健康教练技术对社区原发性高血压病人自我管理行为的影响

Effects of health coaching technology on self-management behavior of patients with primary hypertension in communities

[目的]探讨健康教练技术对社区原发性高血压病人自我管理行为的影响。[方法]2019年1月-6月便利抽取太原市迎泽区两个社区,以抽签法抽取其中一个社区为观察组,另一个社区为对照组,在两个社区内随机抽取原发性高血压病人各65例作为研究对象。观察组采用健康教练技术按照线上(微信小讲堂和分享沙龙)、线下(指导和家庭访视)两种形式进行干预;对照组采用常规社区原发性高血压病人管理模式。比较两组干预前及干预后6个月血压及自我管理行为测评量表得分。[结果]干预后观察组病人收缩压、舒张压、高血压病人自我管理行为得分[(140.48±3.43)mmHg、(82.45±3.40)mmHg、(127.55±9.48)分]均优于对照组[(146.49±3.40)mmHg、(84.54±3.44)mmHg、(106.49±9.80)分],两组比较差异均有统计学意义(P<0.01)。[结论]健康教练技术在社区原发性高血压病人管理中应用有助于控制血压,改善病人自我管理行为,延缓疾病进程。

Objective:To probe into the effects of health coaching technology on self-management behavior of patients with primary hypertension in communities.Methods:Two communities in Yingze district in Taiyuan city were conveniently selected from January to June,2019.Using envelope method,one community was selected as the observation group,and the other as the control group.Then 65 patients with primary hypertension in each community were selected as subjects.The observation group adopted two methods of health coaching to intervene:on-line(WeChat small lecture and sharing salon)and off-line(guidance and family visit).The control group adopted routine community management mode for primary hypertension patients.Blood pressure and scores of self-management behavior scale were compared between the two groups before intervention and 6 months after intervention.Resultst:After intervention,the systolic blood pressure(SBP),diastolic blood pressure(DBP)and score of self-management behavior scale of patients in observation group were 140.48±3.43 mmHg,82.45±3.40 mmHg and 127.55±9.48,respectively.And the SBP,DBP and score of self-management behavior scale of patients in control group were 146.49±3.40 mmHg,84.54±3.44 mmHg and 106.49±9.80,respectively.The SBP,DBP and score of self-management behavior of patients in observation group were superior to those of patients in control group.Differences between the two groups were statistically significant(P<0.01).Conclusion:Application of health coaching technology in the management of patients with primary hypertension in communities can help to control blood pressure,improve the self-management behavior of patients and delay the disease process.