ABSTRACT
Objective To explore the influence of complications simulated experience education on self-management behavior(medication adherence and blood pressure control and treatment attitudes and beliefs)in young patients with hypertension.Thus,tocontrol the risk factors,improve the quality of life and prevent the complication of the heart, brain and kidneys. Methods A total of 200 young patients aged 18 to 44 old with hypertension were selected according to the diagnostic criteria of Chinese guidelines for the management of hypertension from June 2016 to May 2017.Participants were randomly divided into intervention group and control group (100 cases in each group).In the control group conventional education was used one-to-one education mode.And the complication simulated experience model was used in the intervention group one-to-one education mode. The differences in medication adherences, blood pressure, treatment attitude and beliefs between the two groups of patients were compared before and one month after intervention. Results The were no differences of general situation, blood pressure and medication adherence and treatment attitudes and the score of beliefs between two groups before intervention (P>0.05). After intervention, the systolic and diastolic blood pressure were (132.67 ± 12.95) mmHg (1mmHg=0.133 kPa) and (83.21 ± 5.97) mmHg in the intervention group, which were lower than(137.87±13.97)mmHg and(89.68 ±6.12)mmHg in the control group(t=2.730,7.568,P<0.05).Medication adherence score was 7.15±0.75 in the intervention group,which was higher than 5.10± 1.89 in the control group (t=10.081, P<0.05). In the intervention group, after the intervention treatment, attitudes and beliefs score was 82.15±13.13,which was higher than 71.11±15.89 in the control group.(t=5.337, P<0.05). Conclusions The complications simulated experience education is superior to conventional health education, which can improve medication compliance, blood pressure control, and treatment attitude and belief level in young patients with hypertension.