回访式健康教育对高血压患者健康行为及健康指标的影响

Influence of return visit style health education on health behavior and health indexes in patients with hypertension

探讨回访式健康教育对高血压患者健康行为及健康指标的影响。方法：入选2010年5月~2011年4月出院的120例高血压患者,随机分为回访组和对照组,每组各60例。两组患者在住院期间均接受系统的健康教育和出院指导,回访组按计划实施出院后电话回访;对照组未安排回访。一年后评价两组患者的健康行为、对疾病的认知程度及健康指标。结果：与对照组比较,回访组按医嘱服药（75%比100%）,合理饮食（67%比100%）,坚持适量运动（65%比90%）,坚持戒烟限酒（75%比100%）,高血压相关知识知晓率（80.0%比98.3%）、治疗率（63.3%比100%）、控制率（53.3%比93.3%）明显提高（P均〈0.01）;血压[（156±10/94±7）mmHg比（138±8/85±6）mmHg]显著下降（P〈0.05）。结论：开展回访式健康教育,能明显提高患者的健康行为及健康指标、有效控制患者的血压,巩固住院期间的疗效。

Objective：To explore influence of return visit style health education on health behavior and health indexes in patients with hypertension.Methods：A total of 120patients with hypertension discharged from May 2010to Apr 2011were randomly and equally divided into return visit group and control group.Both groups received systematic health education and discharging guidance during admission,return visit group received phone return visit after discharge according to plan;control group not received return visit.After one year,health behavior and health indexes were evaluated in two groups.Results：Compared with control group,there were significant increase in drug administration according medical order（75% vs.100%）,reasonable diet（75% vs.100%）,maintenance appropriate exercise（65% vs.90%）,insisting smoking cessation and limiting alcohol drinking（75%比100%）;Awareness rate of related knowledge（80.0% vs.98.3%）,treatment rate（63.3% vs.100%）and control rate（53.3% vs.93.3%）of hypertension;and significant decrease in blood pressure[（156±10/94±7）mmHg vs.（138±8/85±6） mmHg],P＆lt;0.05in return visit group,P＆lt;0.01.Conclusion：Return visit style health education can significantly improve patients′health behavior and health indexes,effectively control patients′blood pressure and consolidate the curative effect during admission.