目的 探讨运用循证护理模式对高龄难治性高血压患者的护理效果.方法 将224例高龄难治性高血压按入院先后顺序分为常规护理组(108例)和循证护理组(116例).常规护理组采用常规护理方法,循证护理组采用循证护理方法.对两组的护理效果进行比较.结果 住院4周后,循证护理组体重控制、生活方式、遵医行为、心理状况改善均优于常规护理组(P＜0.05),两组收缩压、舒张压及平均动脉压的改善情况比较,差异均有显著统计学意义(P＜0.001).结论 循证护理模式有助于高龄难治性高血压患者的血压控制,提高患者对高血压知识的认知水平和遵医行为,改善心理状况.%Objective To explore effect of evidence-based nursing model in treatment of elderly patients with resistant arterial hypertension. Methods 224 elderly patients with resistant arterial hypertension were divided into control group (n = 108) and evidence-based nursing care group (n = 116) according to the admission time. Traditional nursing care was offered in control group, while evidence-based nursing care was offered in evidence-based nursing care group. The nursing efficacy of the two groups was compared. Results The weight control, life style, compliance on doctor's advice and psychological status of patients in evidence-based nursing care group showed better improvement than those of control group 4 weeks after admission (P <0. 05) ; the conditions of contractive pressure, diastolic blood pressure and mean arterial pressure in evidence-based nursing care group improved better than that of control group (P <0.001). Conclusion Evidence-based nursing model has significant efficacy on elderly patients with resistant arterial hypertension, and can improve awareness of hypertension, compliance on doctor's advice and psychological status.
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