目的:探讨教练式护理计划对中青年高血压病患者血压控制及院外运动依从性的影响。方法:将64例中青年高血压病患者随机等分为对照组和观察组,对照组给予采用常规院外健康宣教,观察组在对照组的基础上执行教练式护理计划,比较两组患者的血压控制情况及运动依从性。结果:计划执行1个月,观察组患者收缩压、舒张压平均降低幅度明显低于对照组,差异具有统计学意义(P<0.05);观察组患者周计划上交率93.75%,月末复诊率达87.50%,对照组周计划上交率59.37%,月末复诊率达65.62%,两组比较差异有统计学意义(P<0.05);观察组患者遵医服药延误行为评分为(3.28±1.62)分,对照组(5.15±2.09)分,两组比较差异有统计学意义(P<0.05)。结论:执行教练式护理计划对中青年高血压病患者的血压控制、健康行为的建立具有重要作用。 Objective: To investigate the effect of coaching nursing program on blood pressure control and hospital compliance in middle-aged and young patients with essential hypertension. Methods: Sixty-four middle-aged and young patients with essential hypertension were randomly divided into control group and observation group. The control group was given routine out-of-hospital health education. The observation group was given the coaching nursing plan based on the control group. The blood pressure Control and movement compliance. Results: The planned reduction in systolic blood pressure and diastolic blood pressure in the observation group was significantly lower than that in the control group (P <0.05) after 1 month of implementation. The rate of surgeries was 93.75% in the observation group and the end-of-month referral rate Up to 87.50% in the control group, 59.37% in the control group, and 65.62% in the end of the month. There was significant difference between the two groups (P <0.05). The score of delay in compliance group was (3.28 ± 1.62) (5.15 ± 2.09) points, the difference between the two groups was statistically significant (P <0.05). Conclusion: The implementation of coaching nursing program plays an important role in controlling blood pressure and establishing healthy behaviors in middle-aged and young patients with essential hypertension.