摘 要
高血压是全球范围内导致心血管疾病的主要风险因素之一，其有效管理对改善患者健康状况至关重要。本研究旨在探讨社区护理干预对高血压患者血压控制的效果及其可行性。研究选取某城市三个社区的300名高血压患者作为研究对象，随机分为干预组和对照组，其中干预组接受为期6个月的系统化社区护理干预，包括健康教育、生活方式指导及定期随访，而对照组仅接受常规医疗管理。通过对比两组患者的血压水平、服药依从性及健康行为改变情况，结果显示，干预组患者的收缩压和舒张压均显著低于对照组，且其服药依从性和健康生活方式采纳率明显提高。此外，干预组患者在自我管理能力方面的提升尤为突出，表明社区护理干预能够有效促进患者行为改变并实现血压的良好控制。本研究创新性地引入了以患者为中心的个性化干预方案，并结合现代信息技术进行动态监测与反馈，为社区高血压管理提供了新思路。研究结果证实，系统化的社区护理干预不仅有助于改善高血压患者的血压控制效果，还能够提升其整体健康水平，具有重要的实践意义和推广价值。关键词：高血压管理，社区护理干预，血压控制，服药依从性，健康行为改变
Abstract
Hypertension is one of the leading risk factors for cardiovascular diseases globally, and its effective management is crucial for improving patients' health conditions. This study aimed to investigate the effects and feasibility of community-based nursing interventions on blood pressure control among hypertensive patients. A total of 300 hypertensive patients from three communities in a city were selected and randomly divided into an intervention group and a control group. The intervention group received a six-month systematic community nursing intervention, which included health education, lifestyle guidance, and regular follow-ups, while the control group only received routine medical management. By comparing the blood pressure levels, medication adherence, and changes in health behaviors between the two groups, the results showed that both systolic and diastolic blood pressures in the intervention group were significantly lower than those in the control group. Moreover, the intervention group demonstrated markedly improved medication adherence and adoption rates of healthy lifestyles. Notably, the enhancement of self-management capabilities in the intervention group was particularly prominent, indicating that community-based nursing interventions can effectively promote behavioral changes and achieve good blood pressure control. This study innovatively introduced a patient-centered personalized intervention plan and combined modern information technology for dynamic monitoring and feedback, providing new insights into community-based hypertension management. The findings confirmed that systematic community nursing interventions not only contribute to better blood pressure control but also enhance overall health levels among hypertensive patients, highlighting significant practical implications and potential for widespread application.Key Words：Hypertension Management, Community Nursing Intervention, Blood Pressure Control, Medication Adherence, Health Behavior Change
目 录
一、绪论 1
（一）高血压社区护理干预的研究背景 1
（二）社区护理干预对血压控制的意义 2
（三）国内外研究现状分析 2
（四）本文研究方法与结构安排 3
二、高血压患者社区护理干预的理论基础 4
（一）社区护理干预的核心概念 4
（二）高血压管理的相关理论框架 5
（三）社区护理干预的作用机制 6
三、社区护理干预对高血压患者血压控制的效果分析 7
（一）干预措施的设计与实施 7
（二）血压控制效果的评估指标 9
（三）数据分析与结果解读 10
四、影响社区护理干预效果的关键因素探讨 11
（一）患者依从性对干预效果的影响 11
（二）社区资源支持的作用分析 12
（三）护理人员专业能力的重要性 13
结论 14
参考文献 15
致 谢 18
