论文部分内容阅读
目的对社区老年高血压患者的跌倒因素进行分析并对护理干预结果进行分析。方法收集天津市河东区中山门街社区卫生服务中心诊治的100例高血压患者为研究对象,按照进院时间平均分为观察组和对照组,每组50例。对照组采用一般的常规护理,观察组采用综合护理干预。将两组患者对高血压导致摔倒的认知情况和实际摔倒发生率进行比较。结果比较跌倒危险因素认知情况合格率,对照组护理前为34.0%,护理后为52.0%;观察组护理干预前合格率为38.0%,护理干预后合格率为84.0%,护理后观察组明显高于对照组,差异有统计学意义(P<0.05)。比较两组跌倒发生率,对照组室内为16.0%;室外为6.0%。观察组室内为8.0%;室外为4.0%,观察组跌倒发生情况低于对照组,差异均有统计学意义(P<0.05)。结论综合护理干预可有效改善社区高血压老人对跌倒相关因素的认知情况,降低跌倒发生率,值得临床推广应用。
Objective To analyze the causes of falls in elderly patients with hypertension in the community and analyze the results of nursing interventions. Methods 100 hypertensive patients diagnosed and treated in Zhongshan Menjie Community Health Center of Hedong District of Tianjin were enrolled in this study. The patients were divided into observation group and control group according to the time of admission. Each group included 50 cases. The control group used the general routine care, the observation group used the comprehensive nursing intervention. Patients in both groups were compared for cognitive decline and actual fall-onset rates of hypertension. Results The qualified rate of cognition of risk factors of falling was 34.0% before nursing care and 52.0% after nursing care. The qualified rate before nursing intervention in observation group was 38.0% and the qualified rate after nursing intervention was 84.0% Higher than the control group, the difference was statistically significant (P <0.05). The incidence of falls was compared between the two groups, 16.0% in the control group and 6.0% in the outdoors. The observation group was 8.0% indoors; the outdoor was 4.0%. The incidence of fall in the observation group was lower than that in the control group (P <0.05). Conclusion The comprehensive nursing intervention can effectively improve the community cognition of hypertension-related factors and reduce the incidence of falls, which is worthy of clinical application.