Analysis Of The Impact Of Health Management On Hypertension In Patients With Intracranial Aneurysm Progression And Disease Control

Objective This report elaborated that health management intervention for intracranial aneurysm intervention effect of high blood Pressure, and progressive influence of intracranial aneurysms. It provided a scientific basis for blood pressure control for patients with intracranial aneurysms, and reduced the risk of ruptured aneurysm progress.Methods People was be selected during November 2010 to November 2010, Hospital of North science and technology University, Tang Shan Workers Hospital, Tang Shan People Hospital diagnosis of intracranial aneurysms and accompanied by hypertension patients as the research object, a total of 232 people. By gender stratified randomized into intervention group(n = 116), the control group(116). For a six-month intervention group health management interventions, including establish health records, preach(weekly) for health, help to control diet(control daily salt intake < 6 g, reasonable arrangement of diet), appropriate to promote sports(promote walking, tai chi and other mild exercise),quit alcohol, blood pressure self-test. After the intervention period for statistical processing, people analyzes the intervention effect.Results 1 After the intervention, the cognition of hypertension in patients with intervention group and normal range of blood pressure control and the status of the knowledge of the ICA is better than that of control group, the difference was statistically significant(P < 0.05), intervention group health consciousness enhancement. 2 By intervening in the two groups after treatment and the practice of blood pressure is monitoring, basic medicine compliance of 95.7%, intervention group and the control group only 86.2%; Basic non-compliance reached 96.6%, intervention group and control group only up to 78.4%. Intervention group of medication adherence, and medical staff to guide compliance has increased significantly(P < 0.01).3 Two groups before intervention in diet and lifestyle, there was no statistically significant difference(P > 0.05);Movements in intervention group compared with controls, to better condition, with statistical significance(P < 0.05). After the intervention of the diet, exercise, life style,diet intervention group improved(P < 0.05); Intervention before the movement condition of the control group is superior to the intervention group, comparing differences between the two groups after intervention(P > 0.05), suggesting intervention improved movement;Lifestyle had no obvious change before and after the intervention(P > 0.05), the instructions for each group subjects lifestyle intervention the overall effect is poorer, no obvious difference. 4 Between the two groups of patients before and after the intervention compared between groups of systolic blood pressure(F = 8.76, P = 8.76), the comparison between time points(F = 62.08, P < 0.0001), the difference between the two groups have statistical significance(P < 0.05); Between the two groups of patients compared between groups of diastolic blood pressure(F = 3.41, P = 3.41), difference between no statistical significance(P > 0.05); Comparison between time points(F = 59.13, P < 0.0001), the difference between the two groups have statistical significance(P < 0.05). Healthy after the intervention of systolic blood pressure control is more ideal, has little effect on diastolic blood pressure. 5 Have been found health management intervention to influence the size of intracranial aneurysms, two groups of cases no aneurysm rupture occurred.Conclusion 1 Health management intervention can enhance the health consciousness of intracranial aneurysm patients suffering from high blood pressure, improve compliance in patients with medication adherence and the doctor’s advice.2 Health management intervention can decrease the patients blood pressure level, effectively control of intracranial ruptured aneurysm progress and risk factors. 3 Health management intervention after six months, the size and rupture of intracranial aneurysms, there was no obvious change, may be due to the intervention time is shorter and cause negative result,should be able to achieve the desired effect after intervention for longer periods.