监护人学习使用汞柱血压计与脑梗死患者血压长期监控及达标情况的关系

The Relationship between Guardian Learn to Use Mercury Sphygmomanometer and Long-term Blood Pressure Monitoring and Standard-reaching Rate for Patients with Cerebral Infarction

目的了解住院期间指导脑梗死患者监护人学习并掌握使用汞柱式血压计与患者出院后血压长期监测及达标情况的关系。方法便利抽样选取2014年1-8月哈尔滨医科大学附属第一医院神经内科病房连续收治的既往合并有高血压病的脑梗死患者160名及其监护人为研究对象,随机将患者及其监护人配对分为两组,每组80户患者家庭。观察组监护人经指导后掌握使用汞柱式血压计的方法,对照组80名监护人未进行相关应用指导,通过门诊复诊或电话随访等方式观察两组患者出院30d内其血压监测及达标情况。结果掌握使用汞柱式血压计的80名患者家庭中,66名(82.5%)患者出院后坚持监测血压,其中51名(77.3%)通过购买汞柱式血压计继续进行监测;同时该组80名患者中共有68名(85.0%)患者近期血压达标。而未经指导使用汞柱式血压计的80患者家庭中,仅有46名(57.5%)患者长期监测血压,低于观察组(P<0.05);该组中共有58名(72.5%)患者近期血压达标,低于观察组(P<0.05)。结论指导脑梗死患者监护人掌握使用汞柱式血压计,可促进患者长期监测血压,有利于患者血压达标。

Objective To investigate the relationship between learning the use of mercury sphygmoma-nometer by relatives of the inpatients and the condition of long -term monitoring on blood pressure as well as standard-reaching rate .Methods By convenience sampling ,160 cases of cerebral infarction patients and their guardians were selected and equally divided into two groups .The observation group used the mercury sphygmomanometer ,while the control group received no guidance .The blood pressure monitor and stand-ard-reaching rate after 30d of discharge were recorded through clinical visit and telephone follow-up .Results Among families that have learnt the manipulation of mercury sphygmomanometer ,66（82 5.% ） patients monitored their blood pressure regularly ,and 51（77 3.% ） of them brought a mercury sphygmomanometer . Besides ,68 （85 .0% ） patients of this group met the blood pressure standard .On the other hand ,only 46（57 5.% ） out of 80 patients monitored their blood pressure regularly ,which was less than that of obser-vation group（P〈0 0.5）;and 58（72 5.% ） patients reached their blood pressure standard ,which was less than observation group（P〈0 0.5） .Conclusion To teach the family members to use the mercury sphygmoma-nometer can promote patients to self-monitoring their blood pressure in long-term ,w hich is of great help for them to meet the blood pressure standard .