门诊高血压患者健康教育加个体化治疗的效果观察

摘要目的：探讨门诊高血压患者健康教育加个体化治疗的效果。方法：选取在本院门诊收治原发性高血压的患者258例，随机均分为观察组和对照组，每组129例。观察组使用健康教育和个体化治疗，而对照组使用常规治疗。记录并比较两组治疗前后对高血压病掌握情况，血压下降率，服药依从性，治疗后达标、并发症情况。结果：治疗前，观察组对高血压病掌握情况与对照组差异无统计学意义（P〉0．05）；治疗后，观察组对高血压诊断（91．5％）、高血压病因（98．4％）、高血压症状（100．0％）、高血压并发症（92．2％）掌握情况明显比对照组要好，差异有统计学意义（P〈0．05）；观察组服药依从性明显好于对照组，差异具有统计学意义（P〈0．05）；观察组的血压下降率为81．4％，明显高于对照组49．6％，差异具有统计学意义（P〈0．05）；观察组的达标率高达74．4％，明显高于对照组的34．9％，差异具有统计学意义（P〈0．01）；观察组未达标率和并发症发生率分别为25．6％和9-3％，明显低于对照组的65．1％和20．9％，差异有统计学意义（P〈0．01）。结论：对不同高血压患者采用健康教育加个体化的治疗方法，对提高高血压的控制率和降低相应并发症的发生率有非常好的临床效果，值得临床进一步推广和应用。

Effect of Health Education and Individualized Treatmem to Outpatient Hypertensive Patients

Objective： To discuss The effect observation of health education and individualized treatment to outpatient hyperten- sive patients. Methods： 258 cases of primary hypertension patients were randomly divided into observation group and control group, the observation group used the health education and individualized treatment, and control group used the conventional therapy. Recorded and compared the two groups before and after treatment in hypertension control case, the rate of blood pressure to drop, medication adher- ence, standard and complications after treatment. Results： Before treatment, observation of hypertension control and the control group difference is not statistically significant （P〉0.05）; After treatment, the observation group of hypertension diagnosis （91.5%）, high blood pressure causes symptoms （98.4%）, hypertension （I00.0%）, high blood pressure complications （92.2%） is obviously better than the con- trol group, the difference has statistically significant （P〈0.05）; observation group is obviously better than the control group on Medication adherence, difference has statistical significance （P〈0.05）; Observe group blood pressure drop rate was 81.4%, significantly higher than the control group （49.6%）, the difference has statistically significant （P〈0.05）; Success rate as high as 74.4%, the observation group was obviously higher than that of control group, 34.9% of the difference has statistical significance （P 〈 0.01）; Observation group not success rate and complication rates are 25.6% and 9.3%, significantly lower than the control group （65.1% ,20.9%）, the difference has statistically significant （P〈0.01）. Conclusion： Health education and individualized treatment can significantly improve hypertension control rates （treatment success rate） and reduce the incidence of complications. It is worth further promotion and application in the clinical practice.