目標：本研究的目的在評估工作場所個別護理指導及定期追蹤對高血壓員工自我照護的成效。方法：本研究採前實驗研究設計，在六家中(大)型製造業公司進行。研究對象為408位血壓偏高 (≧140/90 mmHg ) 的成年員工。實驗措施是由受過訓練的廠護提供，包括定期測量血壓及針對研究對象的自我照護給予個別護理指導。資料蒐集自研究對象之血壓記錄及他們填答的問卷，蒐集的時間共三次，分別是實驗措施開始前、開始後4個月及16個月。結果：經過4個月的護理措施之後，研究對象在知識及自我照護行為例如運動頻率、攝取合乎健康的飲食，及體重控制方面出現顯著的進 步。同時，收縮壓及舒張壓皆顯著下降 (P< .001)，收縮壓平均下降11.31mmHg，舒張壓平均下降7.07 mmHg，至實驗措施開始後16個月，上述成果或繼續維持或有進一步的改善。結論：在工作場所提供個別護理指導及定期追蹤有助於改善高血壓員工之自我照護。

　　　　　Objectives: The purpose of the study was to evaluate the effectiveness of worksite nursing intervention via individual health teaching and regular follow-ups for hypertensive employees. Methods: A pre-experimental design was chosen for the study. It was conducted in 6 large or medium manufacturing companies. The subjects were 408 employed adults with elevated blood pressure (≧140/90 mmHg). The experimental nursing interventions were provided by trained occupational health nurses. The interventions include d regular blood pressure readings and individual nursing counseling on subject's self-care. Data were collected at baseline, 4- and 16-month intervals from subjects' blood pressure records and self-completed questionnaires. Results: Significant improvements were shown in subjects' knowledge and self-care behavior, such as exercise frequency, healthy diet consumption, and weight control. Meanwhile, significant reductions (P < 0.001) were observed in subjects' blood pressure. Average decreases were 11.31 mmH g for systolic and 7.07 mmHg for diastolic blood pressure after 4-month nursing intervention. At the end of 16 months of intervention, the effects mentioned above were maintained or further improved. Conclusions: Worksite nursing intervention via individual health teaching and regular follow-ups can effectively improve hypertensive employees' self-care.