综合干预对老年高血压患者治疗效果及治疗依从性的影响

Effects of comprehensive intervention on the therapeutic effect and treatment compliance of elderly patients with hypertension

目的:探讨综合干预对老年高血压患者治疗效果及服药依从性的影响。方法:选取我院收治的110例老年高血压患者随机分为干预组56例及对照组54例,两组均给予控压药物治疗及对症常规治疗。干预组在常规治疗的基础上结合综合干预,对比两组人院时、干预4、8周后血压控制情况及服药依从性变化,并采用SF-36生存质量评定量表对患者出院后生活质量进行评价。结果:两组干预前SDP、DBP比较,差异无统计学意义(P>0.05);治疗后4、8周SDP、DBP较入院时明显下降(P<0.05);干预组治疗后4、8周SDB、DBP明显低于对照组(P<0.05);干预组干预后后服药完全依从性明显高于对照组(P<0.05);干预组干预后生活质量改善明显优于对照组(P<0.05)。结论:综合干预能提高老年高血压患者服药依人性,有效控制并稳定血压,改善患者生活质量。

Objective:To explore the effects of comprehensive intervention on the therapeutic effect and treatment compliance in elderly patients with hypertension.Methods:A total of 110 elderly patients with hypertension who were admitted in our hospital were included in the study and randomized into the intervention group(n=56)and the control group(n=54).The patients in the two groups were given pressure controlling drugs and symptomatic treatment.On this basis,the patients in the intervention group were given the comprehensive intervention.The blood pressure controlling and medication compliance change on admission,and 4and 8weeks after treatment in the two groups were compared.SF-36 living quality rating scale was used to evaluate the living quality after hospital discharge.Results:The comparison of SBP and DBP before intervention between the two groups was not statistically significant(P>0.05).SBP and DBP 4and 8weeks after treatment were significantly reduced when compared with that on admission(P<0.05).SBP and DBP 4and 8weeks after treatment in the intervention group were significantly lower than those in the control group(P<0.05).The medication compliance after intervention in the intervention group was significantly higher than that in the control group(P<0.05).The improvement of living quality after intervention in the intervention group was significantly superior to that in the control group(P<0.05).Conclusions:The comprehensive intervention in the treatment of senile hypertension can enhance the medication compliance,effectively control and stabilize the blood pressure,and improve the life quality.