The impact of self-monitoring combined with family support nursing on blood pressure control rate and medication adherence in hypertensive patients
自我监测联合家庭支持护理对高血压病患者血压控制率与用药依从性的影响

摘要

目的 探究把自我监测和家庭支持护理联合起来应用到高血压病患者身上所产生的临床效果，并且分析这种护理模式对于患者血压控制率以及用药依从性所造成的影响，从而为在临床上对高血压护理方案进行优化、提升慢病管理的质量提供参考方面的依据。方法 选取在2024年7月至2025年6月这一时间段内我院所收治的200例高血压病患者当作研究的对象，这些患者的年龄处于35岁到70岁之间，采用随机数字表的方法把这些患者分成对照组和实验组，每个组有100例患者。对照组实施高血压方面的常规护理干预措施，实验组在常规护理的基础之上开展自我监测和家庭支持护理联合的干预措施，持续进行干预6个月。对两组患者在干预之前和干预之后的血压水平、血压控制率、用药依从性评分以及生活质量评分进行对比，对于计量资料进行t检验，对于计数资料进行χ²检验，当P<0.05的时候认为差异具有统计学方面的意义。结果 在干预之后，两组患者的收缩压和舒张压水平都比干预之前要低，并且实验组的水平低于对照组；实验组的血压控制率为89.00%，比对照组的68.00%要高；实验组的用药依从性评分和生活质量评分都高于对照组，组与组之间的数据差异都具有统计学方面的意义（P<0.05）。结论 把自我监测和家庭支持护理联合起来应用到高血压病患者身上，能够有效地提升患者的自我管理能力，增强用药依从性，优化血压控制的效果，改善患者的生活质量，这是一种高效并且可行的高血压慢病护理模式，值得在临床上进行推广。

Abstract

Objective To investigate the clinical efficacy of self-monitoring combined with family support nursing in hypertensive patients, analyze the impact of this nursing model on blood pressure control rate and medication adherence, and provide reference for optimizing clinical hypertension care protocols and improving chronic disease management quality.
Methods A total of 200 hypertensive patients admitted to our hospital from July 2024 to June 2025 were selected as study subjects, aged 35-70 years. They were randomly divided into a control group and an experimental group using a random number table, with 100 cases in each group. The control group received conventional hypertension nursing interventions, while the experimental group received self-monitoring combined with family support nursing interventions on the basis of conventional care, with continuous intervention for 6 months. Blood pressure levels, blood pressure control rate, medication adherence scores, and quality of life scores were compared between the two groups before and after intervention. Measurement data were analyzed using t-tests, and categorical data were analyzed using χ² tests. A P<0.05 was considered statistically significant.
Results After intervention, both groups showed lower systolic and diastolic blood pressure levels compared to pre-intervention levels, with the experimental group showing lower values than the control group. The blood pressure control rate in the experimental group was 89.00%, higher than the control group’s 68.00%. The medication adherence scores and quality of life scores in the experimental group were both higher than those in the control group, with statistically significant differences between groups (P<0.05).
Conclusion   The application of self-monitoring combined with family support nursing in hypertensive patients can effectively enhance self-management capabilities, improve medication adherence, optimize blood pressure control outcomes, and improve patients’ quality of life. This is an efficient and feasible nursing model for hypertension chronic disease management, worthy of clinical promotion.