摘要
目的分析药物治疗联合控烟管理对原发性高血压患者血压控制及自我效能的影响。方法纳入确诊的原发性高血压患者400例。其中吸烟的高血压患者,随机分为两组,观察组(n=80)接受药物治疗联合控烟管理,对照组1(n=100)仅接受药物治疗;同时非吸烟的高血压患者(对照组2,n=220)接受药物治疗。所有患者均随访1年。记录所有患者血压情况,同时对患者的自我效能进行评估比较。结果观察组患者干预后的收缩压和舒张压水平均低于对照组1患者(P <0.05),且与对照组2相当。观察组患者血压控制优良率高达93.75%,高于对照组1及对照组2(P <0.05),且不良率最低,仅为2.5%(P <0.05)。观察组患者干预后自我效能总分最高,且增长值也最高,与另两组相比差异有统计学意义(P <0.05)。结论药物治疗联合控烟管理干预不仅提高了血压控制水平,且同时可提高原发性高血压患者的自我效能,有助于形成治疗与自我控制的良性循环。
Objective To analyze the effect of drug therapy combined with tobacco control management on blood pressure control and self-efficacy in the patients with essential hypertension.Methods A total of 400 patients with essential hypertension were included.Among them the smoking hypertension patients were randomly divided into two groups: the observation group(n=80) received drug treatment combined with tobacco control management,the control group 1(n =100) only received drug treatment.On the other hand,the non-smoking hypertension patients as control group 2(n=220)received drug treatment.All patients were followed up for 1 year.The blood pressure of all patients was recorded,and the self-efficacy of the patients was compared.Results The systolic blood pressure and diastolic blood pressure in observation group were lower than those in control group 1(P<0.05),and were similar to those in control group 2.The excellent rate of blood pressure control in observation group was 93.75%,which was higher than that in control group 1 and control group 2(P<0.05).The total score of self-efficacy in observation group was the highest,and the growth value was also the highest,which was significantly different from other two groups(P<0.05).Conclusion Drug therapy combined with tobacco control management not only can improve the blood pressure control,but also can improve the self-efficacy of patients with essential hypertension.
作者
戴红卫
DAI Hong-wei(Shanghai Songjiang District Yueyang Street Health Service Center,Shanghai 201600,China)
出处
《世界临床药物》
CAS
2018年第12期839-842,共4页
World Clinical Drug
关键词
药物
控烟管理
原发性高血压
血压控制
自我效能
medicine
tobacco control management
essential hypertension
blood pressure control
self-efficacy
