目的评价自测血压对高血压患者的行为依从性、生活方式及血压的影响.方法118名老年原发性高血压患者随机分为对照组和自测血压组.6个月后测量各组患者的血压,评价其行为依从性水平,了解其生活方式.结果与对照组相比,自测血压组患者行为依从性提高,舒张压[(74.85±14.19)vs(82.12±13.64)mmHg(1 mmHg=0.133 kPa)]、男性腰围[(78.03±6.68)vs (81.94±7.36)cm]、膳食盐[(7.56±2.34)vs(8.76±1.96)g/d]、油摄入量[(26.17±6.60)vs(29.85±6.12)g/d]、吸烟率(3.4%vs 15.5%)降低,积极参加运动的比例升高(P<0.05);体质量指数、收缩压、女性腰围差异则没有统计学意义(P>0.05).结论高血压患者实施自测血压有助于提高治疗行为依从性,建立健康的生活方式,更好地控制舒张压.

Objective To evaluate the effect of self blood pressure monitoring on knowledge, compliance and behaviour of elderly hypertensive patients. Methods A total of 118 elderly hypertensive patients were randomly divided into control group and self blood pressu