综合健康管理模式对老年高血压患者知信行的干预研究

KAP Intervention Effect of Integrated Health Management on Elderly Patients with Hypertension

目的探讨综合健康管理模式对老年高血压患者知信行的干预效果。方法选择2013年1月至2014年6月在成都军区总医院就诊的老年高血压患者640例作为研究对象,随机分为4组,经过6个月健康管理后,采用《高血压患者自我管理行为测评量表》、《高血压患者治疗态度与信念评价量表》评估患者的自我管理能力和治疗态度与信念。结果联合干预组、综合健康管理组、普通健康管理组和对照组患者的术前及术后6个月自我管理能力评分差值分别为(20.16±5.57)、(18.09±5.41)、(9.87±3.19)、(7.53±4.10)分;治疗态度与信念评分差值分别为(14.13±3.09)、(11.05±3.15)、(7.06±2.62)、(5.52±2.18)分。综合健康管理与普通健康管理对患者自我管理能力、治疗态度与信念两个量表的评分均无交互作用(P>0.05)。主效应分析显示:综合健康管理对患者自我管理能力、治疗态度与信念评分的主效应有统计学意义(P<0.05),普通健康管理对患者的治疗态度与信念评分的主效应有统计学意义(P<0.05)。结论综合健康管理模式对患者的自我管理能力和治疗态度与信念有改善作用。

Objective To explore the Knowledge-Attitude-Practice（KAP）intervention effect of integrated health management on elderly patients with hypertension.Methods A total of 640 elderly patients diagnosed with hypertension of General Hospital of Chengdu Military of PLA during the period from January 2013 to June 2014 were selected and randomly divided into 4groups.＂hypertension self-management behavior assessment scale＂and＂hypertension patients treated with attitude and belief evaluation scale＂were used after 6 months of health management to assess the self-management ability,treatment attitudes and faith of the patients.Results The selfmanagement of health,attitudes and faith scores of the patients who had received comprehensive health management and general management were：（20.16±5.57）points and（14.13±3.09）points respectively;while the scores of those who had not received were：（7.53±4.10）points and（5.52±2.18）points respectively.The selfmanagement,attitudes and faith scores of the patients who had accepted only the integrated health management were：（18.09±5.41）points,（3.15±11.05）points respectively;while the scores of those who had received only general health management were（9.87±3.19）points,（7.06±2.62）points respectively.There was no interaction effect of the integrated health management and general health management on the assessment of the three scales of self-management,attitudes and faith（P〉0.05）.The main effect analysis shows that there was statistically significant main effect of health management on self-management,attitude and faith scores and the main effect of general health management on attitude and faith scores were statistically significant（P〈0.05）.Conclusion Integrated health management can improve self-management ability and treatment attitude and faith.