| Objective:To investigate the community elderly patients with hypertension control of sodium salt restriction status and the main influence factors;the comparison of three kinds of behavior intervention in community elderly patients with hypertension and control of sodium salt,low salt diet to improve compliance and application effect of salt restriction quantitative tool usage,correct usage;to explore more suitable method for community elderly patients with hypertension sodium saltcontrol,implement the control action to provide scientific basis;to improve the patients,compliance of low salt diet behavior,through restriction with salt,so as to achieve good control effect of sodium.Methods:1.The current investigation: limit of sodium salt control of Community elderly patients with hypertension: using the method of convenience sampling inthe Beihu Nanmian Community Health Service Center,Xi Xiang Tang Region,Nanning,Guangxi Zhuang Autonomous Region,under the jurisdiction of the 5communities sample of elderly patients with hypertension in the range of 264.The general situation of the elderly patients with hypertension in the community,the scale of compliance with the treatment of hypertension,the use of salt restriction spoon,the salt intake knowledge and behavior questionnaire survey.The data obtained using the average standard deviation were salt intake knowledge and behavior score,hypertension treatment compliance scores;patients,general information,salt restriction quantitative tools with percentage description.Multiple stepwise regression analysis was used to analyze the correlation between the level of knowledge and behavior of salt intake in the elderly patients with hypertension in the community,and whether the use of salt restriction quantification tool and the compliance of hypertension treatment.2.The behavioral intervention study on sodium salt control of community elderly patients with hypertension : from the first part of the survey screened24 h urinary sodium value is more than 200mmol/L,and the hypertension treatment compliance scores more than 75 points in patients with hypertension in the elderly community,144 patients were randomly divided into four groups(the control group,the Salt-Restriction-Spoon,Salt-Restriction-Box,Salt-Restriction-Spoon+Salt-Restriction-Boxgroup),there were 36 cases in each group.First of all,to meet the inclusion criteria of 144 patients with high blood pressure and low salt diet education,and then,in accordance with the group to the experimental group of different salt limit quantification tool.The experimental group one distribution limit Salt-Restriction-Spoon,experimentalgroup two distribution Salt-Restriction-Box,the experimental group three distribution Salt-Restriction-Spoon+ Salt-Restriction-Box.Four groups were given 3 days of text messages to remind the 1 education intervention.The experimental group remind and educational content to adhere to a low salt diet,insist on the use of limit correct use of quantitative tools,salt restriction quantitative tools and matters needing attention;the control group to adhere to a low salt diet as the main content of education to remind.24 h urinary sodium,salt intake questionnaire level of knowledge and behavior of hypertension treatment compliance,and salt restriction quantitative tool usage were evaluated before intervention,after 2 weeks,1 month and 3 months.Result:1.A total of 288 elderly patients with hypertension were enrolled in this study,and a total of 264 valid questionnaires were collected:1.1 The elderly patients with hypertension in the community had low level of knowledge and behavior of salt intake(98.5%).Among them,more than half of the patients said "didn't know /or what the items of the questionnaire"were:"Whether using the low sodium salt when cooking "(98%),whether there was a difference between sodium salt andsodium"(60.4%)," the largest daily salt intake "(54.3%)," in addition to salt,whether sodium wasfrom other food"(68.1%),"when purchased food,whetherpay attention to the sodium on the package "(69.3%)," whetheryou would take the initiative to understand the low salt diet related knowledge "(64.1%)," where was the main source of salt intakein Chinese dietary"(65.2%)," whether youusingthe salt restriction quantitative tools(83%)".1.2 The knowledge level of salt intake behavior of Community elderly patients with hypertension had a correlationwith" cooking at home" and "whether using of salt restriction quantitative tool" and treatment compliance of hypertension(t= 2.136,3.545,2.022;P< 0.05),the regression rate was 34.3%?35.7%?34.1%.2.The effect of three kinds of behavior intervention in the elderly patients with hypertension in community:2.1 A total of 144 subjects were included in this study,of which,126 patients completed all intervention studies and data collection.After intervention,salt restriction quantitative tool utilization rate and correct rate were increased in threeexperimental groups,the difference was statistically significant(P< 0.05);the24h urinary sodium was decreased and the level of salt intake behavior knowledge andcompliance of low salt diet were improved in threeexperimental groups,there were significant differences(P < 0.05).2.2 The pairwise comparisonin three experimental groupsshowed that compared with the Salt-Restriction-Spoon group and Salt-Restriction-Box group,Salt-Restriction-Spoon+ Salt-Restriction-Box group,the used rate and correct rate of limits salt tool was higher,the difference was statistically significant(P<0.05).2.3 The three experimental groups compared with the control group showed that:the intervention education of Salt-Restriction-Spoon+ Salt-Restriction-Box+ SMS could effectively help the community elderly patients with hypertension control the salt intake,the 24 h urinary sodium levels decreased significantly,the difference was statistically significant(P < 0.05).However,the compliancewith low salt diet,the use rate and the correct use rate of salt restriction,the level of knowledge and behavior of salt intake were increased,and the difference was statistically significant(P < 0.05).Conclusion:1.Community elderly patients with high blood pressure had a low sodium salt control level.It suggested that the special group of elderly patients with hypertension in the community should be focused and targeted to carry out the action of salt control and control,strengthen the education of low salt diet and the actual ability of controlling salt.To improve the compliance of the low salt diet and the ability to control the salt.2.The intervention education of combiningwith Salt-Restriction-Spoon+Salt-Restriction-Boxwas better than the simple use of limited Salt-Restriction-Spoon or Salt-Restriction-Box,it could improve the use rate of salt restriction quantitative tools more effectively.By controlling the daily salt intake of patients,reducing the value of 24 h urinary sodium of patients,effectively improve the management of limited sodium salt control for patients.3.The intervention education of combining with Salt-Restriction-Spoon+Salt-Restriction-Box+ SMScan significantly improve salt restriction quantitative tool rate and correct rate of patients with hypertension in the elderly community,reduce patients,salt intake,improve patients,compliance and the level of low salt diet salt intake knowledge and behavior,it was more suitable and effectivefor the elderly patients with hypertension. |
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