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首页> 外文期刊>Journal of Nursing Education and Practice >Effect of nursing guideline for recently diagnosed hypertensive patients on their knowledge, self-care practice and expected clinical outcomes
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Effect of nursing guideline for recently diagnosed hypertensive patients on their knowledge, self-care practice and expected clinical outcomes

机译：近期诊断的高血压患者的护理指南对他们的知识，自我护理行为和预期临床结局的影响

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Background: Hypertension is one of the most common diseases afflicting humans worldwide, and one of the leading causes of death and disability in developing countries. The role of nursing in preventing hypertension is to create awareness, hence, its significant reduction. The aim of the study was to detect the effect of nursing guideline for recently diagnosed hypertensive patients on their knowledge,self-care practice and expected clinical outcomes.Subjects and methods: The study was conducted in the outpatient medicine clinics in Elnasr Health Insurance and Zagazig University Hospitals, in Egypt using a controlled quasi-experimental study design with pre-post and follow-up assessments on 85 recently diagnosed hypertensive patients. The data collection tools included Demographic and Medical History Tool, knowledge assessment tool, Stress Assessment Scale, Lifestyle Habits and self-care practice Assessment Tools and the Physical Assessment and Laboratory Investigation Sheet. The researcher developed nursing guideline aimed at effecting lifestyle changes in hypertensive patients to help control their blood pressure and prevent complications. The study was achieved through four phases namely assessment, planning, implementation and evaluation. Each patient was evaluated at the assessment phase, six months after program implementation, and six months after the second evaluation.Results: Fifteen patients dropped out. The implementation of the intervention was associated with significant improvements in all aspects of patients' knowledge at the post and follow-up tests (p p p < .001). Multivariate analysis showed that the implementation of the nursing guideline was the most important independent predictor of the control of hypertension, in addition to the scores of practice of exercise, compliance and personal self care practice.Conclusion and recommendations: Individualized custom-tailored nursing guideline can be effective in the management of recently diagnosed hypertensive patients through improving their related knowledge, self-care practices and Excepected clinical outcomes. It is recommended to apply this program as a routine in the study setting and similar ones.
机译：背景：高血压是困扰人类的最常见疾病之一，也是发展中国家死亡和致残的主要原因之一。护理在预防高血压中的作用是提高意识，因此，其显着降低。这项研究的目的是检测护理指南对最近诊断出的高血压患者的知识，自我保健实践和预期的临床结果的影响。研究对象和方法：该研究在Elnasr Health Insurance和Zagazig的门诊诊所进行埃及的大学医院采用受控的准实验研究设计，对85名最近被诊断出的高血压患者进行了事前和事后评估。数据收集工具包括人口统计学和病史工具，知识评估工具，压力评估量表，生活方式习惯和自我护理实践评估工具以及身体评估和实验室调查表。研究人员制定了护理指南，旨在改变高血压患者的生活方式，以帮助控制血压并预防并发症。该研究是通过四个阶段完成的，即评估，计划，实施和评估。在评估阶段，计划实施后六个月和第二次评估后六个月对每个患者进行了评估。结果：15名患者退出了研究。干预措施的实施与患者在后期和随访测试中知识的各个方面的显着改善相关（p p p <.001）。多变量分析表明，除了运动练习，依从性和个人自我护理得分以外，护理指南的实施是控制高血压的最重要的独立预测指标。结论和建议：个性化的量身定制护理指南可以通过改善他们的相关知识，自我护理习惯和预期的临床结果，有效地管理最近诊断的高血压患者。建议将此程序作为研究环境和类似环境中的常规应用。

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