目的通过短信通的建立与实施,探讨实施短信干预措施对高血压患者服药依从性的影响。方法 2014年10月开始选取符合入组条件的高血压患者随机分成“短信通干预组”实验组和“无短信通对照组”对照组各100人。出院时对照组采用常规健康指导,实验组在常规出院指导的基础上又进行短信通定期提醒,6个月后进行调查问卷。结果实验组在对疾病相关知识问卷中评分≥80分的百分比为76%,对照组为56%,两者之间差异有统计学意义(P<0.01);实验组服药依从性高所占百分比为73%,对照组为53%,两者之间差异有统计学意义(P<0.01);实验组血压控制在正常范围内的患者数百分比78%;对照组为59%,两者之间差异有统计学意义(P<0.01)。结论短信通的实施可以增加高血压患者对疾病相关知识的了解,提高服药依从性,从而提高血压正常控制率,值得临床推广。 Objective To explore the influence of SMS intervention on drug compliance in hypertensive patients through the establishment and implementation of SMS communication. Methods From October 2014, patients with hypertension were enrolled and randomly divided into two groups: “SMS-intervention group” and “SMS-free control group”. Each group had 100 participants. At the time of discharge, the control group was given routine health guidance. The experimental group was reminded by routine SMS on regular basis and discharged after 6 months. Results In the questionnaire about disease-related knowledge, the score of test score≥80 was 76% in the experimental group and 56% in the control group, the difference was statistically significant (P <0.01); the percentage of high compliance in the experimental group Was 73% in the control group and 53% in the control group, the difference was statistically significant (P <0.01). In the experimental group, the percentage of patients whose blood pressure was within the normal range was 78% and that of the control group was 59% The difference was statistically significant (P <0.01). Conclusion SMS implementation can increase the understanding of disease-related knowledge in patients with hypertension and improve compliance with medication, thereby increasing the normal rate of blood pressure control, worthy of clinical promotion.