Study Of The Nursing Intervention On Compliance Of Patients With Mild Hypertension In The Community

With the social development and improvement of living standards, the incidence of hypertension is increasing year by year.Patients need life-ong antihypertensive therapy, and associate with stroke, coronary heart disease and other complications, seriously affecting people's quality of life. Hypertension develops slowly, resulting in difficulties in secondary prevention. Some patients with hypertension are lack of knowledge of health issues, resulting in low attendance. Therefore, prevention of hypertension should be placed in the community standpoint.In recent years, people have been concerned about non-drug treatment of hypertension. Patients are lack of scientific health knowledge, especially in intention of hypertension, lifestyle, attitude, responsibility, smoking and drugs. Non-drug treatment is to change the unhealthy lifestyle, adopt healthy lifestyles, prevention and treatment of hypertension.Purpose: The purpose is to improve hypertensive patient compliance and control of blood pressure, improve patient's behavior and lifestyles and reduce the incidence of hypertensive complications, and finally to improve the quality of patients'life, to reduce the waste of health resources.Research method:There are 80 patients involved In the study. The study selected patients with mild hypertension in Chaoyang district of Changchun City. Patients would be investigated on compliance behavior of nursing intention, lifestyle, attitude, responsibility, smoking and drugs. The implementation is improving patients'compliance behavior with lifestyle guidance, exercise, counseling, advocacy materials and follow-up education. Assessment of content: evaluated patients'compliance behaviors of intention, lifestyle, attitude, responsibility, smoking and drug. Collected systolic blood pressure and diastolic blood pressure by direct measurement.Results:This study surveyed a total of 80 subjects to investigate the average age of population 50.34±8.115. Compliance behavior total score was 36.66±5.449 before the intervention, was 23.71±2.710 after the intervention, the difference was significant by pairing t test between the two, (P <0.01). Before the intervention, the various dimensions of compliance behavior of the level of descending order: the highest dimensions of smoking and drugs were high; the four dimensions of intention, lifestyle, attitude, responsibility were the low level. After the intervention, the three dimensions of intention, attitude and responsibility are all raised to a high level, only one dimension of lifestyle only up to the middle class.By single factor analysis, different age, sex, marital status, education, occupation, insurance type, income, duration of hypertension in the nursing intention, have different effects on the various dimensions of lifestyles, attitude, responsibility, smoking and drugs.The difference of March and June of blood pressure values were statistically significant (P <0.01). After three months of intervention, systolic blood pressure decreased to 4.01±4.780, diastolic blood pressure decreased to 2.20±2.607.The difference of January and June of blood pressure changes were statistically significant (P < 0.01). After six months, the systolic blood pressure decreased to 9.98±4.483, diastolic blood pressure decreased by 4.68±3.496.Before and after Intervention, the compliance behavior of subjects and blood pressure did score analysis results, pearson correlation coefficient was 0.836, indicating a positive correlation between the two.Conclusion:The purpose is to understand the extent of their compliance by questionnaire. After adopting personalized interventions, collected blood pressure, compared the level of compliance behavior of hypertensive patients. Conclusions are summarized as follows: ①The results show the nursing interventions are effective, which can improving the compliance behavior of hypertensive patients.②The knowledge of hypertensive patients is low, which is involved with intention, lifestyle, attitude, responsibility, smoking and drugs.③The study shows individualized nursing intervention which improve compliance behavior, pull down his blood pressure.