Objective To explore the curative effect of community nursing intervention on elderly patients with hyper-tension. Methods A total of 151 elderly patients with hypertension in our center from January 2014 to January 2015 were imple-mented the community nursing. The intervention measures were formulated according to the patient′s concrete condition,including establishing the health file,health education,psychological nursing,diet management,regular exercise,body mass control,limit ing alcohol and stopping smoking,medication management and self testing blood pressure(BP),regular follow-up,etc. The nursing efficacy and BP control condition were compared between before and after intervention. Results After the 12-month nursing in-tervention,the situation of the awareness rate of hypertension related knowledge,healthy life style,reasonable diet,treatment compliance and self BP monitoring was significantly superior to that before intervention ,the difference was statistically significant (P<0.01);the indicators of systolic pressure,diastolic pressure,BMI,fasting blood glucose,triglyceride and total cholesterol were significantly decreased compared with those before intervention,and the differences were statistically significant(P<0.05),moreover the control and standard reaching rate of above indicators were significantly increased,and the difference was statistically significant (P<0.01);the scores of living quality related 8 dimensions after intervention were significantly increased compared with be-fore intervention,and the difference was statistically significant(P<0.01). Conclusion The comprehensive community nursing in-tervention measures can effectively improve the treatment effect in elderly patients with hypertension ,and improve their quality of life, which is worthy of promotion.%目的：探讨实施社区护理干预对老年高血压患者的治疗效果。方法对浙江省宁波市海曙区南门街道社区服务中心2014年1月至2015年1月接诊的151例老年高血压患者实施社区护理，根据患者的具体情况制订干预措施，包括建立健康档案、健康教育、心理护理、饮食管理、适量运动、控制体质量、戒烟限酒、服药管理及自我血压监测、定期随访等，比较干预前后护理效果及血压控制情况。结果实施护理干预12个月后，患者高血压相关知识知晓率、健康生活方式、合理膳食、遵医行为、自我血压监测等均明显优于干预前，差异均有统计学意义（P<0.01）；收缩压、舒张压、体质量指数、空腹血糖、三酰甘油、总胆固醇等指标均较干预前明显降低，差异均有统计学意义（P<0.05），而对以上各项指标的控制达标率均明显提高，差异均有统计学意义（P<0.01）；干预后患者生活质量相关的8个维度得分较干预前均显著提高，差异均有统计学意义（P<0.01）。结论综合性的社区护理干预措施能有效提高老年高血压患者的治疗效果，改善其生活质量，值得推广应用。
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