高血压自我管理健康教育项目效果评价

Evaluation of Hypertension Self-management Patient Education Program

目的 评价高血压自我管理项目实施6个月之后的效果。方法 按照社区随机对照试验研究设计,将2 19名自愿参加该项目的高血压病人,随机分为干预组和对照组。干预组接受高血压自我管理健康教育课程,对照组接受常规的高血压三级管理。比较111名干预组病人和10 8名对照组病人在项目实施6个月之后各评价指标的变化。结果 干预组6个月内每周耐力锻炼时间、症状管理自我效能和疾病共性管理自我效能评分、健康状况(整体健康自评、疲劳、情绪低落)明显好于对照组(P均<0 .0 5 ) ;干预组6个月内看病次数平均比对照组少1.73次(P =0 .0 2 ) ;干预组收缩压和舒张压分别比对照组多下降了1.4 3、0 .2 9kPa。结论 高血压自我管理项目6个月后可改善参加者的自我管理行为、自我效能、部分健康状况、减少看病次数及降低血压水平。

Purpose To evaluate the six-month impact of hypertension self-management patient educa tion program. Methods A community-based randomized controlled trial design was used in this study.Tot ally 219 vo-lunteer participants with diagnosed hypertension were randomized in to intervention group(n=111) or control group(n=108).The intervention grou p rece ived hypertension self-management education course,the control group received t he routine hypertension management services.Six-month changes in outcome variab les and the blood pressure values were compared between the two groups. Results The intervention group had significant improvements in self-management behavio r,self-efficacy,three indices of health status.The intervention group had,on av e-ra ge,1.73 fewer doctor visits than the control group (P=0.02).They also had,on average,decreased 1.43 kPa more in systolic blood pressure,0.29 kPa more in Dia stolic Blood Pressure than the control group. Conclusions The program improved participants′ health behavior,self-efficacy,health status , blood pressure value and reduced the number of doctor visits six months after th e course.