How can we increase the rate of health education awareness among hypertensive patients?
Haha! You're too lazy to ask for help, aren't you? I'm not sure if you're going to be able to do this, but I'm sure you'll be able to do it! The following is introduced to you for your reference: hypertension community standardized management and evaluation of the effect 1, hypertension community standardized management of the significance and content of hypertension standardized management, is conducive to improving the rate of hypertension treatment and standardization, is conducive to reducing the occurrence of cardiovascular and cerebral vascular disease, and is conducive to the improvement of the national health status. The main contents of standardized management of hypertension in the community: 2.1 Health education Health education and knowledge of hypertension prevention and treatment for normal people, people prone to hypertension and hypertensive people, main contents: ① Normal people: know about hypertension, and it is recommended that blood pressure be measured once a year. ② People prone to hypertension: intervene in relevant risk factors (such as obesity, high salt diet, excessive alcohol consumption, long-term mental stress, etc.) to prevent the occurrence of hypertension. ③ Hypertensive people: recognize the danger of hypertension, insist on changing the bad lifestyle, insist on standardized drug treatment, and prevent the occurrence of cardiovascular and cerebrovascular diseases. 2.2 Non-pharmacological treatment: Long-term adherence to non-pharmacological treatment. Hypertension is a kind of "lifestyle disease", and it is necessary to improve the bad lifestyle in order to comprehensively control hypertension and related risk factors. To achieve a reasonable diet, limit fat intake, quit smoking, limit alcohol (no more than 1 tael of white wine per day for men), limit salt (5 grams of salt per person per day), appropriate exercise, maintain a good mood, avoid long-term excessive mental stress. 2.3 Standardized drug treatment Use appropriate antihypertensive drugs according to the patient's specific situation. Diuretics, β-blockers, calcium antagonists, acei, arb and small-dose compound preparations can be used as initial and maintenance treatment drugs. Adhere to long-term treatment to control blood pressure smoothly. Do not stop using antihypertensive drugs at will. Measure blood pressure regularly and advocate self-measurement of blood pressure. 2.4 Standardized management Detect hypertension from the population and conduct risk assessment. According to low, medium and high risk/very high risk, it is divided into one, two and three levels of management. Hypertension community assessment indicators: ① management coverage rate ② standardized management rate ③ blood pressure control rate (blood pressure <140/90mmhg) ④ hypertension knowledge awareness rate Specific standards are set according to the actual situation of each region. Data and Methods Target: patients in our community who meet the WHO diagnostic criteria for diabetes mellitus, aged 41-77 years old. Format: once a month in this site by general practitioners or higher hospital endocrinology professor lectures, and with the cooperation of the neighborhood committee and other ways to teach patients: what is diabetes, diabetes symptoms, heart, brain, kidney, eye, foot complications, especially the importance of foot care; reasonable lifestyle and diet program, the importance of regular exercise; diet, exercise, oral hypoglycemic, insulin or other drugs correlation; blood glucose, glucose and other drugs; the importance of regular exercise; diet, exercise, oral hypoglycemic, insulin or other drugs correlation; blood glucose, insulin or other drugs. or other medications; self-monitoring of blood glucose and urine glucose, the significance of the results and the measures that need to be taken; patients should acquire an understanding of the standards for achieving blood glucose, blood pressure, blood lipids and weight. At the end of each lecture, patients can consult the professor or physician according to their own conditions, and find out the best way to control their conditions in the light of their own reality. Health education prescriptions, which are easy to understand and practical, are also distributed to patients. Semi-monthly video discs of "Diabetes Prevention and Control" and "Diabetes Diet and Exercise Therapy" are shown to patients. Diabetic family members should also receive health education: diabetes is a chronic disease, the support of the family can give the patient a good environment for healing and nourishing the patient, help the patient to overcome the laxity of not complying with the medical advice due to the torment of the disease, and at the same time play a role in effectively supervising and guiding the patient's self-management and preventive health care. Teach family members to learn how to deal with adverse reactions when patients take medication at home, how to prevent hypoglycemia, and what to do if they forget to take medication. Establishment of health records: Health records are established for patients with diagnosed diabetes mellitus. The file consists of three copies: basic information, follow-up form, and annual examination form, with each form filled out in detail and without blanks. The files are numbered according to the neighborhood, unit building, and door number where the patient lives, so that as long as the patient says his address, he can quickly find out what his file is. For patients with stable blood glucose, blood glucose is measured twice a month, glycated hemoglobin is measured every 3-6 months, urine micro-protein, blood lipids, electrocardiogram are measured every 6-12 months, and liver function, kidney function and fundus of the eye are measured every year. Individualized treatment and health care programs are given to those found to have abnormal indicators. Through the establishment of health records, contact with patients was maintained and health care knowledge and health care skills could be conveyed to patients in a timely manner in order to improve patients' medical compliance [1]. Discussion Solid theoretical knowledge, good professional quality, and skillful communication skills are the guarantee of good diabetic patient education. The health care workers in this service station should reflect both the dignity of the doctor and respect for the patient when they first contact the patient, so that the patient does not feel constrained, and lay a good foundation for the patient to insist on coming to receive health management in the future. Self-care for patients with diabetes is complex and requires perceptual awareness, restraint, behavioral resilience, and the will to implement. Many steps are required in the process of health education and conditioning care for diabetes. Such as geriatric diabetic patients prone to hypoglycemia, in addition to health education must teach patients how to calculate the measurement of the use of insulin, choose the site and grasp the method, but also to teach them to be flexible diet, patients will be asked to exercise after the addition of meals, to avoid bathing before the meal and so on. Furthermore, if elderly patients sweat profusely at night when they are asleep, they should be told to be vigilant in order to prevent hypoglycemic coma. Increased blood pressure is a risk factor and should be controlled. The degree of diabetic patients' own medical compliance behavior directly affects the effectiveness of treatment. Effective health education methods can improve patients' self-awareness of medical compliance and lay the foundation for achieving the best goals of treatment [2, 3]. The establishment of health records, at first most patients do not understand the health records, and there is resistance. Through the communication between medical staff and patients, the files are gradually established. For example, when checking glycated hemoglobin on a regular basis, if the patient forgets, they will call the patient to inform the patient to check in time, and guide the patient to promote health in a more systematic way. Diabetes is a lifelong disease, and the treatment of diabetes should adhere to the comprehensive treatment method of dietary therapy, physical therapy and drug therapy. Among them, dietary therapy is the most basic treatment, and if it is well controlled, one can lead a normal life. Diabetes is a common disease among middle-aged and elderly people, and poor control can lead to a number of complications. Treatment is often a combination of diet, exercise and medication, with dietary therapy being the foundation of all treatments. For mild diabetes, diet alone can control the condition. The basic principle of diet therapy is to estimate the total calorie requirement according to the patient's body weight and activity level, and rationally arrange the daily diet. Foods with high sugar content should not be eaten, foods containing fat and starch should be eaten less, and vegetables and grains should be eaten, with a certain amount of high-quality protein foods such as lean meat, milk, eggs, soy products, and so on. Fruits contain sugar, so can you eat fruit? Fruits contain a lot of vitamins, fiber and minerals, which are beneficial to diabetics. Sugar contained in fruits include glucose, fructose and sucrose, of which fructose does not need insulin to participate in the metabolism, so diabetics are not excluded from fruits after their blood sugar has been controlled. Moreover, the amount of sugar in fruits varies, so it is not equivalent. Per 100g of food amount of less than 10g of plums, watermelon, melon, coconut milk, orange, lemon, grapes, peaches, plums, apricots, loquat, pineapple, strawberries, sugar cane, coconut, cherries, olives, etc., diabetic patients can choose. Sugar content in 11 to 20g of fruit bananas, pomegranates, grapefruit, oranges, apples, pears, lychees, mangoes, etc., should be carefully selected; more than 20g of jujubes, red fruits, especially dried jujubes, jujubes, persimmons, raisins, dried apricots, cinnamon, etc., its sugar content is very high, it is forbidden to eat. Many vegetables can be consumed as fruit, such as tomatoes, cucumbers, vegetables and melons, etc., per 100g of sugar content below 5g, but also rich in vitamins, can completely replace the fruit, suitable for diabetics to eat. In addition to match the amount of food, do not be set in stone. Although the watermelon contains less sugar (4%), but eat 500g, equivalent to bananas (20% sugar) 100g, pear (12% sugar) 170g, so the amount of the above fruits should not be too much. Fruit eating method should also pay attention to, do not eat immediately after meals, can be eaten between meals or before going to bed. It is best to try to eat, that is, after eating 2 hours to measure the urine sugar, if the increase in urine sugar needs to be reduced; such as fruit after reducing the amount of urine sugar is still high, should be appropriate to reduce the amount of staple food. In short, for diabetes, hypertension and other chronic diseases in the community patients, community health workers should not be limited to the traditional treatment of disease and care, but should pay attention to teach patients how to prevent disease, treatment of disease, how to adhere to the correct treatment, adhere to the correct habits of life. Therefore do a good job in the implementation of behavioral aspects of health management, not only can improve the consciousness of patients to comply with medical treatment, so that patients actively participate in the maintenance of health plans to reduce and delay complications, but also to improve the effectiveness of treatment and reduce medical costs. f9