基于自我调节学习理论的健康教育对老年高血压患者的影响

Effect of Health Education Based on Self-regulated Learning Theory on Elderly Patients with Hypertension

目的探讨基于自我调节学习理论的健康教育对社区老年高血压患者自我管理行为的影响。方法选取2019年3-10月在成都市A、B两所社区建立健康档案的高血压患者共172例为研究对象,随机分为试验组和对照组,每组86例。试验组采用基于自我调节学习理论的高血压健康教育,对照组采用社区常规高血压健康教育,对两组患者干预前、后的血压水平及自我管理行为评分进行比较。结果干预后,试验组血压水平的改善优于对照组,差异有统计学意义(P<0.05);试验组自我管理行为6个维度得分及总得分均高于对照组,差异有统计学意义(P<0.05)。结论基于自我调节学习理论的健康教育可帮助社区老年高血压患者有效控制血压水平,提高其自我管理行为能力,是一种行之有效的健康教育方法。

Objective To explore the effect of health education based on self-regulated learning theory on self-management behavior of elderly patients with hypertension in community.Methods A total of 172 hypertensive patients with health records established in A and B communities in Chengdu from March to October 2019 were selected as the research objects and randomly divided into the experimental group and the control group,with 86 patients in each group.The experimental group adopted hypertension health education based on self-regulated learning theory,while the control group adopted community conventional hypertension health education.Blood pressure levels and self-management behavior scores were compared between the two groups before and after intervention.Results After intervention,the improvement of blood pressure in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).The scores of six dimensions and total scores of self-management behavior in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Health education based on self-regulated learning theory can help elderly patients with hypertension in the community effectively control blood pressure level and improve their self-management behavior ability,which is an effective health education method.