延续性健康教育干预对高血压患者治疗依从性的影响

摘要

Objective:To explore the importance of continous health education in the care for the patients with hypertension. Methods:All 316 patients were randomized into 164 cases of the observation group and 152 cases of the control group. Both groups received routine health education, the observation group were also given with conti-nous and comprehensive health eduction on the foundation of routine treatment, the changes of blood pressure, knowledge awareness rate of hypertension and the acquaintance of secondary prevention in both groups were inves-tigated after discharged and in one year after discharged. Results: The difference had no statistical meaning in knowledge awareness rate of hypertension and acquaintance rate of secondary prevention after discharged between both groups (P>0.05), the indexes were improved remarkably in one year after discharged (P<0.05), but the obser-vation group was improved more signficantly (P<0.05). The difference had no statistical meaning in systolic pres-sure and diastolic pressure after discharged (P>0.05), the changes of blood pressure were more notable in one year after discharged (P<0.05), but the control group were improved more remarkably (P<0.05). Conclusion:Continous health education is helpful to improve knowledge awareness rate of hypertension, acquaintance rate of secondary preven-tion and blood pressure in the patients with hypertension.%目的：探讨延续性健康教育在高血压患者护理中的重要性。方法：将316例患者随机分为观察组164例和对照组152例。2组患者均接受常规健康教育，观察组在此基础上给予延续性、综合的健康教育，观察2组出院时、出院后12个月时高血压知识知晓率、二级预防行为的掌握情况及血压变化情况。结果：高血压知识知晓率、二级预防行为掌握率出院时2组比较，差异无统计学意义(P＞0.05)，出院12个月时2组均明显提高(P＜0.05)，观察组提高更明显(P＜0.05)。收缩压、舒张压出院时2组比较，差异无统计学意义(P＞0.05)，出院12个月时2组均明显升高(P＜0.05)，对照组升高更明显(P＜0.05)。结论：延续性健康教育有助于提高高血压患者高血压知识知晓率及二级预防行为掌握率，并可改善血压。