延续性护理对高血压患者用药依从性及生活质量的影响

延续性护理对高血压患者用药依从性及生活质量的影响摘要目的：探讨延续性护理对高血压患者用药依从性及生活质量的影响机制与实践效果。方法：选取2024年11月至2025年1月张家口市的100例高血压患者，采用随机数字表法分为对照组(=50)与观察组(=50)。对照组接受常规护理，观察组实施包含远程监测、家庭参与的多维度延续性护理干预。比较两组干预前、干预后4周、8周、12周的收缩压(SBP)、舒张压(DBP)、Morisky用药依从性量表(MMAS-8)评分、SF-36生活质量量表评分。结果：干预4周、8周、12周后，最终结果观察组血压(128.5±8.2mmHg,78.3±6.1mmHg)显著低于对照组血压(136.7±9.5mmHg,84.1±7.2mmHg)(均P<0.01):MMAS-8评分观察组(7.2±0.8分)优于对照组(6.0±1.1分)（仁10.36，P<0.001);观察组S℉-36各维度幅度显著提升，且显著高于对照组，本次干预在提升实验组个体的生理功能、精力、情感职能及总体生活质量方面表现出显著效果。结论：延续性护理作为一种新型的护理模式，在提高高血压患者的用药依从性和生活质量方面具有重要作用，增强患者的自我管理能力，从而提高用药依从性和生活质量。关键词：延续性护理：高血压：用药依从性；生活质量：血压控制ABSTRACTObjective:To explore the mechanisms and practical effects of transitional care onmedication adherence and quality of life in patients with hypertension.Methods:A total of 100patients with hypertension in Zhangjiakou City were selected between November 2024 andJanuary 2025 and randomly divided into a control group(n=50)and an observation group(n=50).The control group received routine care,while the observation group underwent extendedmultidimensional transitional care intervention,including remote monitoring and familyinvolvement.Systolic blood pressure (SBP),diastolic blood pressure (DBP),MoriskyMedication Adherence Scale (MMAS-8)scores,and SF-36 Quality of Life Scale scores werecompared between the two groups before intervention and at 4,8,and 12 weeks afterintervention.Results:At 4,8,and 12 weeks after intervention,the observation group exhibitedsignificantly lower blood pressure (128.5+8.2 mmHg,78.3+6.1 mmHg)compared to thecontrol group (136.79.5 mmHg,84.17.2 mmHg)(both P<0.01).The MMAS-8 score in theobservation group (7.2+0.8)was superior to that in the control group (6.0+1.1)(t=10.36,P<0.001).Additionally,the SF-36 scores in the observation group showed significantimprovements across all dimensions,particularly in physiological function,vitality,emotionalrole,and overall quality of life,which were markedly higher than those in the control groupConclusion:Extended care,as a novel nursing model,plays a vital role in enhancing medicationadherence and quality of life among patients with hypertension by strengtheningself-management capabilities,thereby improving both treatment compliance and overallwell-being.Key words:Transitional care:Hypertension;Medication adherence;Quality of life (QoL);Blood pressure control目录第1章引言第2章研究对象与研究方法.32.1研究对象32.2研究方法.。32.2实验方法32.2.1对照组32.2.2观察组32.3观察指标..4第3章结果.53.1血压控效果53.2服药依从性.…。.63.2生活质量评价.6第4章讨论.64.1讨论与分析.94.1.1血压控制效果94.1.2用药依从性94.1.3生活质量改善情况.104.2建议104.2.1加强高血压患者的健康教育104.2.2提升高血压患者用药依从性4.2.3对高血压患者制定详细的延续性护理措施11结纶44444444.12参考文献.….13致谢….15张家口学院毕业设计（论文）第1章引言高血压是全球范围内致残和致死的首要危险因素之一。据《中国心血管健康与疾病报告2023》显示，我国高血压患者人数已突破3.3亿，患病率持续攀升，且呈现年轻化趋势：尽管降压药物可有效控制血压，但患者用药依从性普遍较低（研究显示仅50%-60%患者规律服药)，导致血压达标率不足40%，进而引发脑卒中、心力衰竭等严重并发症，造成沉重的社会经济负担。传统的门诊护理模式因时间与空间限制，难以满足患者长期健康管理需求，如何通过创新护理模式提升患者自我管理能力，已成为公共卫生领域亟待解决的关键问题山。全球老年高血压患病率呈上升趋势，以中国为代表的发展中国家老年高血压患病率也呈上升趋势，对人类健康安全构成了不可忽视的重大威胁。影响老年高血压的因素较为复杂。国内外流行病学研究结果均显示，年龄增长、性别差异、生活方式、地理环境及季节变化等因素在老年高血压的发生和分布中起着关键作用。因此，应深入细致地分