Influence of continuing nursing intervention on blood pressure control and medication compliance in patients with hypertension

ZHU Xiang-ling; YU Chen; YUAN Hui

doi:10.3969/j.issn.1674-4055.2016.08.39

Abstract：Objective To investigate the influence of continuing nursing intervention on blood pressure control and medication compliance in patients with primary hypertension.Methods The patients (n=300, male 162, female 138, aged from 53 to 82 and average age=67.32±2.11) were chosen from the Department of Cardiology of East Region of Qingdao Municipal Hospital from Jun. 2014 to May 2015, and randomly divided into intervention group and routine group (eachn=150). The routine group was given routine treatment and nursing care, and intervention group was additionally given continuing nursing intervention. The values of blood pressure (BP) were detected in 2 groups before intervention and after intervention for 3 m and 6 m. The medication compliance, BP controlling and lifestyle compliance (diet, exercise and psychological balance) were compared between 2 groups. Results Compared with routine group, systolic BP [(144.8±6.4) mmHgvs. (135.3±5.7) mmHg] after intervention for 3 m, [(139.6±5.7) mmHgvs. (133.8±6.0) mmHg] after intervention for 6 m and diastolic BP [(92.1±6.2) mmHg vs. (83.3±5.9) mmHg] after intervention for 3 m, [(85.6±6.1) mmHgvs. (81.8±5.5) mmHg] after intervention for 6 m decreased in intervention group (allP<0.05). The percentage of patients with better BP controlling was higher (67.33%vs. 50.67%), and that of patients with higher medication compliance was higher (72.67%vs. 54.67%) in intervention group than that in routine group (allP<0.05). The percentages of patients with reasonable diet, regular exercise and mental balance were significantly higher in intervention group than those in routine group (allP<0.05). Conclusion Continuing nursing intervention can improve the effect of BP controlling, medication compliance and lifestyle compliance in patients with primary hypertension.