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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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