健康干预辅助治疗老年高血压的效果观察  

Effect Observation of Health Intervention Adjunctive Therapy of Elderly Hypertension

作　　者：隗洁[1] 李倩 

机构地区：[1]湖北医药学院附属随州医院护理科,湖北随州441300 [2]湖北医药学院附属随州医院老年科,湖北随州441300

出　　处：《中国药房》2016年第29期4161-4163,共3页China Pharmacy

摘　　要：目的:探讨健康干预对老年高血压患者血压、用药依从性和生活质量的影响。方法:选取我院老年高血压患者64例,按随机数字表法分为观察组和对照组,各32例。两组患者均给予苯磺酸氨氯地平片5 mg,qd。对照组患者进行常规高血压知识教育,指导其定期进行复查;观察组则在此基础上实施健康干预。比较两组患者干预前后血压控制情况、对高血压的认知水平、用药依从性、对医师信任度及生活质量评分。结果:干预前,两组患者收缩压和舒张压比较,差异无统计学意义(P>0.05);干预后,两组患者的收缩压和舒张压均明显降低,且观察组明显低于对照组,差异均有统计学意义(P<0.05)。干预前,两组患者对高血压的认知水平、用药依从性、对医师信任度及生活质量评分比较,差异无统计学意义(P>005);干预后,观察组患者对高血压的认知水平、用药依从性、对医师信任度及生活质量评分均明显优于对照组,差异均有统计学意义(P<0.05)。结论:健康干预可以有效提高老年高血压患者对高血压的认知水平,改善用药依从性和对医师的信任度,辅助控制血压,提高患者的生活质量。OBJECTIVE： To explore the effect of health intervention on blood pressure, medication compliance and the quality of life in elderly patients with hypertension. METHODS： 64 elderly patients with hypertension were selected and randomly divided into observation group and control group, with 32 cases in each group. Both groups were given Amlodipine besylate tablet 5 mg, qd. Control group received routine hypertension knowledge education and regular recheck by guidance. Observation group additionally received health intervention on the basis of control group. The blood pressure control, cognitive level of patients to hypertension, medication compliance, the level of trust in physicians and quality score of life were compared between 2 groups before and after intervention. RESULTS： There was no statistical significance in systolic blood pressure and diastolic blood pressure between 2 groups before intervention （P〉0.05）. After intervention, systolic blood pressure and diastolic blood pressure of 2 groups were decreased significantly, and the observation group was significantly lower than the control group, with statistical significance （P〈0.05）. There was no statistical significance in cognitive level of patients to hypertension, medication compliance, the level of trust in physicians and quality score of life between 2 groups before intervention （P〉0.05）. After intervention, the observation group was better than the control group in terms of cognitive level of patients to hypertension, medication compliance, the level of trust in physicians and quality score of life, with statistical significance （P〈0.05）. CONCLUSIONS ： Health intervention can effectively improve the cognitive level of elderly patients with hypertension to hypertension, improve the medication compliance and the level of trust in physicians, control blood pressure and improve the quality of life.

关 键 词：健康干预 老年 高血压 疗效 依从性 

分 类 号：R544.1[医药卫生—心血管疾病]