李杰萍　李琴　姜翠红　丁晓瑜

【摘要】 目的：探讨健康教育联合耳穴压豆对高血压患者的干预效果。方法：选择2016年5月-2017年4月入院的高血压患者作为研究对象，按照随机数字表法分为干预组与对照组，每组120例。所有患者均接受常规药物治疗，干预组在此基础上实施健康教育联合耳穴压豆治疗，比较两组患者入院后10 d的血压情况和健康知识知晓率的差异。结果：经过治疗，两组患者血压较入院前均有显著下降，但干预组患者血压下降程度与对照组比较更为明显，差异均有统计学意义（P<0.05）。干预组患者在高血压常见并发症、饮食管理、血压监测知识、运动知识、服药依从性、耳穴压豆知识等健康知识掌握程度均高于对照组，差异均有统计学意义（P<0.05）。结论：健康教育联合耳穴压豆降低血压作用明显，深受患者和家属的欢迎，提高了患者的满意度，取得了良好的经济效益和社会效益。

【关键词】 健康教育； 高血压； 耳穴压豆

Effect of Health Education Combined with Auricular Point Pressing on Hypertension Patients/LI Jieping，LI Qin，JIANG Cuihong，et al.//Medical Innovation of China，2018，15（12）：078-081

【Abstract】 Objective：To explore the effect of health education combined with auricular point pressing on hypertension patients.Method：A total of 240 hypertension patients in our hospital from May 2016 to April 2017 were divided into intervention group and control group，120 patients in each group according to table of random numbers.All patients received conventional drug treatment，while the intervention group received health education combined with auricular point pressing.The difference of blood pressure and health knowledge were analyzed between the two groups after admission 10 days.Result：After treatment，two groups had a significant decrease in blood pressure before admission，the decrease degree of blood pressure in the intervention group was more obvious than that in the control group， the difference was statistically significant（P<0.05）.The degree of mastery of health knowledge in the intervention group was higher than that in the control group，the difference was statistically significant（P<0.05）.Conclusion：The effect of health education combined with auricular point pressing is obvious on reducing blood pressure.The treatment is well received by patients and their families，can improve patients satisfaction，achieved good economic and social benefits.

【Key words】 Health education； Hypertension； Auricular point pressing

First-authors address：Affiliated Yantai Yuhuangding Hospital of Qingdao University Medical College，Yantai 264000，China

doi：10.3969/j.issn.1674-4985.2018.12.022

高血壓是脑卒中、冠心病发病的重要危险因素[1]，全世界大约有10亿患者受到高血压的困扰[2]，70.0%的脑卒中和50.0%的心肌梗死的发生与高血压有关[3]。目前，我国高血压患病率为29.6%，知晓率、治疗率和控制率分别为42.6%、34.1%和9.3%，接受治疗的患者中血压达标率仅有27.4%[4]。随着日益加剧的社会竞争环境、复杂的人际关系、营养过剩、缺乏体育锻炼等诸多因素的共同影响，我国高血压的患病率有继续增加的趋势[5]。更有研究者发现，不同年龄的儿童血压水平呈上升趋势[6]。欧美高血压病指南强调指出：高血压病治疗的第一步是改变生活方式，可见高血压的治疗不仅是单纯的控制血压，还应包括危险因素的控制[7]。目前我国高血压患者仍存在不合理膳食、肥胖、吸烟、运动量较低、服药依从性差等问题，严重影响高血压的控制及治疗效果[8]。本研究选取2016年7月-2017年6月本院240例住院高血压患者作为观察对象，有针对性地进行健康教育联合耳穴压豆，旨在改变其不良的生活方式，认识高血压的危害，更加积极地投身到高血压的自我活动管理中来。……