Hu Dayi: "Family Rehabilitation" of Hypertension

Hypertension Home Rehabilitation

First, after discharging/outpatient home, patients with hypertension must do the following

1. Adhere to systematic treatment in strict accordance with medical instructions.

2. Regularly go to the hospital for review.

3. Carry out physical exercise or rehabilitation exercise according to the doctor's recommendation.

4. Help your family to do some housework within your ability, but you can't overwork.

5. The amount of food is reasonable and the nutritional combination is appropriate. Obese patients with hypertension should pay special attention to "keeping their mouths shut and opening their legs" and eating and moving. Eat 80% full of food, and walk 10,000 steps a day. Aerobic exercise is beneficial for weight control and blood pressure drop.

6. Maintain a good mood and sleep. The "Two Hearts Service" is essential for smoothly controlling blood pressure. Anxiety and/or depression and poor sleep can cause increased blood pressure fluctuations. This is especially common in elderly patients with hypertension. It is necessary to integrate "double heart care" into blood pressure management. Attention should also be paid to the presence or absence of snoring and sleep apnea, and if so, should be assessed and corrected at the hospital.

7. Patients with hypertension must quit smoking. Patients with high blood pressure must limit alcohol. Long-term heavy alcohol consumption increases blood pressure and increases triglycerides. A single excessive dose of alcohol causes a sharp increase in blood pressure, which may trigger intracerebral hemorrhage.

8. Keep the stool unobstructed.

9. Record the changes in the condition and learn some basic self-care techniques, such as measuring pulse, measuring blood pressure, etc.

10, to pay attention, do not overdo: do not test blood pressure too frequently every day. Some elderly patients with hypertension are too worried about blood pressure, too frequent self-test blood pressure, but cause blood pressure fluctuations, and even large fluctuations. If you see if your blood pressure is stable, you can regularly go to the community for 24-hour ambulatory blood pressure monitoring.

11. Pay attention to the morning peak of blood pressure: if the blood pressure has a morning peak phenomenon that rises significantly in the morning, the antihypertensive drug should be taken before going to bed, and long-acting antihypertensive drugs should be selected.

12. Elderly patients with hypertension, such as high blood sugar, microalbuminuria, etc., take antihypertensive drugs at the same time, even if the blood cholesterol is not high, they should also take small dose statin (various statin half tablets or lipid Kang / lipid profile).

13. Long-acting drugs should be selected for antihypertensive drugs; advocate the use of "compound drop tablets", that is, single-tablet compound preparations, "one mouthful of water, one piece of medicine", which is not easy to miss. Under the frenzy of commercial interests, the "according to the leaves" (enalapril and folic acid) frying as the preferred antihypertensive drug, reversing the general direction of antihypertensive is the last word, exaggerating the role of folic acid.

14, the control of hypertension should go out of only antihypertensive drugs to work hard. The combination of the "five prescriptions" should be implemented in the practice of hypertension prevention and treatment, and it is possible to use fewer and smaller doses of drugs to achieve better blood pressure control effects, reduce drug side effects, and save costs.

Second, the family members of patients with hypertension should strive to do so in the process of patient rehabilitation

(1) Urge patients to take medication on time and follow up regularly. Elderly patients with hypertension are often sick and need multiple medications. The elderly, especially the elderly, often have different degrees of memory loss. Family members or nannies should help remind patients to take their medications on time and correctly.

(2) Pay more attention to and understand the patient, if you encounter the patient is troubled by the disease (including pain and disease knowledge) and emotional abnormalities, you can consult with the doctor on behalf of the patient to help the patient eliminate the fear of the disease and the uneasiness caused by it.

(3) Supervise the patient's reasonable diet and risk factor control after discharge, such as resolute support and patience to help patients quit smoking. Pay attention to three reductions in cooking at home: reduce salt, reduce oil and reduce sugar. It needs to be emphasized that the living habits that people have formed are difficult to change, and improving the unhealthy parts of living habits can best promote the family.

(4) Try to arrange free time to spend with patients, such as exercising together.

(5) Pay attention to the observation of patients, timely discover adverse events, and seek medical treatment in time.

(6) Create a good living environment and care for each other.