辨证穴位按压在老年高血压授权教育模式中应用的效果评价

Application of differentiation acupoint massage in empowerment education of the elderly with hypertension

目的 探讨在授权教育模式下,辨证穴位按压对阴虚阳亢型老年高血压患者血压控制水平及血压控制自我效能的作用.方法 选取阴虚阳亢型老年高血压患者80例,随机分为对照组和实验组各40例,分别给予4周辨证穴位按压指导,实验组在授权教育模式下进行,对照组在常规健康教育模式下进行.干预结束后,均随访3个月,在干预前、干预后第1、3个月测量2组患者的血压,并在干预前后评价2组患者的自我效能得分.结果 干预前,2组血压水平及自我效能评分比较差异无统计学意义；干预后,实验组收缩压明显低于对照组,自我效能评分高于对照组,差异均有统计学意义.结论 以授权理论为指导的中医辨证穴位按压对提高老年人血压控制自我效能和血压控制方面具有显著的促进作用.

Objective To evaluate the effectiveness of differentiation acupoint massage on the level of blood pressure control and self-efficacy in the elderly with hypertension with yin-deficiency and yang- excess under the model of empowerment education. Methods 80 elderly with hypertension with yin-de- ficiency and yang-excess were randomly divided into the intervention group and the control group with 40 patients in each group. Both of them received health education of differentiation acupoint massage consisted of 4 weekly sessions. The intervention group received it under the model of empowerment education whilst the other under the model of the general health education. After 4 weeks of sessions, all patients were fol- lowed up for 3 months. The blood pressure value was measured before the sessions and 4 weeks and 3 months after the sessions. The scores of self-efficacy was collected before and 3 months later. Results There were significant differences in the blood pressure, self-efficacy between the two groups after the interven- tion. Conclusions Differentiation acupoint massage under the model of empowerment education can sig- nificantly improve patients＇ self-efficacy and decrease the level of the blood pressure.