对原发性高血压患者采用自测血压干预的效果评价  

Effect of Self Blood Pressure Monitoring in Elderly Patients with Essential Hypertension

作　　者：程婧[1] 何非[1] 王丽姿[1] 陈爱华[1] 肖映芝[1] 李九莲 钟克丹 林景丹 

机构地区：[1]南方医科大学珠江医院心血管内科,广东广州510282 [2]广州市海珠区第二人民医院,广东广州510250 [3]广州市海珠区南石头社区卫生服务中心,广东广州510280 [4]广州市江南中街社区卫生服务中心,广东广州510240

出　　处：《护理学报》2013年第4期1-4,共4页Journal of Nursing（China）

基　　金：广东省保健专项资金科研课题(C2009023);广州市海珠区科技计划项目(2008-Y-17)

摘　　要：目的评价自测血压对高血压患者的行为依从性、生活方式及血压的影响。方法 118名老年原发性高血压患者随机分为对照组和自测血压组。6个月后测量各组患者的血压,评价其行为依从性水平,了解其生活方式。结果与对照组相比,自测血压组患者行为依从性提高,舒张压[(74.85±14.19)vs(82.12±13.64)mmHg(1 mmHg=0.133 kPa)]、男性腰围[(78.03±6.68)vs(81.94±7.36)cm]、膳食盐[(7.56±2.34)vs(8.76±1.96)g/d]、油摄入量[(26.17±6.60)vs(29.85±6.12)g/d]、吸烟率(3.4%vs 15.5%)降低,积极参加运动的比例升高(P<0.05);体质量指数、收缩压、女性腰围差异则没有统计学意义(P>0.05)。结论高血压患者实施自测血压有助于提高治疗行为依从性,建立健康的生活方式,更好地控制舒张压。Objective To evaluate the effect of self blood pressure monitoring on knowledge, compliance and behaviour of elderly hypertensive patients. Methods A total of 118 elderly hypertensive patients were randomly divided into control group and self blood pressure monitoring group. After 6-month＇s intervention, knowledge, compliance, and behaviour of the patients were re-assessed by questionnaires. Results The comparison between two groups indicated that self, blood pressure monitoring group resulted in much lower diastolic blood pressure [（74.85：t：14.19） vs （82.12±13.64） mmHg], waist circumference of men [（78.03±6.68） vs （81.94±7.36）cm], intake of salt [（7.56±2.34） vs （8.76±1.96）g/d], oil [（26.17±6.60） vs （29.85±6.12）g/d], less smoking consumption （3.4% vs 15.5%）, and bigger portion of regular exercise （P〈0.05） while had no effect on BMI, systolic blood pressure, women＇s waist circumference （P〉0.05）. Conclusion Self blood pressure monitoring could significantly improve compliance and establish healthy life style, which leads to the improvement of blood pressure control. Key words： hypertension; compliance; life style intervention; self blood pressure monitoring

关 键 词：高血压 依从性 生活方式 自测血压 

分 类 号：R473.54[医药卫生—护理学]