62例血压波动的高血压病人家庭环境状况评价

Assessment on Home Environment Condition of 62 Hypertension Patients with Blood-pressure Change

目的 了解血压波动高血压病人的家庭环境。方法 对 6 2例近 1～ 3个月血压波动的高血压病人进行家庭评估。结果 90 %以上的家庭自我照顾能力不足 ,5 2 %的家庭出现中等以上的功能障碍。 5 6 %为核心家庭 ,4 4 %为扩展家庭。家庭资源中 ,家庭经济支持 13%良好 ,81%中等 ,6 %差 ;家庭情感与维护的支持 37%良好 ,5 0 %中等 ,13%差 ;76 %医疗处理好 ;6 3%社会资源较多 ,2 4 %医疗费用为自费 ;78%以上的家庭不能提供健康信息和教育。结论 家庭功能、类型和家庭自我照顾能力对病人的血压波动产生影响。

Objective Understanding home environment of hypertension patients with blood-pressure change.Methods The family assessment of blood-pressure change of patients with hypertension was done in 1～3 months.Results Over 90% of the families were insufficient in self-care capability,52% had the middle dysfunction,56% were key families,44% were extend families.In family source,13% of family support were better,81% were middle,6% were bad; 37% of the support of family feeling and maintenance were better,50% were middle,13% were low; 76% managed medical treatment better; 63% had more social resource,24% paid the medical cost by themselves; over 78% of families could not support health information and education.Conclusion The family function,type and family′s self-care capability have influenced the blood-pressure change of patients.