“生命网”健康教育对高血压患者自我效能感及遵医行为的影响
| 作者: |
1杨香玉,
1刘筱韵,
1居福美,
2王东明,
3梅月琴,
3孔雪英,
3孔敏敏
1 南京鼓楼医院高淳分院内科，江苏 高淳 211300 2 南京鼓楼医院高淳分院骨科，江苏 高淳 211300 3 南京鼓楼医院高淳分院健康管理中心，江苏 高淳 211300 |
| 通讯: |
刘筱韵
Email: yxzwy1119@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.01.020 |
| 基金: | 2016 年度南京市医学科技发展项目(YKK16230)。 |
摘要
目的：探讨“生命网”健康教育对高血压患者自我效能感及遵医行为的影响。方法：将2015年1月至2017年12月于南京鼓楼医院高淳分院进行诊治的547例高血压患者作为研究对象，其中失访10例，回顾性分析537例高血压患者的临床资料，并依据不同的教育模式同时将537例患者分为干预组(n=267)与对照组(n=270)。其中对照组采取传统的健康教育模式，干预组在此基础上实施“生命网”健康教育流程模式。采用美国斯坦福大学慢性疾病自我效能感量表评价2组患者教育前后自我效能感；采用南京鼓楼医院高淳分院自制量表评价2组患者教育后遵医嘱行为；测量并比较2组患者教育前后血压变化。结果：教育后，2组患者症状管理、自信心、疲乏、服药依从性、饮食结构以及控制水盐各项评分均较教育前显著升高(P<0.01)，且干预组明显高于对照组，差异有统计学意义(P<0.05)。教育后，干预组远离烟酒、从医行为、良好作息、监测血压、情绪稳定、合理饮食、定期随访、适当运动等遵医行为人数均明显高于对照组，差异有统计学意义(P<0.05)。教育后，2组患者收缩压和舒张压均较教育前显著降低(P<0.01)，且干预组明显低于对照组，差异具有统计学意义(P<0.01)。结论：对高血压患者采取“生命网”健康教育进行干预可明显改善其临床症状，并有助于其自我效能感和遵医行为的提高，效果佳，值得临床开展应用。
关键词：
生命网；健康教育；高血压；自我效能；遵医行为
Influence of health education of “life network” on self efficacy and compliance behavior of hypertensive patients
CorrespondingAuthor: LIU Xiaoyun Email: yxzwy1119@163.com
DOI: 10.3978/j.issn.2095-6959.2019.01.020
Foundation: This work was supported by 2016 Nanjing Medical Science and Technology Development Project, China (YKK16230).
Abstract
Objective: To investigate the application effect of health education of “life network” on self efficacy and compliance behavior of hypertensive patients. Methods: A total of 547 cases of hypertension who were diagnosed and treated in Gaochun Branch of Nanjing Drum Tower Hospital from January 2015 to December 2017 were studied, and clinical data were analyzed retrospectively. Ten people were lost visit; 537 patients were divided into intervention group (n=267) and control group (n=270) according to different intervention mode. In the control group, the traditional health education mode was adopted. On this basis, the intervention group implemented the “life network” health education process model. The self-efficacy scale of Standford’s chronic disease was used to evaluate the self-efficacy of patients of 2 groups before and after education. Our hospital self-control scale was used to evaluate the behavior of patients of 2 groups before and after intervention. The blood pressure changes were measured and compared between the patients of 2 groups before and after education. Results: After education, the scores of symptom management, self-confidence, fatigue, medication compliance, diet structure and control of water and salt in the 2 groups were significantly higher than those before education (P<0.01), and the intervention group was significantly higher than that in the control group, the difference was statistically significant (P<0.05). After education, the number of intervention group away from alcohol and tobacco, medical behavior, good rest, monitoring blood pressure, emotional stability, reasonable diet, regular follow-up, proper exercise was significantly higher than the control group, the difference was statistically significant (P<0.05). After education, the systolic blood pressure and diastolic blood pressure of the 2 groups were significantly lower than those before education (P<0.01), and the intervention group was significantly lower than that of the control group, the difference was statistically significant (P<0.01). Conclusion: The health education process of “life network” for patients with hypertension can obviously improve the clinical symptoms, also help to improve the sense of self efficacy and compliance, have good effect and be worthy of clinical application.
Keywords：
life network; health education; hypertension; self-efficacy; compliance behavior