【摘要】 目的　探讨健康教育对原发性高血压患者的干预效果。方法　将 1 2 5名Ⅱ期以上原发性高血压的门诊患者随机分成实验组 (n =62 )和对照组 (n =63 )进行干预效果的比较 ,其中 ,对照组仅接受药物治疗 ,实验组除接受药物治疗外还增加高血压防治知识的健康教育。 1年后进行康复效果评价。结果　实验组血压控制效果、高血压相关知识合格率、相关行为转变率、部分合并症的发生情况无论与对照组相比还是组内干预前后自身对照 ,均有统计学意义 (P <0 0 1 ) ,而对照组组内前后对照 ,仅定期血压监测行为的改变有统计学意义(P <0 0 1 )。结论　健康教育对提高患者高血压防治知识、病情控制、改善疗效、减少并发症和减少重复住院率均有重要作用。更多还原

【Abstract】 Objective To evaluate the effectiveness of health education for patients with essential hypertension Methods 125 patients with essential hypertension were randomly divided into 2 groups: experimental group (n=62), treated with antihypertensive drugs such as Captopril and Nifedipine and given health education including counseling, home visit, manual on prevention and control of hypertension, training of the skill to measure blood pressure, etc, and control group (n=63) treated by antihypertensive drugs only Before and 1 year after the beginning of the experiment physical examination including measurement of blood pressure (BP) and body height and examination of eyeground, and blood tests of blood lipids, were made; and questionnaire survey on hypertension related knowledge and relevant behaviors such as regular exercise, taking balanced diet, regular BP measurement, patient compliance, etc, was conducted Results The correct answering rate about hypertension knowledge of the experimental group was significantly higher than that of the control group post experimentally (P<0 01), and was significantly higher than that of the same group before the experiment(P<0 01) The average BP was 158 04±8 98/106 44±14 82 mmHg in the experimental group and was 157 65±9 02/103 93±14 81 mmHg in the control group (P>0 05) before the experiment; and was 132 66±20 66/79 66±18 18 mmHg in the experimental group and 146 88±21 78/96 35±22 33 mmHg in the control group (P<0 01) The changes in behaviors such as regular exercise, taking balanced diet, weight reduction, and patient compliance were significantly different between the 2 groups after the experiment (all P<0 01), and were significantly different in the experimental group before and after the experiment too (all P<0 05 except for patient compliance) Significant difference in risk hypertension related factors such as obesity, lipidemia, renal dysfunction, changes in eyeground artery >Ⅲ° etc was found post experimentally between the two groups Conclusion Health education significantly improves the hypertension related healthy behavior, thus helping control essential hypertension更多还原