摘要
目的 探讨健康教育对控制高血压患者血压波动的意义.方法 选取2011年4月～2012年4月北京市某社区医院就诊的45岁以上高血压患者300例,随机分为两组,对照组（150例）给予常规降压治疗,观察组（150例）给予健康教育联合常规降压治疗,观察两组的生活方式,白天和夜间的收缩压、舒张压、脉压差,及SF-36量表评分.结果 观察组在坚持服药（65.3％）、心理健康（57.3％）、合理膳食（55.3％）、规律运动（36.0％）方面较对照组（分别为34.0％、33.3％、28.0％、15.3％）均有明显改善,差异有高度统计学意义（P＜0.01）.健康教育后,观察组白天收缩压[（124.55±13.73）mm Hg]、脉压差[（39.45±7.71）mm Hg]以及夜间的收缩压[（119.22±17.42）mmHg]、舒张压[（77.62±10.39）mm Hg]均低于对照组[（133.36± 16.09）、（43.63±10.42）、（126.48±17.17）、（83.81±12.67）mm Hg],差异有统计学意义（P＜0.05）.观察组在SF-36量表身体疼痛、生理功能、生理职能、总体健康、活力、社会功能、情感、精神健康等方面均优于对照组,差异有高度统计学意义（P＜0.01）.结论 健康教育可有效提高高血压患者依从性,对控制血压波动有重要意义.
Objective To explore the significance of healthy education on blood pressure control in hypertension patients.Methods 300 patients above 45 years old from a community hospital in Beijing from April 2011 to April 2012 were collected and randomly divided into two groups with 150 cases in each groups.The control group was treated with conventional treatment,observation group was treated with health education combined with conventional antihypertensive therapy.Then the lifestyle,systolic blood pressure,diastolic blood pressure and pulse pressure during day and night,and the SF-36 scale scores in both groups were observed.Results In observation group,medication adherence （65.3％）,mental health （57.3％）,reasonable diet （55.3％） and regular exercise （36.0％） were higher than that in control group （34.0％,33.3％,28.0％,15.3％ respectively）,the differences were statistically significant （P ＜ 0.01）.After healthy education,the systolic blood pressure [（124.55±13.73） mm Hg],pulse pressure [（39.45±7.71） mm Hg] in daytime,the systolic blood pressure [（119.22±17.42） mm Hg] and diastolic blood pressure [（77.62±10.39） mm Hg] in the night in observation group were lower than that those in control group [（133.36± 16.09）,（43.63 ±10.42）,（126.48±17.17）,（83.81±12.67） mm Hg respectively）],the differences were statistically significant （P ＜ 0.05）.The SF-36 scale of body pain,physiological function,physiological competency,general health,vitality,social function,emotion,mental health in observation group were all better than those in control group,the differences were statistically significant （P ＜ 0.01）.Conclusion Health education can effectively improve hypertension patients＇ compliance,it is important to control blood pressure fluctuations.
出处
《中国医药导报》
CAS
2014年第9期174-176,共3页
China Medical Herald
关键词
高血压
健康教育
血压波动
Hypertension
Healthy education
Change of blood pressure
