强化健康教育对冠心病合并高血压患者血压的影响

Effect of enhanced health education on hypertension complicated by coronary heart disease

目的观察强化健康教育对冠心病合并高血压患者血压的影响。方法选择经冠状动脉造影术确诊为冠心病或已住院确诊为急性心肌梗死(AM I)且合并有高血压患者177例,按入院顺序分为对照组79例、实验组98例,分别给予一般健康教育和强化健康教育,在出院后第3个月、6个月、12个月通过随访了解患者血压水平和康复计划执行情况,并作比较。结果第6个月和第12个月时,实验组患者收缩压和舒张压均明显低于对照组(均P<0.05);实验组坚持服用降血压药物、坚持合理饮食、坚持锻炼时间均高于或长于对照组(均P<0.01)。结论强化教育能提高患者对降血压药物的依从性,促进患者坚持锻炼和合理的饮食,形成健康生活方式,从而促进患者有效地控制血压。

Objective To study the effect of enhanced health education on hypertension complicated by coronary heart disease. Methods 177 hypertension patients with coronary heart disease or acute myocardial infarction diagnosed by coronary arteriography were divided in the sequence of admission date into the experimental group （n = 98 ） and the control group （n = 79）. The control group was treated by enhanced health education, while the control group （n = 79） by routine health education. Follow-up was done to detect the level of blood pressure 3, 6 and 12 months after discharge, and to understand their carrying out rehabilitation plans. Results At 6 and 12 months, the levels of systolic pressure and diastolic pressure in the experimental group were significantly lower than those in the control group （P 〈0.05）. The rate of drug treatment, rational diet and exercise time per week in the experimental group were significantly higher than those in the control group （ P 〈 0. 01 ）. Conclusion Enhanced health education can boost patient＇s compliance with drug treatment and rational diet, promote their physical exercise and then control the level of blood pressure.