中医护理干预在原发性高血压患者中的应用研究

摘要

Objective To discuss the influence of the traditional Chinese medical (TCM) nursing intervention on blood pressure control and self-management ability of patients with essential hypertension.Methods 100 patients with essential hypertension admitted to Chongqing Dianjiang Traditional Chinese Medicine Hospital from December 2016 to February 2018 were randomly divided into control group and observation group, each 50 cases.The control group used routine nursing, the observation group gave TCM nursing intervention on the basis of routine nursing.After 3 consecutive months, compared the changes of TCM syndromes before and after nursing, the curative effect of hypotension and self-management behavior ability between 2 groups.Results After nursing intervention, the scores of both groups decreased and the score of the observation group was lower than that of control group, the differences were statistically significant (P<0.05).The blood pressure control effect of the observation group was obviously improved and better than that of control group, the systolic pressure and diastolic pressure of the observation group were significantly lower than those of control group, the self-management behavior compliance enhancement effect of the observed group was significantly better than that of the control group, the differences were statistically significant (P<0.05).Conclusion The use of TCM nursing intervention combined with routing nursing can reduce the TCM syndrome score of patients with essential hypertension, significantly improve the effect of hypertension reduction and self-management behavior ability, which can be vigorously promoted in clinical practice.%目的 探讨中医护理干预对原发性高血压患者的血压控制效果及自我管理行为能力的影响.方法 选择2016年12月至2018年2月重庆市垫江县中医院收治的100例原发性高血压患者为研究对象, 随机将其分为对照组和观察组, 各50例.对照组患者采用常规护理, 观察组在常规护理的基础上给予中医护理干预, 连续干预3个月.比较2组患者护理前后的中医证候积分变化及护理后的降压疗效、自我管理行为能力.结果 护理干预后, 2组中医证候积分较护理前均有所下降, 且观察组中医证候积分低于对照组, 差异均有统计学意义 (P<0.05) .观察组血压控制疗效明显优于对照组, 收缩压和舒张压值明显低于对照组, 自我管理行为依从性提高效果明显优于对照组, 差异均有统计学意义 (P<0.05) .结论 采用中医护理干预配合常规护理可使原发性高血压患者中医证候积分下降, 降压效果及自我管理行为能力明显提高, 可在临床上大力推广.