|
Purpose hypertension (Hypertension) is the most common chronic cardiovascular disease, stroke, coronary heart disease, heart failure, renal failure, and the other one of the major risk factors for heart, brain, kidney disease, has been recognized worldwide within a major public health problem. In recent years, with the development of the economy and the people a lifestyle change, the trend showed a rapid rise in the incidence of hypertension in China. Awareness, treatment and control rates of hypertension patients in China were 30.2%, 24.7% and 6.1%, 70%, 59% and 34% compared to the great gap. Abroad, the study found, take health education as an intervention method to improve the patients' level of awareness of the disease as well as knowledge, grasp the scientific and rational self-management, self-care, change bad habits, is the treatment of high blood pressure, prevention of cardiovascular concurrent The disease occurs and an effective way to reduce mortality. The subject by questionnaire-based form of quality of life questionnaire (SF-36 scale) and health knowledge questionnaire, combined with blood pressure, assess the impact of health education on the quality of life of hospitalized patients with hypertension and its clinical efficacy provide a theoretical basis for clinical care and treatment of hypertension. Method Changde City, Hunan Province People's Hospital diagnosed with primary hypertension patients hospitalized from March 2003 to December 2005 a total of 1072 cases. Met the study criteria, 986 cases were randomly divided into intervention group and the non-intervention group, n = 493 cases. Inquiries general [name, gender, age, height, weight, duration of disease, history of smoking, drinking, family history, past medical history (history of diabetes, high cholesterol, history), occupation (farmers, workers, cadres, researchers, businessmen drug treatment while giving health education; non-intervention group received medication and general health missionary; All patients were accepted in the admission and discharge quality of life questionnaire (SF-36 Health Questionnaire) questionnaire and health knowledge survey while recording changes in blood pressure. 1 in 986 cases of hospitalized patients with hypertension, 55.88% for male patients; 61.46% were older than 65 years of age; 69.78% mass index greater than 25; 56.90% professional cadres; 55.88% of respondents educated in college; 61.66% live in cities; 55.88% grade Ⅱ diagnosis of hypertension; accompanied by a disease in 554 cases (56.19%); accompanied by the disease in 15 cases; 75.96% without any complications; 562 cases (57%) had a spouse; 58.45 % of Medicare patients. Admission, the various dimensions of the SF-36 in patients rated the difference was not statistically significant; discharge, SF-36 scores of the intervention group patients were higher than the non-intervention group (P <0.05) in patients, in particular, the intervention group the patients bodily pain, emotional function, the three dimensions of mental health patients (P <0.01) higher than the non-intervention group. Health education before admission, the intervention group and the non-intervention group health knowledge score difference was not statistically significant (P> 0.05); health education soon discharged score the two groups (7.98 ± 1.94,5.12 ± 1.24) difference statistically significant (P <0.01), the intervention group scored significantly higher than the non-intervention group. Health knowledge scores before and after the health education intervention group (4.89 ± 1.72,7.98 ± 1.94) that their comparative difference was statistically significant (P <0.01), the discharge score significantly higher than the admission score. Rather than the intervention group into health knowledge score at discharge their comparative difference was not statistically significant (P> 0.05). Intervention group patients with non-intervention group patients discharged blood pressure on admission were decreased, and that intervention group education blood pressure (160 ± 24/96 ± 10) mmHg, and an educated (129 ± 6/80 ± 5 statistics) mmHg; non-intervention group education blood pressure (158 ± 17/95 ± 10) mmHg, education (150 ± 10/86 ± 8) mmHg drop in blood pressure effect of the intervention group patients significant difference between the two groups significance (P <0.01). Conclusion 1 health education and drug treatment group compared with simple drug treatment group health knowledge to grasp the extent and quality of life has improved significantly. That health education is conducive to improve the quality of life and health of hospitalized patients with hypertension knowledge levels to help enhance the clinical effect; intervention group and the non-intervention group patients discharged both reduce blood pressure, but the antihypertensive effect of the intervention group education significant difference between the two groups was statistically significant. 3.SF-36 scale can guide the health education of hospitalized patients with hypertension, and is used to assess the efficacy of certain clinical value.
|