个性化健康教育对轻度高血压患者降压效果观察

The Observation of the Effect in Patients with Mild Hypertension Antihypertensive by Individualized Health Education

目的:探讨个性化健康教育对轻度高血压患者的降压效果。方法:将300例社区筛查出轻度高血压患者按照随机数字表法分为试验组(个性化教育组)和对照组(小组化教育组)。小组化教育组每周以讲座形式进行,个性化教育组除外每周讲座,外加个性化健康教育并定期电话回访,统计比较3个月和1年后患者的高血压控制情况,以及对健康行为的知晓率,治疗依从性和并发症的发生率。结果:两组3个月和1年后对于高血压控制情况均较教育前有明显改善,比较差异均有统计学意义(P<0.05)。试验组相比于对照组3个月和1年后的血压控制情况以及健康行为的知晓率、治疗依从性和并发症的发生率均优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:健康教育对于轻度高血压患者的血压控制有较好的作用,而个性化健康教育效果更为显著,值得在社区广泛开展。

Objective： To explore the effect of indiviclualized heahh education in patients with mild hypertension antihypertensive Method： 300 patients in community were randomly divided into experimental group（personalized education group） and control group（group education group）. Control group was given lectures every week, experimental group plus a personalized health education and regular phone pays a return visit, statistically compare for 3 months and I year in patients with high blood pressure control, and the health behavior, treatment adherence and the incidence of complications. Result： Two groups afftet 3 months and 1 year for hypertension control improved significantly before the edueation（P〈0.05）. Blood pressure control of health behavior, treatment adherence and the incidence of complications were superior to control group after 3 months and 1 year（P〈0.05）. Conclusion： Health education for patients with mild hypertension blood pressure control has good effect, and more significant effect of individualized health education, which worth extensively development in the community.