ABSTRACT
Objective To explore the effect of health education on behavior,blood pressure control and psy-chological factors in patients with hypertension.Methods 800 patients with hypertension in Yanling County Hospital were selected and randomly divided into management group(n =600)and control group(n =200)according to ran-dom numerical table method.The patients of the two groups were carried out regular hypertension health education and follow -up,and the health records were established.The management group was carried out individually and one to one health education and management.6 months after intervention,changes in behavioral habits compliance,blood pressure control,depression and anxiety self -rating scale of the two groups were assessed.Results Before the intervention,there were no statistical differences between the two groups(all P >0.05).After 6 months intervention, the compliance ratios of low salt diet,smoking cessation and limit alcohol,appropriate exercise,rational use of drugs, monitoring blood pressure,regular review in management group were 92.6%,85.3%,90.3%,93.3%,89.6%, 95.6%,and those of the control group were 56.0%,53.0%,63.0%,52.5%,49.0%,67.0%,the differences were statistically significant(χ2 =146.37,89.23,116.52,178.29,152.21,159.38,all P <0.01 ).The awareness rate, treatment rate and compliance rate of hypertension in the management group were 94.0%,95.3%,89.6%,which of the control group were 63.0%,51.5%,42.5%,the differences were statistically significant(χ2 =121.54,218.60, 193.67,all P <0.01).The self -rating depression scale and self -rating anxiety scale in management group were (40.12 ±10.34)points,(39.20 ±7.78)points,respectively,and those in the control group were (46.60 ±9.56)points, (44.54 ±8.96)points,the differences were statistically significant (t =7.84,20.64,all P <0.01 ).Conclusion Individualized health education around drug therapy can improve patients'behavioral habits and psychological factors, increase the rate of blood pressure,and thus improve the prognosis of patients with hypertension.
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the effects of arsenic trioxide (As(2)O(3)) on the apoptosis and p-glycoprotein (P-gp) expression of multidrug-resistant human leukemia cells.</p><p><b>METHODS</b>Human multidrug-resistant leukemia cell line K562/ADM overexpressing the MDR1 gene, was used as the target cells. The cell proliferating activity was assessed using the MTT colorimetric assay. Cytomorphology was investigated under light, confocal and electron microscopes. DNA fragmentation was examined using agarose gel electrophoresis, while p-gp expression, cell cycle status and sub-G1 cells were determined using flow cytometry.</p><p><b>RESULTS</b>Zero point five to 20 micromol/L As(2)O(3) inhibited the proliferation of K562/ADM cells, and K562/ADM cells were more sensitive to As(2)O(3) than the parental K562 cells. As(2)O(3)-induced apoptosis of K562/ADM cells was determined by the observance of typical morphological changes and the appearance of DNA ladder and sub-G1 cell populations. As(2)O(3) significantly inhibited the P-gp expression of K562/ADM cells, and synergistically enhanced the sensitivity of the drug-resistant cells to adriamycin.</p><p><b>CONCLUSIONS</b>As(2)O(3) induces growth-inhibition and apoptosis, down-regulates P-gp expression and exerts a synergistic effect in combination with adriamycin in multidrug-resistant leukemia cells.</p>