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目的通过对高血压患者实施健康教育控制血压的观察,分析其影响作用。方法对瓯海区某社区内的90例高血压患者通过随机数表法分为观察组和对照组各45例。将对照组给予常规社区管理,观察组给予社区管理小组健康教育模式进行观察。比较两组患者通过干预前后血压、血糖、血脂变化。结果干预后,观察组患者的收缩压、舒张压水平均低于对照组[(124.87±9.41)mm Hg vs(135.69±9.83)mm Hg,(80.74±5.13)mm Hg vs(87.95±5.25)mm Hg](P<0.05);观察组空腹血糖、餐后2h血糖、三酰甘油、胆固醇水平均比对照组低[(7.84±1.84)mmol·L-1vs(9.07±2.01)mmol·L-1,(8.73±1.10)mmol·L-1vs(9.85±1.57)mmol·L-1,(1.87±0.41)mmol·L-1vs(2.34±0.54)mmol·L-1,(5.74±1.21)mmol·L-1vs(6.85±1.45)mmol·L-1](P<0.05);观察组简易智能状态检查量表(MMSE)评分结果高于对照组[(21.45±2.08)分vs(15.82±1.74)分](P<0.05)。结论对高血压患者通过社区管理小组健康教育模式实施,较好地控制了患者的血压,并且有效地改善了患者对高血压疾病的认知。由此说明,社区管理小组的健康教育模式能够有效地预防控制血压,值得推广应用。
Objective To observe the effects of health education on blood pressure control in hypertensive patients. Methods A total of 90 hypertensive patients in a community in Ouhai District were divided into observation group and control group by random number table. The control group was given routine community management, while the observation group was given community health group health education mode for observation. The changes of blood pressure, blood glucose and blood lipid before and after intervention were compared between the two groups. Results After the intervention, systolic blood pressure and diastolic blood pressure were lower in the observation group than in the control group [(124.87 ± 9.41) mm Hg vs (135.69 ± 9.83) mm Hg vs (80.74 ± 5.13) mm Hg vs (87.95 ± 5.25) mm (7.84 ± 1.84) mmol·L-1vs (9.07 ± 2.01) mmol·L-1 in the observation group were significantly lower than those in the control group (P <0.05). The fasting blood glucose, 2h postprandial blood glucose, triglyceride and cholesterol in the observation group were lower than those in the control group , (8.73 ± 1.10) mmol·L-1vs (9.85 ± 1.57) mmol·L-1, (1.87 ± 0.41) mmol·L-1vs (2.34 ± 0.54) mmol·L- L-1vs (6.85 ± 1.45) mmol·L-1] (P <0.05). MMSE score of the observation group was higher than that of the control group [(21.45 ± 2.08) vs (15.82 ± 1.74) Points] (P <0.05). CONCLUSIONS: Hypertensive patients are managed through community-based management team health education to better control their blood pressure and effectively improve their cognition of hypertension. This shows that the community health management team health education model can effectively prevent and control blood pressure, it is worth promoting the application.