强化健康教育对改善社区高血压患者血压及心脑血管事件的效果

Effect of Health Education on Improving Blood Pressure and Cardiovascular and Cerebrovascular Events in Patients with Hypertension

目的进一步研究高血压患者中展开健康教育方案的临床有效性。方法随机选取内蒙古包钢医院稀土高新区曹欣小区社区卫生服务站2014年2月—2015年7月收治的137例高血压患者,设作研究组,并施予健康教育方案;同期选取137例高血压患者进行对照分析,设作对照组,并实施常规护理方案,对两组入选对象血压变化曲线、心脑血管事件发生几率等指标进行客观评定,同时在两组内进行客观对照。结果各项健康教育工作均已顺利展开,研究组入选对象有1例并发脑卒中,1例并发冠心病;对照组入选对象有6例并发脑卒中,8例并发冠心病。此外,研究组入选对象舒张压(DBP)(79.21±8.22)mmHg,收缩压(SBP)(132.33±14.17)mmHg;对照组入选对象舒张压(89.21±9.93)mmHg,收缩压(140.55±13.03)mmHg,表明两组入选对象血压水平、心脑血管事件发生几率等评定结果差异有统计学意义(P<0.05)。结论在社区高血压患者中,展开健康教育方案可取得显著效果,不仅能够改善患者血压水平,而且还能避免心脑血管事件发生,建议推广。

Objective To study the clinical effectiveness of health education program in patients with hypertension.Methods Randomly selected Inner Mongolia Baogang hospital rare earth Cao area of high and New Technology Industrial Development Zone of community health service station in February 2014 and 2015 07 Feb, 137 cases of hypertension patients, set up for the study group, and giving health education programs. At the same time, the selection of 137 cases of hypertension patients were compared and analyzed, set as the control group, and the implementation of the conventional care regimens, 2 group of selected objects change in blood pressure curve, cardio cerebrovascular events occurred probability index evaluation, also in the 2 groups were objective control. Results The health education work has been carried out smoothly, the study group included 1 cases of patients with stroke, 1 patients with coronary heart disease; control group was selected 6 cases of patients with stroke, 8 cases of coronary heart disease. In addition, the research group selected objects diastolic blood pressure（DBP）（79.21±8.22） mmHg, systolic blood pressure（SBP） 132.33±14.17 mmHg;control group included diastolic blood pressure（89.21 ±9.93） mmHg in systolic blood pressure（140.55 ±13.03 mmHg）,indicating that the two groups selected object level of blood pressure, cardiovascular and cerebrovascular events to assess the probability of the difference（P〈0.05）. Conclusion In the community patients with hypertension, the health education program can achieve significant results, not only can improve the blood pressure level, but also to avoid the occurrence of cardiovascular and cerebrovascular events, it is recommended to promote.