摘要
目的对高血压患者非药物治疗状况进行调查，为控制血压，加强非药物治疗的重要性提供依据。方法采用自设调查问卷和焦虑自评量表（SAS）对86例高血压患者进行调查分析。结果高血压患者非药物治疗平均（10．42±3．69）分；体重指数（BMI）平均（29．96±3．91）kg／m2，其中BMI〉24kg／m2者61例（70．9％）；平时血压≥140／90mmHg者非药物治疗情况差；高血压患者女性非药物治疗总分（11．50±2．60）分高于男性（9．71±4．13）分，差异有统计学意义（t=-2．466，p〈0．05）；不同年龄、文化程度、病程患者非药物治疗情况差异均有统计学意义（P〈0．05）。女性在低脂饮食、无吸烟饮酒方面明显优于男性，差异有统计学意义（P〈0．01）。在年龄方面，年龄〉60岁在注重低盐低脂饮食、按时适量进餐、不吸烟、注重控制体重、注重运动方面优于年龄≤60岁者，差异有统计学意义（P〈0．05），文化程度〉初中组在注重控制体重方面所占百分比高于≤文化程度初中组，差别有统计学意义（P〈0．05）。病程〉10年者在运动方面好于病程≤10年者，差别有统计学意义（P〈0．05）。本组高血压患者焦虑总分20—55分，平均（35．62±7．24）分。结论高血压患者非药物治疗情况较差，医护人员应重视对高血压患者非药物治疗的健康教育，提高高血压患者非药物治疗的自觉性，改变不良生活方式，以更好控制血压。
Objective To investigate the non-medication therapy for patients with hypertension , and to provide guidance to the further non-medication therapy program. Methods 86 hypertensive patients were interviewed by self-designed questionnaire and anxiety self-assess scale （ SAS）, and the data was analyzed by spss 13.0 software. Results The mean score was （ 10.42 ± 3.69 ） ; The mean BMI was （ 29.96 ± 3.91 ） kg/m2, among them there were 61 patients with BMI 〉 24 kg/m2 （70. 9% ）; Hypertensive patients with blood pressure 1〉 140/90 mm Hg have worse non-medication therapy; The average score in women was （ 11.50 ± 2.60） and （9.71 ± 4.13 ） in men, the difference has reach the statistical significance （ t = - 2. 466, P 〈 0. 05 ）. Age, educational level and disease duration were different in non-medication therapy （ P 〈 0. 05 ）. Low-fat dietary and no-smoking and no-drinking in women were better than those in man （P 〈 0. 01 ）. Low-salt and low- fat dietary and regular dietary, no-smoking, weight controlling and exercise in those more than 60 years were better than those younger （P 〈 0. 05 ）. Weight controlling in those with higher education lever was better than those with lower＇education certification （P 〈 0. 05）. Exercise in those with 10 years disease duration above was better than those less than 10 years （P 〈 O. 05 ）. Average score of anxiety was （35.62 ± 7.24）, and the range was from 20 to 55. Conclusions The status of non-medication therapy for patients with hypertension was not well. We should pay more attention to develop health care education to improve patients＇ consciousness of nonmedication therapy, and change unhealthy life style.
出处
《中华现代护理杂志》
2011年第26期3117-3119,共3页
Chinese Journal of Modern Nursing
