【摘要】 目的探讨强化健康教育对冠心病合并高血压患者血压的影响。方法选择经冠状动脉造影术确诊为冠心病或已住院确诊为急性心肌梗死(AMI)且合并高血压的患者177例,分为A、B两组,分别给予强化健康教育(98例)和一般健康教育(79例),在出院后3、6、12月随访血压水平。结果6个月和12个月时,A组患者的收缩压和舒张压均显著低于B组(P<0.05);A组服用降血压药物的比例、血压控制正常比例以及合理饮食的比例均高于B组(P<0.01),坚持锻炼的时间长于B组(P<0.01)。结论经过强化教育能够提高患者对降血压药物的依从性,并能促进患者坚持锻炼和合理的饮食,从而促进患者有效地控制血压。更多还原

【Abstract】 Objective To study effects of enhanced health education on blood pressure among patients with coronary heart disease and hypertension.Methods 177 patients with coronary heart disease and hypertension,diagnosed by coronary arteriography or acute myocardial infarction,were divided into 2 groups,Group A(n=98)were treated by enhanced health education,Group B(n=79)were treated by common health education.The blood pressure of the subjects was measured at 3,6 and 12 months after they were discharged from hospital.Results At 6 and 12 months after they were discharged,the levels of systolic pressure and diastolic pressure in Group A were significantly lower than those in Group B(P<0.05).The percentage of drug treatment,normal blood pressure and rational diet,and in Group A were significantly higher than those in Group B(P<0.01).The time of exercise per week in Group A was significantly longer than that in Group B(P<0.01).Conclusion Enhanced health education can boost compliance of drug treatment and rational diet,promote exercise,and thus control the blood pressure of patients.更多还原