远程血压监测对高血压患者自我护理行为的影响

The effects of remote blood pressure monitoring on self-care behaviors of hypertensive patients

目的探讨远程血压监测对高血压患者血压水平、自我护理行为的影响。方法选择原发性高血压患者120例,随机分为试验组和对照组,试验组实施远程血压监测管理,对照组采用门诊常规管理,6个月后比较两组患者血压平均水平,并采用高血压自我护理量表-行为量表评价两组患者的自我护理行为情况。结果干预后试验组收缩压(t=3.43,P<0.001)、舒张压(t=2.83,P<0.001)均低于对照组患者;自我护理行为中试验组患者有氧运动、饮食控制、戒烟限酒、血压监测、服药依从性、体重管理、心理减压和定期就诊8个维度得分均优于对照组(P<0.01)。结论对高血压患者实施远程管理有利于降低患者血压、提高其自我护理水平,是实施慢性病管理的有效方法。

Objective To explore the effects of remote monitoring on blood pressure control and self-care behaviors of patients with hypertension. Methods A total of 120 hypertensive patients were selected and randomly assigned to the experimental group and the control group. The control group adopted conventional management,while the experimental group received remote blood pressure monitoring. Six months later,the two groups were compared with the mean blood pressure and the self care behaviors which evaluated by the hypertension self-care behavior scale. Results There was a significant difference in the systolic blood pressure（t=3.43,P〈0.001）and diastolic blood pressure （t=2.83,P〈0.001）control between the experimental group and the control group. Additionally,the improve- ments of patients＇ self-care behaviors included aerobic exercise ,diet control,smoking cessation and alcohol control, measuring blood pressure,medication adherence,weight control,reducing mental pressure and regular doctor visits were significantly higher than those in the control group （P〈0.01）. Conclusion The application of remote monitoring is an effective approach to reduce the blood pressure and improve patients＇ self-care behaviors.