中文摘要：

目的：探讨脑卒中高危患者实施护理门诊综合干预的措施及效果评价。方法采用便利抽样法选择2014年4—12月于门诊就诊的75例脑卒中高危患者，实施脑卒中护理门诊综合干预措施，包括监测血压、体质量、腹围，指导合理运动、用药、饮食等，及干预效果评价。结果实施干预措施6个月，干预人群收缩压从（148．40±13．86）mmHg 下降至（133．1±12．49）mmHg，舒张压从（84．75±8．50）mmHg 下降至（79．75±7．40）mmHg，差异有统计学意义（P ＜0．05）；合理运动依从率由41．3％提高至72．9％，吸烟率从53．3％降低至21．4％，服药依从率由52．0％提高至85．7％，饮食偏咸率从56．0％降低至37．1％，偏油率从69．3％降低至15．7％，进食水果依从率由38．7％提高至90．0％，饮食牛奶依从率由30．7％提高至75．7％，干预前后差异有统计学意义（P ＜0．05）。结论脑卒中高危患者实施门诊综合干预措施，可以减低脑卒中的危险因素，改善其生活方式。

英文摘要：

Objective To explore comprehensive nursing measures to the high-risk patients with cerebral apoplexy in nursing outpatient and evaluate the effect.Methods Convenience sampling method was used to select 75 high-risk cerebral apoplexy patients in the nursing outpatient from April 201 4 to December 201 4,patients were carried out comprehensive nursing measures including measuring blood pressure,body weight,and abdominal circumference,instructing to take medication correctly and establish a healthy physical exercise and diet style.Results After 6 months of intervention,systolic blood pressure and diastolic blood pressure of the subjects decreased from （1 48.40 ±1 3.86）mmHg to （1 33.1 ±1 2.49）mmHg and （84.75 ± 8.50）mmHg to （79.75 ±7.40）mmHg respectively（P 〈0.05）.Before and after intervention,the reasonable exercise rate rose from 41 .3% to 72.9%,smoking rate decreased from 53.3% to 21 .4%,compliance with medication rose from 52.0% to 85.7%,salty diet rate decreased from 56.0% to 37.1 %,oiled diet rate＆amp;nbsp;decreased from 69.3% to 1 5.7%,compliance with fruit intake rose from 38.7% to 90.0%,compliance with milk drink rose from 30.7% to 75.7%（P 〈0.05）.Conclusions Outpatient comprehensive stoke intervention measures to patients with high-risk for cerebral apoplexy can reduce the risk factors to stoke,improve lifestyle and provide basis for stoke high-risk population.