| Abstract |
Objective: To explore the effect of health education on blood pressure level and psychological status of elderly hypertensive patients at home. METHODS: 100 elderly hypertensive patients admitted to our center from January 2018 to January 2019 were selected as the research objects. Random number table method was used to group them. Individualized health education (observation group, n=50) and routine health guidance (control group, n=50) were carried out according to the characteristics of knowledge needs of patients at home. Knowledge mastery level, compliance rate and blood pressure level were emphasized. The psychological status scores were compared. Result: Before the intervention, there was no difference in the degree of knowledge mastery between the two groups (P > 0.05) by the Hypertension Knowledge Scale (HK-LS). After the intervention, the test values increased, but the increase in the observation group was more significant than that in the control group (P > 0.05), and the difference was statistically significant (P > 0.05). The proportion of scientific exercise, safe medication, reasonable diet, incentive avoidance, emotional adjustment and body mass control in the observation group was higher than that in the control group, with statistical significance (P < 0.05); there was no difference in systolic and diastolic blood pressure levels between the two groups before intervention (P > 0.05); after intervention, the values of each index in the observation group were lower than those in the control group, and the degree of reduction in the observation group was more significant than that in the control group. The difference was significant (P < 0.05). There was no difference in anxiety and depression before intervention between the two groups (P > 0.05). After intervention, the scores of each group decreased, and the degree of reduction in the observation group was more significant than that in the control group, the difference was statistically significant (P < 0.05). CONCLUSION: For the elderly hypertensive patients at home who are managed by community health service centers, paying attention to health education can improve their knowledge and compliance, help to maintain stable blood pressure level, and improve the negative emotions of anxiety and depression. It is worth popularizing widely.
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