临床路径对原发性高血压患者健康教育的效果观察

Observation on the effect of health education on primary hypertension patients by means of clinical path

目的探讨以临床路径开展健康教育对高血压患者实施健康教育的效果。方法将152例原发性高血压住院患者跟踪调查,并随机分为观察组(76例)和对照组(76例),对照组采取随机性健康教育,观察组以临床路径制定健康教育计划表,并依表进行系统的健康教育,并对2组健康教育模式的效果进行比较。结果观察组健康教育达标率98.88%、患者满意率99.5%、出院后2年内出现并发症的患者6.88%;对照组健康教育达标80.98%、患者满意率90%、出院后1年内复发出现并发症的患者26.67%,2组相比差异有统计学意义(P<0.01),观察组高血压并发症发病率低于对照组(P<0.01),再次入院的几率小于对照组(P<0.01)。结论以临床路径制定的健康教育,对原发性高血压并发症的发生及其复发起着决定性作用,并能有效地控制复发后的严重程度,提高患者满意度。

Objective In order to investigate the subject of health education’s effect on hypertension patients by means of clinical path.Methods 152 primary hypertension inpatients were randomly divided into two groups, the observation group(n=76) and the control group(n=76).The observation group was systematically practiced with health education plan by means of clinical path. The control group was randomly practiced with routine health education. The effects of the two different health education patterns were compared.Results 98.88% in the observation group reached the standard of health education (the opposite group was 80.99%); 99.5% in the observation group showed their satisfaction (the opposite was 90%); only 6.88% in the observation group patients suffered complications two years after leaving hospital, while 26.67% in the control group suffered complications one year after leaving hospital. There were significant differences between the two groups(P<0.01).The incidence rate of complications of hypertension in the observation group was lower than that in the control group(P< 0.01),and the probability of re-admission to hospital was lower than that in the control group(P< 0.01).Conclusions Health education based on clinical path has a decisive role on the occurrence and recurrence of primary hypertension complications, and can effectively control the condition of recurrence, thus making patients more satisfied.