“四联动”健康教育模式对高血压早期肾损伤患者自我管理效能的效果研究

Effect of"Four Linkages"health education model on selfmanagement efficacy of hypertension patients complicated with early renal injury

目的探讨“四联动”健康教育模式对高血压早期肾损伤患者自我管理效能的效果。方法选取2020年4月至2021年3月中信惠州医院收治的82例高血压早期肾损伤患者作为研究对象,采用随机数字表法将其分为对照组(n=41)和观察组(n=41),对照组给予药物治疗联合社区教育,观察组给予药物治疗联合“四联动”健康教育模式,对比两组舒张压、收缩压、尿素氮(BUN)、血肌酐(Scr)、同型半胱氨酸(Hcy)水平、自我管理能力、并发症情况。结果治疗前,观察组与对照组舒张压、收缩压比较,差异无统计学意义(P>0.05),治疗后,观察组低于对照组,差异有统计学意义(P<0.05);治疗前,观察组与对照组BUN、Scr、Hcy比较,差异无统计学意义(P>0.05);治疗后,观察组BUN、Hcy低于对照组,差异有统计学意义(P<0.05),观察组与对照组Scr比较,差异无统计学意义(P>0.05);观察组与对照组自我管理能力比较,观察组优于对照组,差异有统计学意义(P<0.05);观察组与对照组并发症发生率比较,观察组低于对照组,差异有统计学意义(P<0.05)。结论“四联动”健康教育模式应用于高血压早期肾损伤患者,可促进患者自我管理能力提升,控制血压水平,有利于恢复肾功能,减少并发症,值得推广使用。

Objective To explore the effect of the"four linkages"health education model on the selfmanagement efficacy of hypertension patients complicated with early renal injury.Methods A total of 82 hypertension patients complicated with early renal injury admitted to CITIC Huizhou Hospital from April 2020 to March 2021 were selected as the research subjects,and were divided into the control group(n=41)and the observation group(n=41)by random number table method.The control group was treated with drug therapy combined with community education,and the observation group was treated with drug therapy combined with the"four linkages"health education.The diastolic blood pressure,systolic blood pressure,blood urea nitrogen(BUN)level,serum creatinine(Scr)level,homocysteine(Hcy)level,self-management ability,and complications were compared between the two groups.Results Before treatment,there were no significant differences betwee n the observation group and the control group in diastolic and systolic blood pressures(P>0.05).After treatment,diastolic and systolic blood pressures of the observation group were lower than those of the control group,with statistically significant differences(P<0.05);before treatm ent,there were no s tatistically significant differences in BUN,Scr and Hcy between the observation group and the control group(P>0.05);after treatment,BUN and Hcy of the observation group were lower than those of the control group,with statistically significant differences(P<0.05);there was no statistically significant difference in Scr between the observation group and the control group(P>0.05);the self-management ability of the observation group was better than that of the control group,with statistically significant difference(P<0.05);the complication rate in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion The"four linkages"health education model can promote the improvement of self-management ability and control blood pressure levels in hypertension patients complicated with early renal injury,in favor of restoring renal function and reducing complications.Therefore,it is worthy of popularizati on.