337例高血压患者健康教育的遵医行为分析

目的：分析高血压患者健康教育后遵医行为的改变。方法：选择2011年上海某社区50岁以上高血压患者337例，调查其生活方式，并进行健康教育，一年后评价患者遵医行为。结果：健康教育后患者收缩压从干预前的（166±5.6） mmHg降至（132±6.8）mmHg，舒张压从（102±3.2）降至（82±2.4）mmHg；血压控制率从干预前的40.06%增至干预后的91.69%。测血压、服药、体检、饮食控制、戒烟限酒等遵医行为明显提高（P＜0.05）。结论：社区健康教育能提高中老年高血压患者的血压控制率和遵医行为。

Analysis of compliance behavior of 337 patients with hypertension through health education

Objective：To analyze the changes of compliance behaviors of the patients with hypertension through health education. Methods：Three hundred and thirty-seven hypertensive patients aged 50 and over in one community in Shanghai were selected and their life ways were investigated. One year later after health education, their compliance behaviors were evaluated. Results：Through health education, their systolic pressure decreased from 166±5.6 mmHg to132±6.8 mmHg, diastolic pressure decreased from 102±3.2 to 82±2.4 mmHg and the blood pressure control rate increased from 40.06%to 91.69%. The compliance behaviors of blood pressure measurement, medication, physical examination, diet control, alcohol limitation and smoking quit were obviously upgraded. Conclusion：Community health education can increase the control rate of the blood pressure of middle and elderly patients with hypertension and their compliance behaviors.