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高血压病患者生活方式的健康教育及护理干预
Abstract
Hypertensionisachronicnon-communicablediseasecharacterizedbyhighbloodpressure.Itisamajorriskfactorforcardiovasculardiseases,stroke,andkidneyfailure.Hypertensionhasanincrediblyhighprevalenceworldwide,withanincreasingtrendindevelopingcountries.Thelifestyleofhypertensivepatientsplaysacriticalroleinthepreventionandmanagementofhypertension.Healtheducationandnursinginterventionsareessentialstrategiesthatcanhelphypertensivepatientstoimprovetheirlifestyleandachievebetterbloodpressurecontrol.Thispaperdiscussesthehealtheducationandnursinginterventionsthathavebeenusedtomanagehypertensioninvariouscountriesworldwide.
Introduction
Hypertension,alsoknownashighbloodpressure,isachronicnon-communicablediseaseaffectingmillionsofpeopleworldwide.AccordingtotheWorldHealthOrganization(WHO),hypertensionisdefinedasasystolicbloodpressureof140mmHgorhigher,and/oradiastolicbloodpressureof90mmHgorhigher.Hypertensionisasignificantriskfactorforcardiovasculardiseases,stroke,chronickidneydisease,andothercomplications(1).
Globalprevalenceofhypertensionisrisingrapidly,anditisestimatedthatapproximatelyonebillionpeopleworldwidehavehypertension.Moreover,hypertensionisresponsibleforabout9.4milliondeathsannuallyworldwide,makingitoneoftheleadingcausesofdeathglobally(2,3).
Lifestyleinterventionsconstitutethefirst-linemanagementofhypertension.Appropriatelifestylechangescanlowerbloodpressure(BP)andreducetheneedformedication.
Healtheducationandnursinginterventionsplayanessentialroleinthemanagementandpreventionofhypertension.Therefore,thispaperaimstoreviewhealtheducationandnursinginterventionsthatareeffectiveinmanaginghypertensionandimprovingthequalityoflifeofhypertensivepatients.
HealthEducation
Healtheducationistheprocessofeducatingpeopleabouthealthanddiseaseprevention,tohelpthemimprovetheirhealthandwell-being.Thegoalofhealtheducationinhypertensionmanagementistoraiseawarenessamongpatientsabouttheirconditionandhowtocontrolit.Healtheducationforhypertensionincludesinformationonthecauseandriskfactorsforhypertension,itscomplications,lifestylemodifications,andthesignificanceofadherencetomedication(4).
Effectivehealtheducationstrategiesforhypertensionmayincludethefollowing:
1.Stressmanagementtraining
Stressisasignificantriskfactorforhypertension.Therefore,teachingpatientsmethodsofmanagingstresssuchasrelaxationexercisescanhelplowerbloodpressure(5).
2.Dietarymodifications
Healtheducationondietarymodificationsisessentialinhypertensionmanagement.Hypertensivepatientsneedtobeeducatedaboutdietarychangessuchasreducingsaltintake,increasingpotassiumintake,andavoidingexcessalcoholandcaffeine(6).
3.Physicalactivity
Regularphysicalactivityisessentialinhypertensionmanagement.Hypertensivepatientsshouldbeencouragedtoengageinmoderate-intensityphysicalactivitysuchasbriskwalking,cycling,orswimmingforatleast30minuteseveryday(6).
4.Smokingcessation
Smokingcessationiscrucialinhypertensionmanagement.Hypertensivepatientswhosmokeshouldbeadvisedtoquitsmokingtopreventfurtherdamagetothebloodvessels(7).
5.Medicationadherence
Healtheducationonmedicationadherenceisessentialinhypertensionmanagement.Patientsshouldbeadvisedtoadheretoprescribedmedication,thecorrectdosages,andfrequenciestoachievebetterbloodpressurecontrol(8).
NursingInterventions
Theroleofnursesinhypertensionmanagementissignificant.Nurseshaveacrucialroleinhelpinghypertensivepatientstoachievebetterbloodpressurecontrolandimprovetheirqualityoflife.Nursinginterventionsthatmayhelpinhypertensionmanagementincludethefollowing:
1.Bloodpressuremonitoring
Bloodpressuremonitoringisanessentialcomponentofhypertensionmanagement.Nursescanmonitorandrecordthepatient'sbloodpressureregularlyandprovidefeedbacktothepatientonbloodpressurecontrol(9).
2.Lifestylemodifications
Nursescaneducatehypertensivepatientsaboutlifestylemodificationssuchasdietarychangesandphysicalactivity.Nursescanalsoprovideguidanceinmakingsmallbutsustainablechangesinlifestyle(10).
3.Medicationmanagement
Nursescanhelpinmedicationmanagementbyremindingpatientstotaketheirmedication,ensuringthecorrectmedication,dose,andfrequency.Additionally,nursescanmonitorthesideeffectsoradverseeffectsofmedicationandreportthemtothephysician(11).
4.Patienteducationonself-care
Nursescaneducatehypertensivepatientsonself-monitoring,self-care,andimportanceofadherencetomedicationtocontrolbloodpressure.Patienteducationonself-carealsoincludesadherencetofollow-upappointmentswithphysiciansandregularbloodpressuremonitoringathome(9).
5.Collaborativecare
Collaborativecareinvolvescollaborationamongnurses,physicians,andotherhealthcareprofessionalstomanagehypertensioneffectively.Collaborativecareiscrucialinhypertensionmanagement,takingintoconsiderationthesignificantcomorbiditiesthathypertensivepatientsmayhave,suchasdiabetesandobesity(12).
Conclusion
Hypertensionisasignificantglobalhealthproblemthataffectsmillionsofpeopleworldwide.Thelifestyleofhypertensivepatientsplaysacrucialrole
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