连续门诊健康教育对高血压病患者的影响

Influence of Outpatient Continuous Health Education on Patients with Hypertension

目的探讨连续门诊健康教育对高血压病患者的干预效果。方法对100例高血压病患者在门诊免费测血压的同时,以个别交谈方式进行启发式互动式健康教育,每周1次,连续8周为一个干预周期。比较干预前、后患者生活方式和行为习惯以及治疗依从性和体质量指数的变化。结果干预后本组患者生活方式和行为习惯较干预前显著改善(Z=-4.546,-3.354,-5.343,-6.327,-6.812和-4.806;P=0.000和0.001);服药依从性改善(Z=-5.407,P=0.000),体质量指数显著下降(χ2=11.594,P=0.001)。结论连续门诊健康教育能明显改善高血压病患者生活方式和行为习惯,提高服药依从性,改善超重状况,从而有利于高血压病的控制。

Objective To explore intervention effect of the outpatient continuous health education on patients with hyperten- sion. Methods A total of 100 patients with hypertension were given a heuristic and interactive health education weekly for 8 weeks by individual talk when they received a free measuring blood pressure. The patients＇ life style and behavior were observed and corn pared before and after intervention. So as the treatment compliance and the body mass index. Results Patients＇ life style and be- havior were significantly better after intervention than those before （Z=-4. 546,-3. 354,-5. 343,-6. 327,-6. 812and-4. 806, P= 0. 000 and 0. 001 ）. So as the treatment compliance （Z=-5. 407 ,P = 0. 000）and the body mass index （X2= 11. 594 ,P= 0. 001 ）. Con- elusion The outpatient continuous health education can obviously perfect the life style and behavior,and increase the treatment compliance and reduce overweight of patients with hypertension. Therefore, it is in favour of controlling blood pressure of patients.