高血压病人时间用药护理的临床观察

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1、河北医科大学研究生毕业论文论文题目高血压病人时间用药护理的临床观察二级学院河北医科大学基础医学院专业护理学研究生姓名赵洁导师姓名及职称陈海英副教授研究起止日期2009年9月–2011年1月交稿日期2011年10月目录中文摘要········································································································1英文摘要········································································

2、································3研究论文高血压病人时间用药护理的临床观察前言········································································································5资料与方法····························································································6结果·································

3、······································································8附图·······································································································10附表·······································································································11讨论······

4、·································································································14结论·······································································································23参考文献···················································································

5、···········24综述高血压病人时间用药护理及评估进展·······································27致谢···············································································································36个人简历······································································································

6、·37中文摘要高血压病人时间用药护理的临床观察摘要目的:高血压病是临床常见的疾病，常引严重的心、脑、肾脏等靶器官的并发症，是脑卒中和冠心病的主要危险因素，我国高血压病患者人数呈上升趋势，成为国民致残，致死的主要病因之一。但我国高血压病患者对该病知晓率低、治疗率低、控制率低。在高血压治疗方面已经有了很大的进步，但是高血压治疗的达标率仍不容乐观。血压达标不仅要使偶测血压达标，同时还要使平均血压达标，且降低血压变异，恢复血压正常的昼夜节律。以时间治疗学为基础的治疗可以获得更高的达标率及恢复血压的正常节律，从而改善高血压患者的预后，但这些资料大都来自于西方国家，本研究探索以时间治疗学为基

7、础的护理模式干预对国人的高血压治疗的影响。方法：入选原发性高血压病2级患者120例，入选标准：符合1999年公开发表的WHO/ISH高血压治疗指南诊断分类标准。排除标准：①经过询问病史、体格检查及必要的实验室检查证实为继发性高血压和有合并症的患者；②不能耐受或不适合服用非洛地平或坎地沙坦者。在洗脱期后随机分为观察组与对照组。对入选患者服药前进行健康教育：①嘱咐病人尽量要保持情绪稳定，消除其紧张焦虑的情绪。②同时给与低盐；低脂肪；低热量饮食。③嘱咐患者禁烟；禁酒；禁止大喜或大悲等。