护理干预对健康体检中发现原发性高血压患者的依从性及血压控制效果的影响

目的：：探讨护理干预对健康体检中发现原发性高血压患者的依从性及血压水平的影响。方法：选择符合标准的患者80例，采用抛掷硬币的方法分为观察组和对照组各40例，对照组实施常规护理，观察组实施护理干预，观察组两组治疗依从性及血压达标率。结果：护理1个月和3个月，观察组依从行为量表各维度评分与对照组比较，差异有统计学意义(P<0.05)；护理3个月，两组依从行为量表各维度评分较本组护理1个月时均降低，差异有统计学意义(P <0.05)。护理1个月和3个月，两组收缩压及舒张压水平较入组时均下降，但是观察组下降幅度更显著，差异有统计学意义(P<0.05)。护理3个月后，观察组患者血压达标率80.00％，高于对照组的50.00％，差异有统计学意义(P<0.05)。结论：护理干预能够改善健康体检中发现的原发性高血压患者治疗依从性，有效控制血压，提高血压控制达标率。

Nursing Intervention on the Blood Pressure Control and Compliance in Patients with Primary Hypertension Discovered in a Health Examination

Objective: To investigate the effects of nursing intervention on the blood pressure and com-pliance in patients with primary hypertension discovered in a health examination. Methods: A total of 80 eligi-ble patients were selected, and randomly divided into observation group and control group, with 40 patients in each group. The patients of the control group were given usual care, while those of the observation group given with nursing intervention, and the blood pressure attainment rates and treatment compliances were compared between the two groups. Results:After 1 month and 3 months of nursing care, the patients of the observation group had significantly different scores of compliance behavior scale compared with those of the control group (P<0.05). After 3 months of nursing care, the patient of both groups had significantly lower scores of compli-ance behavior scale than those after 1m of nursing care (P <0.05). After 1 month and 3 months of nursing care, both groups had significantly decreased diastolic pressures and systolic pressures, but the observation group had significantly greater decreasing extents than the control group (P<0.05). After 3 months of nursing care, the attainment rate of the observation group was 80.00%, and was significantly higher than that of the control group (50.00%) (P<0.05). Conclusion: Nursing intervention can improve the treatment compliance, effectively control blood pressure, and elevate blood pressure, control attainment rate in patients with primary hypertension discovered in a health examination.