健康教育管理在西藏林芝巴宜地区高血压患者认知度及护理干预依从性的效果评价

Effectiveness of Hypertension Health Education Management in Nyingchi Prefecture of Tibet to Improve Disease Awareness and Treatment Compliance

目的通过对西藏林芝巴宜区高血压病患者进行健康教育管理,从而提高患者对高血压病的认知度及治疗依从性。方法选取西藏林芝巴宜区卫生服务中心2016年4月—2017年12月建立高血压健康档案管理的患者204例,随机分成试验组和对照组,每组102例,对照组患者给予常规高血压疾病管理,试验组患者给予健康教育管理,随访6个月,观察记录两组患者血压控制情况、对疾病认知度以及治疗依从性。结果两组患者治疗后随访6个月平均收缩压及舒张压平均水平均在正常范围,但是试验组患者平均收缩压(119.54±12.21)mmhg,较对照组的(128.63±15.82)mmhg控制更佳,试验组患者平均舒张压也较对照组控制更佳,经t检验P<0.05。试验组患者血压控制达标率、治疗依从性均显著优于对照组(P<0.05);从两组患者治疗后生活、饮食及运动习惯的改善前情况来看,试验组的生活习惯、饮食习惯和总习惯改善率均明显高于对照组,经χ~2检验P<0.05,但两组患者的运动习惯改善率相比无显著差异,经χ~2检验P>0.05。结论对高血压患者实施健康教育管理模式,不仅能提高血压达标率,还能提高患者对疾病认知度及治疗依从性,值得临床进一步推广。

Objective To improve the cognition and treatment compliance of patients with hypertension through health education and management to patients with hypertension in Bayi district of Nyingchi in Tibet. Methods Total 204 patients with hypertension record,who were set up health record in our hospital from April 2016 to December 2017 at Bayi District of Nyingchi in Tibet Autonomous Region,were chosen. They were randomly divided into experimental group and control group, with 102 cases in each group. Patients in control group were given routine management for hypertension disease, patients in experimental group were given health education management.All cases were followed up for 6 months. Blood pressure control, awareness of the disease and treatment compliance in two groups were observed and recorded. Results The average systolic blood pressure and diastolic blood pressure in two groups were within the normal range after 6 months of follow-up. However, the average systolic blood pressure（119.54 ± 12.21）mmhg in the test group was lower than that in the control group（128.63 ± 15.82）mmhg. The mean diastolic blood pressure in the experimental group was also better than that in the control group, T test proved P〈 0.05. The blood pressure control rate and treatment compliance in the experimental group were significantly better than those in the control group（P〈 0.05）. Conclusion The implementation of health education management for hypertensive patients can not only improve the control rate of blood pressure, but also improve the patient＇s awareness of the disease and treatment compliance, and it is worth further clinical promotion.