家庭支持对社区老年高血压病人非药物治疗依从性及血压控制研究.docVIP

家庭支持对社区老年高血压病人非药物治疗依从性及血压控制研究 　　【摘要】 目的 探讨社区老年高血压病人家庭支持与非药物治疗依从性的影响因素及其对策，提高社区高血压病人的服药依从性及对高血压的控制率。方法 选择符合条件的老年高血压病人303人作为研究对象，进行非药物治疗依从性及家庭支持因素调查，对有家庭支持的老年高血压病人为实验组共171例，其余无家庭支持的老年高血压病人为对照组共132例，进行社区干预，干预期为2年。结果 实验组（家庭支持组）的非药物治疗依从性及血压控制效果皆明显优于对照组（无家庭支持组），两组患者血压达标率的比较差异有统计学意义（P0.01）。结论 家庭支持对老年高血压病人非药物治疗依从性及血压控制有非常重要的作用。 　　【关键词】家庭支持非药物治疗依从性 老年高血压病人 　　中图分类号：R473.2 文献标识码：B 文章编号：1005-0515（2011）7-075-03 　　Study in the effect of family support interventions on non-drug treatment compliance and blood pressure control in elderly hypertensive patients. 　　YIN Yan LI Lijun DING ming DENGYun ZHUANGPeiyue HUANG Xiaohong XIEJinxia LIANGFeiling 　　（et al. Hospital of Development districts,Guangzhou 510730, China） 　　【Abstract】Objective To study the effect of family support interventions on non-drug treatment compliance and blood pressure control in elderly hypertensive patients. Methods 303 elderly hypertensive patients in Xiagang Street Community were included in this study, Community intervention was carried on 171 cases in experimental group with family support and 132 cases in control group without family support interventions, and then the compliance of non-drug treatment and blood pressure was compared between two groups after interventions. Results The rates of non-drug treatment compliance and blood pressure control in family support group were both higher than control group, which were statistically significant difference (P 0.01).Conclusion Family support can improve compliance of non-drug treatment and play the important role in blood pressure control in elderly hypertensive patients. 　　【Key words】Family Support Non-drug treatment compliance Elderly hypertensive patients 　　 　　随着我国人口老龄化的出现，老年人的健康问题受到社会各界的广泛关注，高血压病是我国老年人常见的心血管疾病之一，严重危害老年人的身心健康。近年来高血压患病率呈明显上升的趋势，目前高血压已成为全球范围内的重大公共卫生问题。大量的研究证据表明，有效地控制血压可以显著地减轻高血压的危害，降低由其引起的心脑血管事件的发生率[1] 公认的高血压发病是超重、高盐膳食及中等以上饮酒等多因素相互作用的结果。因此，病人的依从性行为直接关系到高血压病情的发展和治疗效果[2] 。改善生活方式不仅是轻度高血压的主要治疗方式,，也是中高度高血压患者药物治疗的基础，因此，通过对社区老年高血压病的非药物治疗