摘要
目的探讨赋能教育模式对社区高血压病患者自我管理影响情况。方法选取2014年12月~2017年11月深圳市宝安区沙井人民医院沙二蓝天社区健康服务中心原发性高血压者234例患者作为研究对象,依照就诊顺序将其分为观察组和对照组,每组各117例。对照组实施常规健康教育,观察组实施赋能教育模式。分析两组自我效能评分情况,两组干预前后血压情况。结果干预前两组症状管理自我效能、疾病共性管理自我效能及总自我效能评分比较,差异无统计学意义(P>0.05)。干预后两组的症状管理自我效能、疾病共性管理自我效能以及总自我效能评分均高于干预前,差异有统计学意义(P<0.05)。观察组的上述三种现评分高于对照组,差异均有统计学意义(P<0.05)。干预前两组SBP、DBP比较,差异无统计学意义(P>0.05)。干预后两组的SBP、DBP均低于干预前,差异有统计学意义(P<0.05),观察组的SBP、DBP低于对照组,差异均有统计学意义(P<0.05)。结论对社区高血压病患者实施赋能教育模式,能全面提升病患者的自我效能,积极改善其血压控制情况,减少心脑血管疾病发生率,值得在临床中推广使用。
Objective To analyze the impact of the empowerment education model on self-management of patients withhypertension in the community. Methods A total of 234 patients with primary hypertension in Sha two blue sky community health service center, Bao＇an District in Shenzhen City, from December 2014 to November 2017 were selectedas the subjects. According to the order of treatment, they were divided into 2 groups, 117 cases in each group. Thecontrol group was received routine health education, while the observation group was implemented the empowerment education mode. The self-efficacy score of the two groups was analyzed. Blood pressure in the two groups before and after intervention was analyzed. Results There was no significant difference between the two groups of symptoms management self-efficacy, common management self-efficacy and total self-efficacy score before intervention （P〉0.05）. Afterthe intervention, the symptoms management self-efficacy, the common management self-efficacy and the total self-efficacy score of the two groups were all higher than those before the intervention, and the difference was statistically significant （P〈0.05）. The symptom management self-efficacy, the common management self-efficacy of the disease andthe total self-efficacy score of the observation group were higher than those of the control group, the difference was statistically significant （P〈0.05）. There was no significant difference in SBP and DBP between the two groups before intervention （P〉0.05）. After intervention, the SBP and DBP of the two groups were significantly lower than those before theintervention, and the difference was statistically significant （P〈0.05）. The SBP and DBP of the patients in the observation group were lower than those in the control group, and the difference was statistically significant （P〈0.05）. Conclusion For the community hypertension patients, the implementation of the educational model can improve the self-efficacy of the patients, improve their blood pressure control and reduce the incidence of cardiovascular and cerebrovascular diseases. It is worth to use in clinical practice.
作者
林世塔
朱卫华
胡泽蛟
杨建英
LIN Shi-ta;ZHU Wei-hua;HU Ze-jiao;YANG Jian-ying(Health Service Center of Sha two Blue Sky Community,Shajing People＇ s Hospital of Bao＇an District in ShenzhenCity,Guangdong Province,Shenzhen 518104,China;Health Service Center of Ma＇anshan Community,Shajing People＇s Hospital of Bao＇an District in Shenzhen City,Guangdong Province,Shenzhen 518104,China;Health ServiceCenter of Democratic Community,Shajing People＇s Hospital of Bao＇an District in Shenzhen City,Guangdong Province,Shenzhen 518104,China)
出处
《中国当代医药》
2018年第24期59-62,共4页
China Modern Medicine
关键词
赋能教育
社区高血压
自我管理
效果影响
Empowerment education
Community hypertension
Self-management
Influence of effect
