健康管理随访服务对高血压患者服药依从性及睡眠的影响

Effect of Health Management Follow-Up Service on Medication Compliance and Sleep of Hypertensive Patients

目的:健康管理随访服务对高血压患者服药依从性及睡眠质量的影响,为进一步规范高血压用药管理提供客观数据。方法:选取2021年1月至2022年5月广州市增城区小楼镇卫生院收治的原发性高血压患者525例作为研究对象,对所有患者进行问卷调查,比较不同年龄、性别、受教育程度、婚姻状况、吸烟史、饮酒史、接受健康管理随访服务情况患者服药依从性、睡眠质量、血压负荷值的变化。结果:1)在525例原发性高血压患者中不同基本特征患者服药依从性不同,其中不同年龄、不同受教育程度、是否吸烟,是否接受健康管理随访服务的高血压患者服药依从性具有统计学差异(P<0.05),2)接受健康管理随访服务的原发性高血压患者睡眠指数明显低于未接受健康管理随访服务的原发性高血压患者差异有统计学意义(P<0.05)。3)接受健康管理随访服务的原发性高血压患者收缩压负荷值(38.87±9.28)%,舒张压负荷值(32.37±8.66)%,未接受健康管理随访服务的原发性高血压患者收缩压负荷值(47.56±11.36)%,舒张压负荷值(39.±9.12)%,差异有统计学意义(P<0.05)。结论:接受健康管理随访服务可提高原发性高血压患者服药依从性,血压控制情况更佳,患者睡眠质量更高。

Objective:To study the effect of health management flowouw service on medicat ion compliance and sleep quality of patients with hypertension,and to provide objective data for further standardizing medication management of hypertension.Methods:A total of 525 patients with essential hypertension who were adnmitted to the Xiaolou Town Health Center in Zengcheng District of Guangzhou City from January 2021 to May 2022 were selected as the study subjects.All patients were investigated with questionnaires,and the changes in drug compliance,sleep quality,and blood pressure load of patients with different age,gender,education,marital status,smok ing history,drink ing history,and receiving health management fllow-up services were compared.Results:1)Among 525 patients with primary hypertension,patients with different basic characteristics had different medication adherence.Among them,hypertension patients with different ages,education levels,smoking status,and health manage-ment follow-up services had statistical differences in medication adherence(P<0.05).2)The sleep index of patients with primary hypertension who received health management follow-up services was significantly lower than that of patients without health management follow-up services,with a statistically significant difference(P<0.05).3)The systolie blood pressure load value(38.87±9.28)%and diastolic blood pressure load value(32.37±8.66)%of primary hypertension patients who received health management follow-up services,while the systolic blood pressure load value(47.56±11.36)%and diastolic blood pres-sure load value(39±9.12)%of primary hypertension patients who did not receive health management follow-up services,showed stat istically signifcant differences(P<0.05).Conclusion:Receiving health management and follow-up service can improve the medication compliance,better blood pressure control and better sleep quality of patients with essential hypertension.