健康信念教育模式在H型高血压患者脑卒中预防中的应用效果

Application effect of health belief education model on preventing apoplexy in patients with H-type hypertension

目的探讨健康信念教育模式在H型高血压患者脑卒中预防中的应用效果。方法选取2018年1月至2018年6月在我院住院治疗的100例H型高血压患者作为研究对象,按随机数表法将其分为干预组(52例)和对照组(48例),两组均给予马来酸依那普利叶酸片进行治疗,对照组在服药的同时采用常规健康教育模式,干预组在服药的同时采用健康信念模式教育。比较两组患者干预前及干预后6个月的服药依存性、血清Hcy及血压水平。结果干预前,两组患者的服药依从性比较,差异无统计学意义(P>0.05)。干预后6个月随访,干预组患者的服药依存性显著高于对照组(P<0.05)。干预前,两组患者的血清Hcy水平、舒张压和收缩压比较,差异无统计学意义(P>0.05)。干预后6个月,两组患者的血清Hcy水平、舒张压及收缩压均低于干预前,且干预组低于对照组,差异具有统计学意义(P<0.05)。结论用健康信念模式对H型高血压患者进行干预,可以保证患者服药依存性的提高,有效控制血压,降低血清Hcy水平,减少脑卒中的发生。

Objective To explore the application effect of health belief education model on preventing apoplexy in patients with H-type hypertension. Methods A total of 100 patients with H-type hypertension hospitalized in our hospital from January 2018 to June 2018 were selected as the research objects. The patients were divided into intervention group (52 cases) and control group (48 cases) according to the random number table method. The two groups were treated with enalapril maleate folic acid tablets. The control group received conventional health education mode while taking medicine, and the intervention group received health belief mode education while taking medicine. The druging dependence, the levels of serum Hcy and blood pressure before and at 6 months after the intervention were compared between the two groups. Results Before intervention, there were no statistically significant differences in the results of questionnaire survey between the two groups (P>0.05). Follow-up 6 months after intervention showed that the druging dependence of druging dependence the intervention group was significantly higher than that in the control group (P<0.05). Before intervention, there were no statistically significant differences in the level of serum Hcy, diastolic blood pressure and systolic blood pressure between the two groups (P>0.05). Six months after intervention, the level of serum Hcy, diastolic blood pressure and systolic blood pressure of the two groups were lower than those before intervention, and those in the intervention group were lower than the control group, the differences were statistically significant (P<0.05). Conclusion Intervention with health belief model in patients with H-type hypertension can ensure the improvement of druging dependence, effectively control the level of blood pressure, and it can reduce the level of serum Hcy and the incidence of apoplexy.