强化健康教育对高血压患者治疗依从性的效果影响

Effect of intensive health education on treatment compliance in hypertensive patients

目的探讨健康教育对高血压患者治疗依从性的效果影响。方法对2007年10月-2008年10月入住我院心内二科的400例高血压患者随机分为2组：观察组（强化健康教育组）；每3天做一次健康宣教。对照组（未强化健康教育组）；常规健康宣教。采取坚持服降压药、定期监测血压、调节饮食、限制剧烈运动等进行健康宣教。观察比较上述措施对健康宣教后依从性指标改善情况的影响。结果强化健康宣教后观察组的服药、饮食及运动依从性显著优于对照组，差异有显著性（P〈0．01）；两组定期监测血压依从性比较显示实验组的依从性明显优于对照组（P〈0．05）。结论强化健康宣教明显提高了患者对治疗的依从性，从而间接地改善了高血压患者的治疗效果。

Objective To explore the impact of health education on treatment compliance in hypertensive patients. Methods 400 patients with hypertension whao had been hospitalized during the period of October 2007 through Oclober 2008 were randomly assigned to receive health education either once every three days （study group, group with intensive edueatoin） or at admission （control group, group with routine education）. All the patients were administered antihypertensive drugs, regular measurements of blood pressure, diet adjustment, and control of aggressive exercise. The improvement of treatment compliance was compared between the two groups. Results The compliance of medication taking, dietary, and exercise was markedly superior in the study group （P〈0.01）, and so was that of blood pressure measurement （P〈 0.05）. Conclusions Intensive health education obviously enhances treatment compliance in hypertensive patients, resulting in an indirect improvement of the efficacy.