中文摘要：

目的：探讨健康管理在原发性高血压社区防治中对提高和改善患者相关健康知识和行为、降低高血压危险因素流行率的护理效果。方法：将600例高血压患者随机分为观察组450例和对照组150例，观察组给予健康管理干预，对照组采用一般健康教育，比较两组患者高血压危险因素流行率、健康知识知晓率及心理状态、生活质量等。结果：除高血脂外，观察组缺乏体育锻炼、心理压力、肥胖、咸食、吸烟以及酗酒等高血压危险因素流行率与对照组比较差异有统计学意义（ P＜0．05）；健康知识知晓率方面，观察组患者在干预后明显高于对照组（P＜0．05）；而心理状态、生活质量等方面好于对照组（P＜0．05）。结论：健康管理能够提高患者对高血压知识的掌握程度，减少高血压危险因素流行率，提高心理状态及生活质量。

英文摘要：

Objective：To explore the efficacy of health management in the prevention of primary hypertension in community .Methods：600 patients with hypertension were randomly divided into the observation group （ n=450 ） and the control group （ n=150 ） .The health management intervention was implemented in the observation group and conventional health education was given to the patients in the con -trol group.The risk factors of hypertension ,patient＆#39;s awareness rate of health knowledge ,psychological state and quality of life were com-pared between the two groups .Results：There were statistically significant differences in the comparison of prevalence of risk factors of hy -pertension,lack of physical exercise,mental pressure,obesity,having salty food,smoking and excessive drinking except hyperlipemia be-tween the two groups（P＆lt;0.05）;the patient＆#39;s awareness rate of health knowledge was significantly higher in the observation group than the control group after the intervention （P＆lt;0.05）;the psychological state and quality of life of the patients were better in the observation group than the control group（P＆lt;0.05）.Conclusion：The health management in community can improve the patient＆#39;s awareness rate of hy-pertension related knowledge and reduce the risk factors of hypertension so as to improve the quality of life and mental state of the patients .