健康教育对高血压病患者治疗的影响

Effect of Health Education on Therapy of Patients with Hypertension

目的 :探讨健康教育对高血压病患者生活方式、服药率、血压控制率及并发症发生率的影响。方法 :2 84例高血压病患者随机分为教育组和对照组 ,均接受临床常规药物治疗 ;教育组根据患者心脑血管病危险因素及高血压病认知水平的调查情况进行针对性的健康教育。通过随访 ,比较 2组患者在生活方式、服药率、血压控制率及并发症发生率方面的变化。结果 :教育组在吸烟、饮酒、低盐饮食、体育锻炼、服药率及血压控制率方面均较干预前有明显改善 (均P <0 .0 0 1) ,与对照组比较差异有显著性 (P <0 .0 0 1) ;经干预后 ,教育组并发症发生率 10 .9% ,对照组 30 .5 % (P <0 .0 0 1)。结论

Objective: To study the effect of health education on the condition of lifestyles, the rate of pharmacological treatment, the rate of blood pressure control and the incidence of complication among patients with hypertension. Methods: 284 hypertensive patients collected between February and December of 2001 were divided randomly into two groups: the control group with routine pharmacological treatment and the education group with routine pharmacological treatment in combination with intensive health education according to the investigation on risk factors of cardiocerebrovascular disease and levels of cognition. During a follow up , the condition of lifestyle, the rate of pharmacological treatment, rate of blood pressure control, and incidence of complication between two groups were analyzed. Results: In education group, the rate of smoking, alcohol intake, lower salt ingesting, exercise, pharmacological treatment and blood pressure control were improved after intervention and significantly different from those before intervention (all P <0.001), and there was significant difference between education group and control group ( P < 0.001). After intervention, the incidence of complication in education group and control group was 10.9 % and 30.5 % respectively ( P <0.001). Conclusion: Intensive health education is an important measure in prevention of hypertension.