健康教育对社区高血压患者生存质量的影响

Influence of health education on quality of life in community hypertensive patients

目的探讨健康教育对社区高血压患者生存质量的影响。方法采用随机抽样的方法,随机抽取宁波市象山县某乡镇的2个社区服务站,每个社区服务站各随机抽取150例符合标准的高血压患者,随机分为对照组150例和干预组150例,对照组按常规进行管理,干预组在常规管理的基础上进行健康教育,采用SF-36量表评估2组患者生存质量有无差异。结果干预前2组患者生存质量8个维度得分比较差异无统计学意义(P>0.05);健康教育干预1年后,干预组患者8个维度得分均高于对照组,差异有统计学意义(P<0.01);干预组干预1年后生理机能、生理职能、社会功能、躯体疼痛、精力、精神健康和一般健康状况得分均高于干预前(P<0.05),对照组在干预1年后生理机能和精神健康得分均有不同程度降低,差异有统计学意义(P<0.01);干预组患者干预后收缩压较干预前下降[(129.11±9.25)mm Hg(1mm Hg=0.133kPa)vs(132.20±12.91)mm Hg],差异有统计学意义(P<0.05)。结论在药物治疗的同时辅以适当形式的健康教育可以在有效控制血压的同时,提高患者生存质量。

Objective To study the effect of health education on quality of life （QOL） in community hypertensive patients. Methods Three hundred hypertensive patients sampled from two community service stations in Xiangshan County were randomly divided into control group （n=150） and intervention group （n= 150）. The patients in control group received routine management and those in intervention group received routine management plus health education. Their QOL was assessed according to the SF-36 Scale in aspects of physiological function （PF） ,role of physiology （RP）, role of emotion （RE）, social function （SF）, body pain（BP）, vitality （VT）, mental health （MH） and general health （GH）. Results No significant difference was found in PF,RP,RE,SF, BP,VT,MH and GH scores of QOL between the two groups before health education （P〈0.05）. The PF,RP,RE,SF, BP, VT, MH and GH scores of QOL were significantly higher in interven tion group than in control group 1 year after health education （P〈0.05）. The PF,RP, SF,BP, VT,MH and GH scores of QOL were significantly higher in intervention group 1 year after health education than before health education （P〈0.05）. The PF and MH scores of QOL were significantly lower in control group 1 year after health education than before health eduction （P〈0.05）. The systolic blood pressure was lower in intervention group 1 year after health education than before health eduction （129.11±9.25 mm Hg vs 132.20±12.91 mm Hg,P〈0.05）. Conclusion Drug treatment combined with appropriate health education can effectively control blood pressure and improve QOL in hypertensive patients.