自我忽视健康教育对老年高血压患者血压及自我忽视的影响研究

Study on the impact of self neglect health education on blood pressure and self neglect in elderly hypertensive patients

目的 探讨自我忽视健康教育应用于老年高血压患者对其血压水平及自我忽视的影响。方法 2022年6月至12月选取成都市某两社区作为研究场所,并采用抽签法随机分为对照组和试验组,将符合纳排标准的老年高血压患者作为研究对象。试验组采用自我忽视健康教育方案,对照组采用常规高血压健康教育,干预时间均为6个月,在干预前和干预后对患者的血压值、自我忽视评分进行测量。结果 干预后,试验组收缩压和舒张压分别为(125.00±6.16)mm Hg(1 mm Hg=0.133 k Pa)和(75.97±4.88)mm Hg,明显低于对照组的收缩压(128.32±6.20)mm Hg和舒张压(79.63±6.37)mm Hg,差异有统计学意义(P<0.05),试验组自我忽视总分(11.47±2.61)分、医疗保健得分(3.00±1.39)分、卫生得分2.00(2.00)分、情感得分2.00(1.00)分、社交维度得分2.00(1.00)分,较对照组自我忽视总分(14.89±2.68)分、医疗保健得分(3.68±1.49)分、卫生得分3.00(2.00)分、情感得分2.50(1.00)分、社交维度得分3.00(2.00)分均有改进,差异具有统计学意义(P<0.05),安全维度得分试验组(3.03±1.38)分,对照组(3.16±1.46)分,差异无统计学意义(P>0.05)。结论 自我忽视健康教育可以改善老年高血压患者的血压水平、自我忽视状况。

Objective To explore the application of self neglect health education in elderly hypertensive patients and its impact on their blood pressure levels and self neglect.Methods Two communities in Chengdu were selected as research sites from June 2022 to December 2022,and were randomly divided into a control group and an experimental group using a lottery method.Elderly hypertensive patients who met the inclusion and exclusion criteria were selected as the research subjects.The experimental group adopted a self neglect health education program,while the control group adopted routine hypertension health education.The intervention time was 6 months,and the patient's blood pressure and self neglect score were measured before and after intervention.Results After intervention,the systolic and diastolic blood pressure in the experimental group were(125.00±6.16)and(75.97±4.88),respectively,significantly lower than those in the control group of systolic blood pressure(128.32±6.20)and diastolic blood pressure(79.63±6.37),with statistically significant differences(P<0.05).The total score of self neglect in the experimental group was(11.47±2.61),the score of healthcare was(3.00±1.39),the score of hygiene was 2.00(2.00),the score of emotion was 2.00(1.00),and the score of social dimension was 2.00(1.00),which were all improved compared with the control group,whose total score of self neglect was(14.89±2.68),healthcare score(3.68±1.49),hygiene score 3.00(2.00),emotional score 2.50(1.00),and social dimension score 3.00(2.00),and the difference was statistically significant(P<0.05).The safety dimension score of the experimental group was(3.03±1.38),while the control group was(3.16±1.46),and the difference was not statistically significant(P>0.05).Conclusion Self neglect health education can improve the blood pressure level and self neglect status of elderly hypertensive patients.