系统性健康宣教在高血压病中的临床应用效果  

The Clinical Application Effect of Systematic Health Education in Hypertension

作　　者：李瞳 蔡敏艳 毛军民 LI Tong;CAI Minyan;MAO Junmin(Inpatient Department of Internal Medicine,Sizhuang Township,Tongcheng County,Xianning 437400,China;Xinjiang Hami Central Hospital,Hami 839000,China;Wuli Town Health Center of Tongcheng County,Xianning 437400,China)

机构地区：[1]湖北省咸宁市通城县四庄乡内科住院部,咸宁437400 [2]新疆哈密市中心医院,哈密839000 [3]湖北省咸宁市通城县五里镇卫生院,咸宁437400

出　　处：《中国医药指南》2024年第15期143-146,共4页Guide of China Medicine

摘　　要：目的分析对高压血患者实施内科护理干预的过程中应用系统性健康宣教的效果。方法抽取2022年3月至2023年3月我院内科收治的高血压患者90例,依照随机数字表法分组。对照组共45例,接受内科常规护理;观察组共45例,在内科常规护理的基础上增加系统性健康宣教。两组对比指标:血压值、用药及健康行为依从性、自我护理能力评分、护理满意度。结果①两组患者干预前的血压值(舒张压及收缩压)测量结果对比均无明显差异(P>0.05);观察组患者干预后的两项血压值均比对照组患者低(P<0.05)。②观察组患者用药及健康行为依从性高于对照组(P<0.05)。③两组患者干预前自护能力量表评分结果对比无明显差异(P>0.05);观察组患者干预后自护能力量表中各维度评分均比对照组患者高(P<0.05)。④观察组护理满意度高于对照组(P<0.05)。结论对高血压患者在实施内科常规护理干预的基础上增加系统性健康宣教可显著提升患者用药及健康行为依从性、提高自护能力、改善血压水平,且患者对此模式的满意度更高。Objective Analyze the effectiveness of systematic health education for patients with hypertension.Methods Ninety patients with hypertension treated in the department of internal medicine of our hospital from March 2022 to March 2023 were randomly divided into control group(n=45)and observation group(n=45).The control group received routine internal medicine nursing care;The observation group added systematic health education on the basis of routine internal medicine nursing.Comparative indicators:blood pressure,medication and health behavior compliance,self-care ability score,nursing satisfaction.Results(1)There was no significant difference in blood pressure(diastolic blood pressure and systolic blood pressure)between the two groups before intervention(P>0.05).After intervention,the two blood pressure values of patients in the observation group were lower than those in the control group(P<0.05).(2)The compliance of medication and health behavior in the observation group was higher than that in the control group(P<0.05).(3)There was no significant difference in the scores of self-care ability scale between the two groups before intervention(P>0.05),but the scores of all dimensions in the self-care ability scale after intervention in the observation group were higher than those in the control group(P<0.05).(4)The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusions On the basis of routine nursing intervention in internal medicine,the application of systematic health education for patients with hypertension can significantly improve their compliance with medication and health behavior,improve the ability of selfcare and improve the level of blood pressure.and patients are more satisfied with this model.

关 键 词：高血压 内科 系统性健康宣教 血压值 自护能力 依从性 

分 类 号：R544.1[医药卫生—心血管疾病] R473.5[医药卫生—内科学]