显著的效果。
Objective To explore the effect of extended nursing on the compliance of hospitalized patients with hypertension in the elderly. Methods A total of 136 elderly hypertensive patients admitted from December 2014 to January 2016 in our hospital were analyzed. They were randomly divided into study group and control group, with 68 patients in each group. Both groups were treated routinely during hospitalization. , The control group was followed up every three months after phone call 1 times, to understand the patient’s medication situation outside the hospital, the study group is given on this basis, extended care. Six months after discharge, patients were evaluated for comparision of hospital drug compliance, knowledge of hypertension, blood pressure, number of hospitalizations and quality of life. Results The study group 51 patients (80.95%) were significantly higher than the control group 37 cases (59.68%), the difference was statistically significant (P <0.05); study group of patients with hypertension in 48 cases (76.19 %), And 52 cases (82.54%) of blood pressure control were better than the control group (31 cases (50.00%), 35 cases (56.45%)], the differences were statistically significant (P <0.05). The excellent and good quality of life in the study group was 84.13%, which was significantly higher than that in the control group (66.13%, P <0.05). CONCLUSION: Continuing nursing has a positive effect on improving compliance of drug use in elderly patients with hypertension and has significant effect on improving blood pressure control and quality of life.