干部门诊高血压患者服药相关因素的调查及健康教育对策

Taking Medicine Correlative Factors Investigation of Patients with Hypertension and Health Education Method

目的 探讨高血压患者服药的相关因素 ,为护士进行健康教育提供依据。方法 对干部门诊就诊的正在进行抗高血压药物治疗的原发性高血压患者 95 0例服药相关因素等指标进行问卷调查。结果 本组患者服药后收缩压和舒张压的平均值分别为 (137.7± 13.0 )mmHg(n =84 0 )和(79.4 5± 10 .4 4 )mmHg (n =774 ) ;控制理想的分别为 4 8.3% (4 0 6 / 84 0 )和 76 .1% (5 89/ 774 )。经常自测血压 (每日至少测一次 )者 4 0 9例 ,占 4 3.1% ;服用降血压药物后知道自己的血压控制情况者 84 0例 ,占88.0 %。有相当一部分高血压患者在服药过程中存在不准确现象。经常亲自来医院就诊取药组的患者年龄低于极少来医院就诊组和偶尔来医院看病取药或他人代取药组 (P<0 .0 5 ) ,舒张压亦低于极少来医院就诊组 (P <0 .0 1)。结论 在医疗和经济条件较好的人群中也有相当多的高血压病患者对药物治疗的相关知识了解不够 ,提示在今后的健康教育中应加以关注。

Objective To probe the correlative factors of hypertension patients taking medicine, to provide a basis for nurses to do health education.Methods By questionnaire, the correlative factors of 950 hypertension patients taking medicine were investigated.Results The averages of systolic pressure and diastolic pressure were (137.7±13.0)mmHg(n=840) and (79.45±10.44)mmHg(n=774), the controlling rates were 48.3%(406/840) and 76.1%(589/774). Patients who can measure blood pressure themselves are about 409, the rate is 43.1%; Patients who know the pressure themselves are about 840, the rate is 88.3%. The average age of patients often came to hospital is lower than that of patients who come to hospital occasionally (P<0.05), the diastolic pressure is lower too (P<0.01).Conclusions There are a lot of hypertension patients who know little about correlative factors of taking medicine. This indicated that we should take health education seriously.