摘 要
随着我国人口老龄化进程加快，老年高血压患者数量逐年增加，社区护理干预对提高老年高血压患者的血压控制率、改善生活质量具有重要意义。本研究旨在探讨社区护理干预措施在老年高血压患者中的应用效果。选取某社区2019年1月至2021年1月期间确诊的150例老年高血压患者为研究对象，随机分为观察组和对照组各75例，对照组给予常规健康教育，观察组在常规健康教育基础上实施社区护理干预，包括建立健康档案、定期随访、个性化健康指导等。干预6个月后，对比两组患者的血压控制情况、服药依从性、自我管理能力及生活质量评分。结果显示，观察组患者血压达标率显著高于对照组，差异有统计学意义；观察组患者的服药依从性、自我管理能力评分均优于对照组，生活质量各项指标评分也明显高于对照组。这表明社区护理干预可有效提高老年高血压患者的血压控制率，增强患者的服药依从性和自我管理能力，改善其生活质量，为老年高血压患者的社区管理提供了新的思路与方法，创新性地将多种社区护理干预措施有机结合，充分发挥了社区护理在慢性病管理中的优势，有助于推动社区卫生服务的发展。
关键词：社区护理干预；老年高血压；血压控制；服药依从性；自我管理能力
Abstract
With the acceleration of population aging in China, the number of elderly hypertensive patients has been increasing annually. Community nursing interventions play a crucial role in improving blood pressure control rates and enhancing quality of life for elderly hypertensive patients. This study aims to investigate the effectiveness of community nursing interventions in elderly hypertensive patients. A total of 150 elderly hypertensive patients diagnosed between January 2019 and January 2021 in a specific community were selected as subjects and randomly divided into an observation group and a control group, each consisting of 75 patients. The control group received routine health education, while the observation group underwent community nursing interventions based on routine health education, including establishing health records, regular follow-ups, and personalized health guidance. After six months of intervention, comparisons were made between the two groups regarding blood pressure control, medication adherence, self-management ability, and quality of life scores. The results showed that the blood pressure达标 rate in the observation group was significantly higher than that in the control group, with statistically significant differences. Additionally, the observation group exhibited better medication adherence and self-management ability scores compared to the control group, and their quality of life scores were also markedly higher. These findings indicate that community nursing interventions can effectively improve blood pressure control rates, enhance medication adherence and self-management abilities, and improve the quality of life for elderly hypertensive patients. This approach provides new insights and methods for the community management of elderly hypertensive patients, innovatively integrating various community nursing interventions to fully leverage the advantages of community nursing in chronic disease management, thereby promoting the development of community health services.
Keywords：Community Nursing Intervention；Elderly Hypertension；Blood Pressure Control；Medication Adherence；Self-Management Ability
目 录
引 言 1
第一章 社区护理干预的理论基础 2
1.1 高血压与老年患者特点 2
1.2 社区护理干预的概念 2
1.3 理论框架与研究意义 3
第二章 社区护理干预措施设计 5
2.1 干预目标设定原则 5
2.2 具体干预措施内容 5
2.3 干预措施实施流程 6
第三章 干预效果评估方法 8
3.1 评估指标体系构建 8
3.2 数据收集与处理方式 8
3.3 效果评估的时间节点 9
第四章 干预措施的效果分析 11
4.1 血压控制效果分析 11
4.2 生活质量改善情况 11
4.3 患者满意度调查结果 12
结 论 13
参考文献 14
致 谢 15
随着我国人口老龄化进程加快，老年高血压患者数量逐年增加，社区护理干预对提高老年高血压患者的血压控制率、改善生活质量具有重要意义。本研究旨在探讨社区护理干预措施在老年高血压患者中的应用效果。选取某社区2019年1月至2021年1月期间确诊的150例老年高血压患者为研究对象，随机分为观察组和对照组各75例，对照组给予常规健康教育，观察组在常规健康教育基础上实施社区护理干预，包括建立健康档案、定期随访、个性化健康指导等。干预6个月后，对比两组患者的血压控制情况、服药依从性、自我管理能力及生活质量评分。结果显示，观察组患者血压达标率显著高于对照组，差异有统计学意义；观察组患者的服药依从性、自我管理能力评分均优于对照组，生活质量各项指标评分也明显高于对照组。这表明社区护理干预可有效提高老年高血压患者的血压控制率，增强患者的服药依从性和自我管理能力，改善其生活质量，为老年高血压患者的社区管理提供了新的思路与方法，创新性地将多种社区护理干预措施有机结合，充分发挥了社区护理在慢性病管理中的优势，有助于推动社区卫生服务的发展。
关键词：社区护理干预；老年高血压；血压控制；服药依从性；自我管理能力
Abstract
With the acceleration of population aging in China, the number of elderly hypertensive patients has been increasing annually. Community nursing interventions play a crucial role in improving blood pressure control rates and enhancing quality of life for elderly hypertensive patients. This study aims to investigate the effectiveness of community nursing interventions in elderly hypertensive patients. A total of 150 elderly hypertensive patients diagnosed between January 2019 and January 2021 in a specific community were selected as subjects and randomly divided into an observation group and a control group, each consisting of 75 patients. The control group received routine health education, while the observation group underwent community nursing interventions based on routine health education, including establishing health records, regular follow-ups, and personalized health guidance. After six months of intervention, comparisons were made between the two groups regarding blood pressure control, medication adherence, self-management ability, and quality of life scores. The results showed that the blood pressure达标 rate in the observation group was significantly higher than that in the control group, with statistically significant differences. Additionally, the observation group exhibited better medication adherence and self-management ability scores compared to the control group, and their quality of life scores were also markedly higher. These findings indicate that community nursing interventions can effectively improve blood pressure control rates, enhance medication adherence and self-management abilities, and improve the quality of life for elderly hypertensive patients. This approach provides new insights and methods for the community management of elderly hypertensive patients, innovatively integrating various community nursing interventions to fully leverage the advantages of community nursing in chronic disease management, thereby promoting the development of community health services.
Keywords：Community Nursing Intervention；Elderly Hypertension；Blood Pressure Control；Medication Adherence；Self-Management Ability
目 录
引 言 1
第一章 社区护理干预的理论基础 2
1.1 高血压与老年患者特点 2
1.2 社区护理干预的概念 2
1.3 理论框架与研究意义 3
第二章 社区护理干预措施设计 5
2.1 干预目标设定原则 5
2.2 具体干预措施内容 5
2.3 干预措施实施流程 6
第三章 干预效果评估方法 8
3.1 评估指标体系构建 8
3.2 数据收集与处理方式 8
3.3 效果评估的时间节点 9
第四章 干预措施的效果分析 11
4.1 血压控制效果分析 11
4.2 生活质量改善情况 11
4.3 患者满意度调查结果 12
结 论 13
参考文献 14
致 谢 15
