高血压生活日记对患者依从行为及生活质量的影响

Influence of hypertension life diary on patients' compliance and life quality

目的探讨生活日记对高血压患者依从行为及生活质量的影响。方法将200例高血压患者随机分为观察组和对照组各100例。对照组常规健康教育,在此基础上,责任护士指导观察组患者每天写好高血压日记,根据日记中反映的问题,及时进行针对性的护理干预。比较2组患者依从性、生活质量及血压控制情况。结果干预后,观察组患者依从率96%,对照组为74%,2组相比差异具有统计学意义(P<0.01);干预后观察组生活质量明显提高,各领域得分显著低于对照组(P<0.01);观察组血压控制较对照组理想,2组收缩压、舒张压相比差异有统计学意义(P<0.01)。结论生活日记能有效提高高血压患者依从性,改变不良生活习惯,提高生活质量。

Objective To explore the influence of hypertension life diary on patients′compliance and life quality. Methods Two hundred patients with hypertension were randomly divided into observation group and control group,100 cases in each group.The control group received routine health education,on the basis of this,the nurses guided patients in the observation group to write daily every day,and provided timely nursing intervention according to the diary.The compliance,life quality and blood pressure of two groups were compared. Results After the intervention,the compliance rate in observation group was 96%,while the control group was 74%,the difference was statistically significant（P0.01）.The quality of life improved in observation group,each domain score was significantly lower than control group（P0.01）.The observation group＇ blood pressure control was better than the control group.In comparison of systolic blood pressure,diastolic blood pressure in the two groups,the difference was statistically significant（P0.01）.The difference of systolic pressure,diastolic pressure in two groups has statistic significance（P0.01）. Conclusion Life diary records can effectively improve the compliance of patients with hypertension,and change the unhealthy life habits,and improve the quality of life.