CAJ | 학술논문

目的：探讨健康教育对原发性高血压患者的影响。方法：收治原发性高血压患者75例，随机分为观察组38例和对照组37例。对照组单纯药物治疗，观察组在药物治疗的基础上进行健康教育。分别在2周、4周、6周、8周、12周测量两组患者的坐位血压，分析比较血压的变化，试验总时间3个月。结果：①与对照组相比较，观察组的血压在第12周降低，下降幅度分别为 SBP(10.1±4.9)mmHg，DBP(2.0±3.8)mmHg，其中，SBP 下降幅度较明显，差异有统计学意义(P＜0.05)，而DBP虽然有所下降，但幅度较小，差异无统计学意义(P＞0.05)。②经过3个月的健康教育，对照组37例患者中，3例并发脑卒中，2例并发冠心病，5例因血压控制不佳而增加药物剂量，不良事件发生率27%；而与对照组比较，观察组中38例患者，只有1例出现脑卒中，1例发现冠心病，不良事件发生率5%(χ2=64.87，P=0.000)，差异有统计学意义。结论：健康教育可使高血压患者的血压得以稳定和有效控制，能进一步改善并巩固患者的治疗效果，并且能够减少各种并发症的发生，提高生活质量，对高血压患者具有积极的作用。
목적：탐토건강교육대원발성고혈압환자적영향。방법：수치원발성고혈압환자75례，수궤분위관찰조38례화대조조37례。대조조단순약물치료，관찰조재약물치료적기출상진행건강교육。분별재2주、4주、6주、8주、12주측량량조환자적좌위혈압，분석비교혈압적변화，시험총시간3개월。결과：①여대조조상비교，관찰조적혈압재제12주강저，하강폭도분별위 SBP(10.1±4.9)mmHg，DBP(2.0±3.8)mmHg，기중，SBP 하강폭도교명현，차이유통계학의의(P＜0.05)，이DBP수연유소하강，단폭도교소，차이무통계학의의(P＞0.05)。②경과3개월적건강교육，대조조37례환자중，3례병발뇌졸중，2례병발관심병，5례인혈압공제불가이증가약물제량，불량사건발생솔27%；이여대조조비교，관찰조중38례환자，지유1례출현뇌졸중，1례발현관심병，불량사건발생솔5%(χ2=64.87，P=0.000)，차이유통계학의의。결론：건강교육가사고혈압환자적혈압득이은정화유효공제，능진일보개선병공고환자적치료효과，병차능구감소각충병발증적발생，제고생활질량，대고혈압환자구유적겁적작용。
Objective:To explore the effect of health education on hypertension patients.Methods:75 patients with primary hypertension were selected.They were randomly divided into the observation group of 38 cases and the control group with 37 cases. The control group were treated with single drug,and the observation group were given health education on the basis of drug treatment.At 2 weeks,4 weeks,6 weeks,8 weeks,12 weeks,we measured the sitting blood pressure of two groups of patients,and analyzed the change of blood pressure.Total test time was 3 months.Results:①Compared with the control group,in the observation group,at twelfth weeks,the patient's blood pressure was reduced;drop was respectively SBP(10.1±4.9)mmHg,DBP(2±3.8)mmHg, wherein,SBP drop was more obvious,and the difference was statistically significant(P<0.05).Although the DBP was decreased,but the magnitude was smaller,there was no significant difference(P>0.05).②After health education for 3 months,in 37 cases of the control group,3 cases were complicated by stroke;2 cases were complicated with coronary heart disease;5 cases added drug dose because of poor control of blood pressure;the rate of adverse events was 27%.Compared with the control group,38 cases in the observation group,only 1 case had brain stroke;1 case had coronary heart disease;the rate of adverse events was 5%(χ2=64.87,P=0.000),and the difference was statistically significant.Conclusion:Health education can effectively control blood pressure in hypertensive patients,further improve and strengthen the treatment of patients,and can reduce the complications,improve the quality of life.It has a positive effect on patients with hypertension.