目的探讨社区膳食指导对原发性高血压患者药物控制血压的效果以及生活质量的影响。方法选取广东省鹤山市沙坪街道社区2018年4月至2019年4月新增建档的原发性高血压患者100例作为研究对象,采用随机数字表法分为观察组和对照组,每组50例。对照组患者给予常规药物治疗,观察组患者在给予常规药物治疗的基础上进行社区膳食指导干预,连续干预12个月。比较两组患者干预前后的血压、SF-36量表评分,以及干预结束后12个月内的再住院率。结果干预前,两组患者的收缩压、舒张压比较差异无统计学意义(P>0.05)。干预12个月后,观察组患者的收缩压、舒张压均显著低于对照组;观察组患者SF-36量表中的生理功能、社会功能、生理职能、躯体疼痛、精神健康、情感职能、精力七项评分均显著高于对照组,差异有统计学意义(P<0.05)。干预结束后12个月内,观察组患者的再住院率(10.0%)显著低于对照组(26.0%),差异有统计学意义(P<0.05)。结论在药物治疗的基础上,对原发性高血压患者进行膳食指导干预,有助于患者控制血压,提高治疗效果及生活质量。
ObjectiveTo explore the influence of community dietary guidance on the effect of blood pressure control by drug and life quality in patients with essential hypertension. MethodsA total of 100 patients with essential hypertension created new files from April 2018 to April 2019 in Shaping Street Community of Heshan city, Guangdong province were selected as the objects. They were divided into observation group and control group by random number table method, 50 cases in each group. Conventional medical therapy was employed to the control group, whereas the observation group was given community dietary guidance intervention on the basis of conventional medical therapy, with 12-month continuous intervention. Blood pressure, SF-36 scale scores, and rehospitalization rates within 12 months after intervention were compared between the two groups. ResultsBefore intervention, there was no statistically significant difference in systolic and diastolic blood pressure between the two groups (P>0.05). After 12 months of intervention, the systolic and diastolic blood pressures of the observation group were significantly lower than those of the control group, whereas the seven indicator scores of SF-36 scale in the observation group including physiological function, social function, physiological limitation, physical pain, mental health, emotional function, and energy were significantly higher than those in the control group, with statistically significant difference (P<0.05). Within 12 months after intervention, the rehospitalization rate of the observation group (10.0%) was significantly lower than that of the control group (26.0%). The difference was statistically significant (P<0.05). ConclusionOn the basis of medical treatment, dietary guidance intervention in patients with essential hypertension can help patients control blood pressure, improve therapeutic effect and life quality.