无控制高血压的综合性多式护理干预:随机对照试验对血压,感知压力和药物坚持的影响
Ayşe Dağıstan Akgöz1, Sebahat Gözüm1
1Faculty of Nursing, Akdeniz University, Antalya, Türkiye.
Clinical hypertension
|February 9, 2026
概括
这项研究表明,护理模型中的无控制高血压治疗干预 (UHTINuM) 在患有高血压的成年人中显著降低了血压和压力. 护士领导的计划改善了药物坚持和健康结果.
科学领域:
- 心血管医学 心血管医学
- 护理科学 护理科学
- 整合性健康 整合性健康
背景情况:
- 失控的高血压是心血管疾病的重要危险因素.
- 护士主导的干预对于管理慢性疾病至关重要.
- 综合性多式联络方法有可能改善患者的治疗结果.
研究的目的:
- 在护理模型 (UHTINuM) 中评估无控制高血压治疗干预措施的有效性.
- 评估护士主导的多式干预对血压控制,压力和药物坚持的影响.
- 探索,教育和家庭血压监测在管理高血压方面的作用.
主要方法:
- 一个单盲,随机对照试验,涉及48名年龄在50-65岁的成年人,患有不受控制的高血压.
- 干预组接受了为期12周的UHTINuM计划,包括,坚持教育和通过电话反进行家庭血压监测.
- 对照组接受了通常的护理;进行了治疗意向分析.
主要成果:
- 与对照组相比,UHTINuM组显示了缩血压 (-21.8 mmHg) 和腹缩血压 (-11.4 mmHg) 的显著降低.
- 感知到的压力显著下降 (-4.2分),药物坚持改善 (-3.1分).
- 二次结果有利于干预组,包括适度的BMI降低和增加体力活动水平.
结论:
- 护士领导的UHTINuM干预有效地改善了血压控制,减少了压力,并提高了中年成年人的药物坚持.
- 整合,教育和自我监测,为基于社区的高血压管理提供了一个可行的策略.
- 这种多式联络方式有望促进高血压护理方面的公共卫生倡议.
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