基于微信平台知信行健康教育对高血压患者自我管理行为及生活质量的影响研究

Effect of knowledge, attitude, and behavior health education based on WeChat platform on hypertension patients＇ self-management behavior and quality of life

目的 探讨基于微信平台知信行健康教育对高血压患者自我管理行为及生活质量的影响.方法 选择2016年1月至2017年1月在本院治疗的120例高血压病患者进行研究.采用随机数字表法将患者分为两组,每组60例.对照组与观察组分别行常规健康教育、基于微信平台的知信行健康教育,以干预前后血压、自我管理行为及生活质量作为评价指标.结果 干预前：对照组舒张压、收缩压分别为（143.02±12.]7）mmHg、（88.20± 7.81） mmHg,观察组分别为（145.09±11.88） mmHg、（86.92±8.06）mmHg,两组比较差异均无统计学意义（均P＞0.05）;干预后：对照组舒张压、收缩压分别为（141.02±8.95）、（83.27±9.08） mmHg,观察组分别为（122.09±8.17）、（72.29±7.38） mmHg,两组比较差异均统计学意义（均P＜ 0.05）.干预前：对照组自我管理行为量表、生活质量量表得分分别为（63.28±6.92）分、（88.20±7.81）分,观察组分别为（65.03 ±7.31） mmHg、（88.33±9.74）mmHg,两组比较差异均无统计学意义（均P＞ 0.05）;干预后：对照组舒张压、收缩压分别为（81.61±8.07） mmHg、（107.59±10.03）mmHg,观察组分别为（90.17±9.05） mmHg、（129.22±11.74） mmHg,两组比较差异均统计学意义（均P＜ 0.05）.结论 基于微信平台知信行健康教育较传统健康教育可明显控制高血压患者血压,提高其自我管理行为、改善生活质量.

Objective To explore the effect of knowledge,attitude,and behavior health education based on WeChat platform on the self-management behavior and quality of life of hypertensive patients.Methods One hundred and twenty patients with hypertension treated at our hospital from January,2016 to January,2017 were selected for this study,and were divided into a control group and an observation group using random number table method,60 cases for each group.The control group took routine health education,while the observation group knowledge,attitude,and behavior health education based on WeChat platform.The blood pressure,self-management behavior,and quality of life were compared between the two groups before and after intervention.Results Before the intervention,the diastolic blood pressure and systolic blood pressure were （143.02±12.17）mmHg and （88.20±7.81） mmHg in the control group,and were （145.09±11.8g） mmHg and （86.92±8.06） mmHg in the observation group,with no statistical differences （P 〉 0.05）.After the intervention,the diastolic blood pressure and systolic blood pressure were （141.02±8.95） mmHg and （83.27±9.08） mmHg in the control group,and were （122.09±8.17） mmHg and （72.29±7.38） mmHg in the observation group,with statistical differences （P 〈 0.05）.Before the intervention,the scores of the self-management behavioral scale and quality of life scale were （63.28±6.92） and （88.20±7.8 l） in the control group points,and were （65.03±7.31） and （88.33±9.74） in the observation group,with no statistical differences （P 〉 0.05）.After the intervention,the scores of the self-management behavioral scale and quality of life scale were （81.61±8.07） and （107.59±10.03） in the control group and were （90.17±9.05） and （l 29.22±11.74） in the observation group,with statistical differences （P 〉 0.05）.Conclusions Knowledge,attitude,and behavior health education based on WeChat platform can effectively control hypertensive patients＇ blood pressure and improve their self-management behavior and quality of life.