健康教育对门诊老年高血压患者治疗依从性的影响  

INVESTIGATION ON TREATMENT COMPLIANCE OF ELDERLY PATIENTS WITH HYPERTENSION AND HEALTH EDUCATION TO ITS INFLUENCE

作　　者：徐燕杰[1] 叶楠[1] 魏星[1] 

机构地区：[1]解放军第309医院医务部,北京100093

出　　处：《现代预防医学》2010年第22期4246-4247,4250,共3页Modern Preventive Medicine

摘　　要：[目的]探讨门诊老年高血压患者治疗依从性及健康教育对其的影响。[方法]通过自行设计的问卷调查对97例门诊老年高血压患者的治疗依从性进行统计分析,并随机将其分为干预组和对照组,干预组给予3个月的有针对性的全程健康教育。干预3个月后对两组患者治疗依从性、收缩压和舒张压下降水平进行了对比分析。[结果]97例老年高血压患者治疗依从性差的发生率为47.4%(46/97);文化程度、经济状况及对高血压知识了解程度与治疗依从性呈显著正相关,均P﹤0.05。经护理干预3个月后,干预组治疗依从性明显优于对照组,P﹤0.05;收缩压和舒张压下降幅度亦较对照组更明显,均P﹤0.01。[结论]老年高血压患者治疗依从性差,健康教育能明显改善其治疗依从性及血压控制。[Objective] To investigate treatment compliance of elderly patients with hypertension and health education to its influence.[Methods] Ninety-seven elderly patients with hypertension was investigated on the treatment compliance by self-designed questionnaire,and randomly divided into intervention group（n = 49） and control group（n = 48）,and the interven-tion group was given three-month health education.Three months later,the treatment compliance,descending degree of systolic pressure and diastolic pressure in two groups were compared.[Results] Among 97 cases,the prevalence of poor compliance to hypertensive medication was 47.4%（46/97）.Education degree,economic status and knowledge on hypertension of the patients was associated with compliance significantly positively,P﹤0.05.After three-month health education,the treatment compliance in intervention group significantly improved compared with control group,P﹤0.05,and systolic pressure and diastolic pressure descended significantly than that of control group,P﹤0.01.[Conclusion] Elderly patients with hypertension usually have poor treatment compliance.Health education could significantly improve the compliance in elderly hypertensive patients,thus it will do great help for blood pressure control for those patients.

关 键 词：健康教育 高血压 依从性 老年患者 

分 类 号：R473.5[医药卫生—护理学]