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目的:评价针对中老年原发性高血压患者实施的住院期间健康教育与出院后病情追踪、反馈和干预等一系列健康教育手段对该患者群体出院后服药依从性的影响。方法:运用前瞻性干预研究的方法,选取2014年1-12月在台州市肿瘤医院神经内科住院的中老年原发性高血压患者77例作为干预组,实施关于原发性高血压概念、症状、预防保健康复知识、用药等内容的健康教育,并做好出院后的病情追踪、反馈与干预工作;将干预组患者人口学资料、高血压分级和合并症情况分层,运用分层配比原则确定对照组患者80例,行常规护理。分别在出院后1个月、6个月进行调查,比较两组患者服药依从性情况,并分析干预组患者MASS评分随时间衰减情况。结果:两组中老年EH患者出院后服药依从性比较,差异均有统计学意义(P<0.05)。对干预组患者出院后服药依从性得分随时间的衰减情况的分析显示,“一个月期”随访MASS总分与“六个月期”随访MASS总分差异有统计学意义(P<0.05)。结论:针对中老年EH患者实施的住院期间健康教育和出院后病情追踪与进一步干预,对提高出院后服药依从性具有促进作用,出院后1个月到6个月期间,服药依从性衰减较快,应在此时期进一步增强干预频率。
OBJECTIVE: To evaluate the effects of a series of health education measures such as health education and post-discharge condition tracking, feedback and intervention during hospitalization on the adherence to medication in elderly patients with essential hypertension. Methods: By means of prospective intervention study, 77 patients with middle-aged and elderly patients with essential hypertension hospitalized in Department of Neurology, Taizhou Cancer Hospital from January to December 2014 were selected as the intervention group to implement the concept of essential hypertension , Prevention of health rehabilitation knowledge, medication and other content of health education, and make the disease tracking, feedback and intervention work; intervention group patients demographic data, hypertension and complications of stratification, the use of stratified ratio Principle to determine the control group of 80 patients, routine care. The patients were investigated at 1 month and 6 months after discharge, respectively, and their medication compliance was compared between the two groups. The decline of MASS score in the intervention group over time was also analyzed. Results: The compliance of medication in two groups of elderly patients with EH after discharge was statistically significant (P <0.05). Analysis of the declining compliance scores of medication adherence patients after discharge in the intervention group showed that there was significant difference between MASS total scores and MASS total follow-up scores of “one month” and “six months” (P <0.05). CONCLUSIONS: Health education during hospitalization and follow-up and follow-up after hospital discharge in middle-aged and elderly patients with EH can promote the compliance of medication after discharge, and the attenuation of medication adherence is faster from 1 month to 6 months after discharge The frequency of interventions should be further enhanced during this period.