Investigation of behavior management of non-dipper hypertension patients

目的 调查非杓型高血压患者的行为管理现状,为临床非杓型高血压患者的健康教育提供参考和帮助.方法 于2009年2-12月采用随机抽样法对我院门诊及住院治疗的非杓型高血压患者100例,进行电话访谈式问卷调查,并对调查结果进行统计学分析.结果 44%患者能够合理饮食,48%患者适度体育锻炼辅助控制血压,20%患者有意识控制体重;服药依从性为56%;行为管理总答对率仅为33%.经卡方检验,服药依从性与年龄相关,年龄≥60岁组的服药依从性显著高于年龄＜60岁组,差异有统计学意义(P＜0.05).合理饮食、控制体重与高血压知识认知相关,认知较好组的合理饮食、控制体重实施情况显著优于认知较差组,差异有统计学意义(P＜0.05).结论 非杓型高血压患者对高血压行为管理的相关内容依从性低,增加非杓型高血压患者的高血压知识、提高其依从性,是做好非杓型高血压患者行为管理的关键.Objective To investigate current status of behavior management of non-dipper hypertension patients and provide information for clinical health education. Methods From February to December 2009, 100 outpatients and inpatients with non-dipper hypertension in our hospital were randomly sampled and telephone interview was conducted. Analyzed the results of the survey. Results 44% of the patients had healthy balanced diet. 48% of patients were trying to control blood pressure through moderate physical exercise. 20% of the patients were intended to control body weight. The drug compliance rate was only 56%. The overall correct rate of behavior management was no more than 33%. Conclusions The compliance of behavior management of non dipper hypertension patients is low. Focusing on hypertension knowledge is the key to improve the compliance of behavior management of non-dipper hypertension patients.中国科技核心期刊(ISTIC)0313729-37321