老年高血压患者的临床护理对策探讨.docVIP

精品论文 参考文献 老年高血压患者的临床护理对策探讨 申海燕 雷军 　　（达州市中心医院 四川 达州 635000） 　　【摘要】 目的：进行老年高血压患者的临床护理对策的探讨。方法：本研究选取2014年2月至2015年2月200例老年高血压患者为对象，将其随机分组。常规组患者实施临床基础护理，临床路径组患者实施临床路径护理。随访1年，对比分析两组患者生活质量的差异、血压的改变、医疗费用和心血管事件发生率。结果：采用t检验分析进行数据统计，临床路径组生活质量明显高于常规组，医疗费用明显低于常规组，临床路径组血压改善幅度明显高于常规组患者，差异有统计学意义（P＜0.05）。行卡方检验显示临床路径组心血管事件发生率明显低于常规组患者，差异有统计学意义（P＜0.05）。结论：对高血压老年患者实施临床路径护理，有助于改善血压水平，提高生活质量，减少心血管不良事件发生率，且有助于节省医疗费用，对患者的预后改善和经济负担减轻均有作用。 　　【关键词】 老年高血压患者；临床护理对策 　　【中图分类号】R473.5 【文献标识码】A 【文章编号】2095-1752（2015）20-0042-02 　　 　　To explore the clinical nursing countermeasures of elderly patients with high blood pressure 　　Shen Haiyan, Lei jun. Dazhou Center Hospital, SichuanProvince, Dazhou 635000,China 　　【Abstract 】 Objective To explore the clinical nursing countermeasures of elderly patients with high blood pressure. Methods Choice in February 2014 to February 2015, 200 cases of elderly patients with high blood pressure as the object, the random grouping. Regular group for clinical basic nursing, clinical pathway group implementation clinical pathway a care. 1 year follow-up, compared two groups of patients quality of life of difference, the change of blood pressure, medical expenses, and the incidence of cardiovascular events. Results Using the t test analysis for data statistics, for the quality of life, clinical pathway group is significantly higher than normal group. For hospitalization costs, clinical pathway group significantly lower than the normal group. For improve blood pressure, clinical pathway group is significantly higher than normal group. For Incidence of cardiovascular events, clinical pathway group significantly lower than normal group, the difference was statistically significant (P lt; 0.05). Conclusions The implementation of clinical pathway in patients with senile hypertension care, helps to improve blood pressure levels, improve the quality of life, reduce the incidence of cardiovascular adverse events, save medical costs. 　　【Key w