河南省南阳市社区高血压高盐阈居民个体化限盐护理干预效果评价

发布时间：2018-12-23 21:10

【摘要】：目的探讨社区高血压高盐阈居民个体化限盐护理干预的效果。方法将南阳市3个社区卫生服务中心中符合纳入标准的高血压居民,随机分为试验组和对照组。对照组给予统一低盐饮食干预,试验组给予个体化低盐饮食干预,分别于干预前、后对2组进行24 h尿钠含量测定(计算饮食中钠摄入量)和血压测量,2组病人追踪随访6个月。结果干预后,从第4个月开始,试验组钠摄入量(7.12±3.17)比对照组(8.34±5.83)及干预前(10.98±8.03)均降低,差异均有统计学意义(P0.05)。干预后6个月,对照组钠摄入量(8.56±4.79)虽然也降低,但与干预前(10.06±8.68)比较,差异无统计学意义(P0.05)。试验组的血压值[收缩压(135.03±12.32)mm Hg,舒张压(86.54±7.32)mm Hg]比对照组[收缩压(140.92±12.82)mm Hg,舒张压(90.78±7.63)mm Hg]及干预前[收缩压(147.23±13.38),舒张压(93.42±8.37)]均降低,差异均有统计学意义(P0.05)。结论对社区高血压高盐阈居民,运用个体化限盐干预的方法,能更好地促使患者达到限制钠盐摄入量、降低血压的效果。
[Abstract]:Objective to explore the effect of individualized salt-limited nursing intervention in residents with high salt threshold of hypertension in community. Methods Hypertension residents in 3 community health service centers in Nanyang were randomly divided into trial group and control group. The control group was given unified low-salt diet intervention, and the experimental group was given individualized low-salt diet intervention. Before and after intervention, the urine sodium content (sodium intake in diet) and blood pressure were measured for 24 h in both groups. The patients in both groups were followed up for 6 months. Results from the 4th month after intervention, the sodium intake of the trial group (7.12 卤3.17) was significantly lower than that of the control group (8.34 卤5.83) and before the intervention (10.98 卤8.03) (P0.05). After 6 months of intervention, the sodium intake of the control group (8.56 卤4.79) was also decreased, but there was no significant difference compared with the pre-intervention (10.06 卤8.68) (P0.05). The blood pressure [systolic pressure (135.03 卤12.32) mm Hg,) diastolic blood pressure (86.54 卤7.32) mm Hg)] in the trial group was higher than that in the control group (140.92 卤12.82) mm Hg,). Diastolic blood pressure (90. 78 卤7. 63) mm Hg) and systolic blood pressure (147.23 卤13. 38) and diastolic blood pressure (93. 42 卤8. 37) were significantly lower than those before intervention (P0.05). Conclusion for the residents with high salt threshold of hypertension in the community, individualized salt restriction intervention can better promote the patients to limit the intake of sodium salt and lower their blood pressure.
【作者单位】：郑州大学附属医院南阳市中心医院;南阳医学高等专科学校;
【分类号】：R473.2

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