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目的:观察高血压病患者对医嘱的顺从性状况,以及行为干预对患者医嘱顺从性的影响。方法:采取随机抽样调查的方法,调查门诊患者382例,均经相关检查确诊且无严重并发症的高血压病患者,在对其行为干预后,观察患者医嘱顺从性的改变及其对疾病转归的影响。结果:干预治疗组患者医嘱顺从率为65.8%较非干预治疗组顺从率28.6%高37.3%,差异有统计学意义(P<0.01);且随着干预程度的加强,患者对医嘱的顺从性有显著提高。疾病的控制良好率亦显著提高。结论:有效的行为干预对提高高血压病患者医嘱的顺从率有明显的作用,从而改善疗效。减少并发症的发生、发展,改善患者的生活质量。
OBJECTIVE: To observe the compliance of patients with hypertension with medical orders and the influence of behavioral interventions on compliance of patients. Methods: A random sample of 382 cases of outpatients was selected to investigate the changes of compliance of patients’ orders and their effect on the disease after they were intervened by behavioral intervention The impact of the return. Results: The obedience rate of doctor’s advice in intervention group was 65.8%, which was 37.3% higher than that in non-intervention group (28.6%), the difference was statistically significant (P <0.01). And with the intervention level increasing, Significantly improved. The rate of good disease control also increased significantly. Conclusions: Effective behavioral interventions have a significant effect on improving the compliance rate of medical orders in hypertensive patients, thus improving the curative effect. Reduce the incidence of complications, development, improve the quality of life of patients.