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군병원 본태성 고혈압 환자의 임상간호학적 관찰

Clinical nursing observation on the essential Hypertensive patient in military hospital

대한간호 1976년 15권 4호 p.53 ~ 60
최명애,
소속 상세정보
최명애 (  ) - 국군간호학교

Abstract


This study was conducted to find out distribution of age. and rank, subjective symptoms, family, history, findings of funduscopy and : E.C.G. and nursing activities, by charts in 100 patients who had been discharged and retired, after treatment under the diagnosis of essential a military hospital from the beginning of March 1975´ until the end of April 1976.
Results through this observation were as follows:
1. Rank distribution of these patients showed in decreasing order that there were 38 cases of private first class, 21 cases of sergeant, 16 cases of corporal, 13 cases of officer, and 12 cases of private.
Age distribution revealed that there were 14 cases corresponding to 2/3 of total cases in the 20 to 25 year old age group.
2. Blood pressure findings indicated that there were 5p cases of 150 to 170mmHg, 44 cases of 171 to 200mmHg, and 6 cases of over 201mmHg in systolic blood pressure; there were 51 cases of 90 to 110 mmHg, 31 cases of 110 to 130mmHg, 12 cases of 131 to 150mmHg, and 6 cases of over 151 mmHg in diastolic blood pressure.
3. Findings of blood pressure by rank indicated that 12 cases (24%) of corporal in 150 to 170 rnmHg, 23 cases (52. 2 %) cases (66. 6 %) of, private
first class in both 171 to 200 mmHg and over 201mmHg. took the first place. Private first class took the first ,place in various?´ group of diastolic
blood pressure.
4. Patients, complaints revealed subjective symptoms with 89 cases of headache, 37cases of dizziness,. 19 cases of visual disturbance, 13 cases of dyspnea,. 6 cases of both chest pain and fate flushing, and 5 cases of nasal bleeding.
5. Prevalence rate of essential hypertension in posi
tive families were 23% and those who had positivefamily history, respectively, were 15,? 3 and 4 cases in the 20 to 25; 26 to 30, - and 41 to 45 year old age groups.
6. Rate of normal funduscopy findings were higher than that of Grade I by Keith-Wagner classification; there were no cases of Grade II. III and IV.
7. There were close relationship between magnitude of systolic and diastolic blood pressure and abnormal finding of E.C.G.. showing left ventricular hypertrophy.
8. Nursing activities revealed on nursing records were rest, medication, restriction, of salt intake,. relief of headache and insomnia, close observation, position change, patient education, back rub, mouth. care and safety measures.

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