采用知信行模式进行健康教育对原发性高血压病患者不良生活方式的干预效果

The effect of KABP mode health education on the unhealthy life style of patients with primary hypertension

目的观察知信行健康教育模式对原发性高血压病患者不良生活方式的干预效果。方法将符合标准的200例原发性高血压病患者按照治疗的先后顺序,分为试验组和对照组各100例。在患者来院就诊或住院治疗时,责任护士在给予基本检查治疗,并对患者健康行为以及主要危险因素和对疾病认知程度进行评估的基础上,试验组采用知信行健康教育模式,对照组采用传统的健康教育模式,分别对两组患者进行为期60d的健康教育。健康教育结束后再次评估两组患者的健康行为的变化情况。结果试验组健康教育后患者健康行为优于健康教育前(P<0.01);对照组除"戒烟限酒"外,健康教育后患者健康行为优于健康教育前(P<0.01);健康教育后试验组患者健康行为优于对照组(P<0.01)。结论知信行模式可以更有效地促进原发性高血压病患者健康行为的建立,改善对疾病的不良认知,减少影响疾病转归和康复的危险因素。

Objective To evaluate the effect of knowledge,attitude,belief,praetiee（KABP） health education models on unhealthy life style of patients with primary hypertension. Methods According to treatment orders,200 primary hypertensive patients were divided into study group and control group（100 cases each）. After basic examination,treatment,and assessment of health be- haviors of patients as well as major risk factors and the degree of knowledge of the disease on the first day of patients to the hospital,the study group patients received the KABP health education mode and the control group patients received the traditional health education mode for a period of 60 days. Patients＇ health behaviors were re-assessed after health education. Results After health education,the patients＇ health behaviors were better than before in both groups（P〈0.01）; the study group patients＇ health behaviors were better than the control group（P〈0.01）. Conclusion KABP mode health education can effectively promote the establishment of health behavior of patients with primary hypertension ,improve the cognition of disease ,and reduce the risk factors affect disease outcome and rehabilitation.