摘要
目的:探究动态血压监测在提高非识字老年高血压患者服药依从性及控制血压中的作用。方法:选取2015年1月-2018年12月于笔者所在医院确诊并收入院治疗的208例高血压患者作为本次研究对象,按照随机数字表法将其随机分为试验组和对照组,每组104例。对照组采用常规血压监测,试验组采用动态血压监测,根据血压变化均及时调整用药。比较两组患者服药依从性,入院时、出院时、出院6个月后收缩压及舒张压水平。结果:试验组服药依从性好的占比显著多于对照组(P<0.05),试验组服药依从性差的占比显著少于对照组(P<0.05)。出院时两组患者收缩压和舒张压均显著低于入院时(P<0.05);出院6个月后,试验组收缩压和舒张压较出院时降低,对照组收缩压和舒张压较出院时升高,差异均有统计学意义(P<0.05)。出院6个月后试验组收缩压和舒张压均显著低于对照组(P<0.05)。结论:通过动态血压监测,可以有效提高非识字老年高血压患者服药依从性,达到控制血压的效果,值得临床推广。
Objective:To explore the role of dynamic blood pressure monitoring in improving medication compliance and blood pressure control of nonliterate elderly patients with hypertension.Method:A total of 208 patients with hypertension diagnosed and admitted in our hospital for treatment from January 2015 to December 2018 were selected as the research object.According to the random number table method,they were randomly divided into the experimental group and the control group,with 104 cases in each group.The control group was given normal blood pressure monitoring,while the experimental group was given ambulatory blood pressure monitoring.According to the changes in blood pressure,the medication was adjusted in time.The medication compliance,systolic blood pressure and diastolic blood pressure at admission and and 6 months after discharge compared between the two groups.Result:The proportion of good medication compliance in the experimental group was significantly higher than that of the control group(P<0.05),and the proportion of poor medication compliance in the experimental group was significantly lower than that in the control group(P<0.05).Systolic blood pressure and diastolic blood pressure in both groups were significantly lower at discharge than at admission(P<0.05).After 6 months of discharge,systolic blood pressure and diastolic blood pressure in the experimental group were lower than those at discharge,while systolic blood pressure and diastolic blood pressure in the control group were higher than those at discharge,the differences were statistically significant(P<0.05).Systolic blood pressure and diastolic blood pressure in the experimental group were significantly lower than those in the control group 6 months after discharge(P<0.05).Conclusion:Dynamic blood pressure monitoring can effectively improve the medication compliance of non-literate elderly hypertension patients and achieve the effect of blood pressure control,which is worthy of clinical promotion.
作者
徐建杰
彭慧萍
XU Jianjie;PENG Huiping(The Second People’s Hospital of Huadu District in Guangzhou,Guangzhou 510850,China)
出处
《中外医学研究》
2019年第36期161-163,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
动态血压监测
非识字老年高血压患者
依从性
控制血压
Dynamic blood pressure monitoring
Non-literate elderly patients with hypertension
Compliance
Control of blood pressure
