标题：耳穴压豆护理在高血压自管小组中的应用

      作者：朱磊 1，廖晓琴 2，梅久红 1    (1.上海市浦东新区迎博社区卫生服务中心预防保健科，上海 200120；2.上海市中医药大学护理学院临床护理教研室，上海 200120)

      卷次： 2018年29卷19期

      【摘要】 目的 探讨耳穴压豆护理在高血压自管小组中的临床作用。方法 选取2016年1月至2017年1月上海市浦东新区迎博社区卫生服务中心高血压自管小组的 100例原发性高血压患者为研究对象，采用随机数表法分为对照组和观察组，每组50例，对照组根据血压水平给予常规高血压药物治疗及自我健康管理教育，观察组在相应药物治疗的基础上给予耳穴压豆护理治疗。比较两组患者治疗前后的舒适度、满意度、依从性及精神状况，并于治疗 1年后比较临床疗效。结果 观察组患者治疗 6个月、9个月和 12个月时的收缩压/舒张压分别为 (130.8±8.2) mmHg/(85.6±6.5) mmHg、(125.5±7.9) mmHg/(80.3±5.4) mmHg、(120.7±6.1) mmHg/(80.1±6.3) mmHg，明显低于对照组治疗后的(135.7±8.6) mmHg/(90.3±6.1) mmHg、(130.4±8.3) mmHg/(88.7±6.7) mmHg、(129.8±7.9) mmHg/(85.3±6.5) mmHg，差异均有统计学意义(P<0.05)；观察组患者9个月和12个月时的舒适度、满意度、依从性及精神状况评分分别为(16.0±3.5)分和(17.9±1.9)分、(16.0±3.0)分和(18.0±1.7)分、(17.6±2.2)分和(18.3±1.5)分、(16.6±3.1)分和(17.5±2.4)分，明显高于对照组的(14.6±3.1)分和(15.9±2.4)分、(14.1±3.2)分和(16.0±2.9)分、(14.6±3.8)分和(15.4±2.7)分、(14.3±2.9)分和(15.4±2.7)分，差异均有统计学意义(P<0.05)；观察组患者的治疗总有效率为94.0%，明显高于对照组的74.0%，差异有统计学意义(P<0.05)。结论 耳穴压豆可显著降低患者的血压、提高患者舒适度、满意度、依从性，改善精神状况，从而进一步提高临床疗效。
      【关键词】 高血压；自我健康管理；耳穴压豆；护理；临床疗效
      【中图分类号】 R544.1 【文献标识码】 A 【文章编号】 1003—6350（2018）19—2807—04

Application of ear acupoint sticking nursing in self-management of hypertension.
ZHU Lei 1, LIAO Xiao-qin 2, MEIJiu-hong 1. 1. Department of Preventive Health, Yingbo Community Health Service Center of Pudong New Area, Shanghai200120, CHINA; 2. Department of Clinical Nursing Teaching Office, School of Nursing, Shanghai University of ChineseMedicine, Shanghai 200120, CHINA
【Abstract】 Objective To investigate the clinical role of ear acupoint sticking in the self-management of hyper-tension. Methods One hundred patients with essential hypertension in the self-management group of hypertensionfrom Yingbo Community Health Service Center of Pudong New Area, Shanghai from January 2016 to January 2017were selected and divided into the control group and the observation group according to random number table method,with 50 patients in each group. The control group was given conventional hypertension medication and self-health man-agement education according to the blood pressure level. The observation group was given ear acupoint sticking basedon the corresponding drug treatment. The comfort, satisfaction, compliance, and mental status were compared, and theclinical efficacy was compared one year after treatment. Results The systolic and diastolic blood pressures of the ob-servation group after 6 months, 9 months and 12 months after treatment were (130.8±8.2) mmHg/(85.6±6.5) mmHg,(125.5±7.9) mmHg/(80.3±5.4) mmHg, (120.7±6.1) mmHg/(80.1±6.3) mmHg, respectively, which were significantly low-er than corresponding (135.7±8.6) mmHg/(90.3±6.1) mmHg, (130.4±8.3) mmHg/(88.7±6.7) mmHg, (129.8±7.9) mmHg/(85.3±6.5) mmHg in the control group (P<0.05). The comfort, satisfaction, compliance, and mental status scores of theobservation group at 9 months and 12 months were (16.0±3.5) and (17.9±1.9), (16.0±3.0) and (18.0±1.7), (17.6±2.2) and(18.3±1.5), (16.6±3.1) and (17.5±2.4), respectively, who were significantly higher than corresponding (14.6±3.1) and(15.9±2.4), (14.1±3.2) and (16.0±2.9), (14.6±3.8) and (15.4±2.7), (14.3±2.9) and (15.4±2.7) in the control group (P<0.05). The total effective rate of the observation group was significantly higher than that of the control group (94.00% vs74.00, P<0.05). Conclusion Ear acupoint sticking can significantly reduce the patient's blood pressure, improve patientcomfort, satisfaction, compliance, and improve mental status, thus further improve clinical efficacy.
      【Key words】 Hypertension; Self-health management; Ear acupoint sticking; Nursing; Clinical efficacy·护 理·doi:10.3969/j.issn.1003-6350.2018.19.044基金项目：上海市浦东新区卫生系统优秀青年医学人才培养计划(编号：PWRq2016-15)