动机性访谈式健康教育对老年高血压患者遵医行为的影响

Influence of motivated interview type health education on the treatment compliance of elderly patients with high blood pressure

目的 探讨动机性访谈式健康教育对老年高血压患者遵医行为的影响.方法 将80例老年高血压患者按随机数字表法分为对照组和观察组各40例,对照组实施传统健康教育,观察组在对照组基础上实施动机性访谈式健康教育,比较两组患者出院3个月时遵医行为.结果 观察组患者在合理饮食、规律服药、科学运动、定期血压监测4个方面遵医行为得分分别为（8.0±3.2）,（7.3±3.5）,（7.1±4.5）,（7.5±2.6）分,均优于对照组的（5.3 ±1.1）,（4.9±2.4）,（4.3±3.1）,（3.3±3.7）分,两组比较差异有统计学意义（t值分别为5.61,4.42,4.77,3.96;P＜0.01）.结论 动机性访谈式健康教育可有效促进老年高血压患者行为改变,提高患者遵医行为和生存质量.

Objective To discuss the motivated interview type health education on the treatment compliance of elderly patients with high blood pressure.Methods Totals of 80 cases of elderly patients with hypertension randomly divided into control group and observation group with each forty cases.Control group received traditional health education,while observation group received the motivated interview type health education on the basis of traditional health education.The treatment compliance of two groups after 3 months they discharged from hospital were observed.Results Medical behavior at each index reasonable food,medicine,law science movement,regular blood pressure monitoring in observation group [（8.0 ± 3.2）,（7.3 ± 3.5）,（7.1 ± 4.5）,（7.5 ± 2.6）] were higher those that in control group [（5.3 ± 1.1）,（4.9 ±2.4）,（4.3 ± 3.1）,（3.3 ± 3.7）],and the differences were statistically significance （t =5.61,4.42,4.77,3.96 ;P ＜ 0.01）.Conclusions Motivated interview type health education can effectively promote the elderly hypertensive patients behavior change and improve their quality of life at the medical behavior and.