自我管理教育对高血压患者血压控制效果的影响

The effect of self-management education about blood pressure control in hypertensive patients

目的:探讨自我管理教育对高血压病患者血压控制以及心血管危险度的影响。方法:将58例高血压病患者随机分为30例观察组和28例对照组,2组患者在药物治疗的同时,观察组进行高血压病自我管理教育,观察2组患者住院期间血压波动及出院2年后心血管危险度。结果:2组患者住院期间血压波动无差异,但远期观察,观察组心血管危险度低于对照组,差异有统计学意义(P<0.05)。结论:自我管理教育能降低高血压患者远期危害。

Objective To investigate the influence of self- management education on blood pressure control and cardiovascular risk in hypertensive patients. Method We randomly divided 58 cases of hypertensive patients into two groups： 30 cases in ob- servation group and 28 cases in control group. During the drug treatment, self- management education was carried out in obser- vation group. ？ Then the fluctuations in blood pressure during hospitalization and cardiovascular risk 2 years after discharged fr hospital were observed. Result There is no significant difference in fluctuations in blood pressure during hospitalization, but have less cardiovascular risk who taken the self- management education by long- term observation. Conclusion Self- management education can reduce the long- term hazard in hypertensive patients.