Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model

BACKGROUND Hypertension is a major risk factor for cardiovascular disease and stroke,and its prevalence is increasing worldwide.Health education interventions based on the health belief model(HBM)can improve the knowledge,attitudes,and behaviors of patients with hypertension and help them control their blood pressure.AIM To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.METHODS Between 2021 and 2023,140 patients with hypertension were randomly assigned to either the intervention or control group.The intervention group received health education based on the HBM,including lectures,brochures,videos,and counseling sessions,whereas the control group received routine care.Outcomes were measured at baseline,three months,and six months after the intervention and included blood pressure,medication adherence,self-efficacy,and perceived benefits,barriers,susceptibility,and severity.RESULTS The intervention group had significantly lower systolic blood pressure[mean difference(MD):-8.2 mmHg,P<0.001]and diastolic blood pressure(MD:-5.1 mmHg,P=0.002)compared to the control group at six months.The intervention group also had higher medication adherence(MD:1.8,P<0.001),self-efficacy(MD:12.4,P<0.001),perceived benefits(MD:3.2,P<0.001),lower perceived barriers(MD:-2.6,P=0.001),higher perceived susceptibility(MD:2.8,P=0.002),and higher perceived severity(MD:3.1,P<0.001)than the control group at six months.CONCLUSION Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.

Effect of health education based on information-motivationbehavioral skills model on patients with unilateral vestibular dysfunction

BACKGROUND Vestibular dysfunction(VH)is a common concomitant symptom of late peri-pheral vestibular lesions,which can be trauma,poisoning,infection,heredity,and neurodegeneration,but about 50%of the causes are unknown.The study uses the information-motivation-behavioral skills(IMB)model for health education,effectively improve the quality of life,increase their self-confidence,reduce anxiety and depression,and effectively improve the psychological state of patients.AIM To explore the effect of health education based on the IMB model on the degree of vertigo,disability,anxiety and depression in patients with unilateral vestibular hypofunction.METHODS The clinical data of 80 patients with unilateral vestibular hypofunction from January 2019 to December 2021 were selected as the retrospective research objects,and they were divided into the control group and the observation group with 40 cases in each group according to different nursing methods.Among them,the control group was given routine nursing health education and guidance,and the observation group was given health education and guidance based on the IMB model.The changes in self-efficacy,anxiety and depression,and quality of life of patients with unilateral VH were compared between the two groups.RESULTS There was no significant difference in General Self-Efficacy Scale(GSES)scale scores between the two groups of patients before nursing(P>0.05),which was comparable;after nursing,the GSES scale scores of the two groups were higher than those before nursing.The nursing group was higher than the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the scores of Hospital Anxiety and Depression Scale(HADS)and anxiety and depression subscales between the two groups before nursing(P>0.05).After nursing,the HADS score,anxiety,and depression subscale scores of the two groups of patients were lower than those before nursing,and the nursing group was lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the Dizziness Handicap Inventory(DHI)scale and DHI-P,DHI-E and DHI-F scores in the two groups were decreased,and the scores in the nursing group were lower than those in the control group,and the difference was statistically significant(P<0.05).CONCLUSION Health education based on the IMB model can effectively improve patients'quality of life,increase self-efficacy of patients with unilateral vestibular hypofunction,enhance patients'confidence,enable patients to resume normal work and life as soon as possible,reduce patients'anxiety and depression,and effectively improve patients'psychological status.

Integrating the health belief model into health education programs in a clinical setting

The article demonstrates that health belief model(HBM)-based health education in hypertensive patients effectively improves blood pressure control and medication adherence at 3 months and 6 months.The HBM addresses perceived barriers,benefits,susceptibility,severity,and self-efficacy,leading to better health behaviors.HBM-based education has been effective in various contexts,including managing chronic diseases,promoting cancer screenings,and preventing infectious diseases.However,the model has limitations,such as cultural applicability and addressing complex health behaviors influenced by environmental factors.Future research should integrate HBM with other theories and conduct longitudinal studies to assess long-term impacts.Despite these limitations,HBM-based education significantly improves patient outcomes,highlighting its potential in health education and promotion when appropriately adapted and implemented.This reinforces the model's value in designing effective health interventions and advancing public health.

Health education intervention and its impact on patients with unilateral vestibular dysfunction:An information-motivation-behavioral model approach

Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions at bay,and reduce the extent of the condition.This letter investigates the impact of the informationmotivation-behavioral skills model as a medium for health education on patient outcomes.While offering encouraging observations,there are certain limitations,such as the study’s retrospective design,small sample size,use of subjective measures,and lack of longer follow-ups that challenge the cogency of the study.The study is a step toward transforming vestibular dysfunction treatment through health education.

Mental Health Research and Development of Student in the Vocational Education Model

breaking century Vocational students＇ mental health education model is a very urgent and important to pass the class. Vocational students＇ psychological health education as a systems engineering should be full-time teachers and transporting members of the main lessons to assist any teacher, teaching staff actively is involved in beating, the establishment of student psychological assistance mechanisms.

Discussion on the Impact of“Shift System”Teaching Model of Physical Education on Students’Mental Health

The“shift system”teaching model of physical education is an emerging education model that aims to improve students’independent choice and personalized development.However,there are also some challenges in the practical application of this model.For example,there are mental health issues for some students including difficulty in adaptation,social interaction,high psychological pressure,etc.Based on this,this article analyzes the impact of the“shift system”teaching model of physical education on students’mental health and explores the optimization path of the physical education“shift system”teaching model in order to promote students’mental health and all-round development.

Research on the Intervention of Internet+ Health Education Model on Hemodialysis Patients with Psychological Distress

Objective:To observe the status quo of patients’psychological distress,and to explore the effect of Internet+health education model(IHEM)on patients who experienced psychological distress during their first hemodialysis treatment,with the goal of reducing their psychological distress and improving their quality of life.Methods:IHEM was conducted on 120 first-time hemodialysis patients for 3 months while a distress thermometer and a list of questionnaires were used to screen patients and provide corresponding psychological intervention.The incidence rate of psychological distress was analyzed statistically to explore the difference in psychological distress at various periods.Results:The incidence rate(score≥4)of psychological distress in first-time hemodialysis patients was 46.67%,and their distress was mainly rooted in physical,emotional,practical problems(economy,time,and energy),etc.Through IHEM,the psychological distress scores of the patients decreased to 3.29±1.02 at one month after their discharge,and the incidence rate was 32.14%;the psychological distress scores of the patients were 2.29±1.02 at 3 months after their discharge,and the incidence rate was 21.14%.The difference before and after the intervention was statistically significant(P<0.05).Conclusion:A psychological distress thermometer can timely detect the degree and causes of psychological distress among first-time hemodialysis patients,and the use of IHEM may significantly alleviate the psychological distress among hemodialysis patients.

Research on the New Mode of college students’mental Health Education under the Network environment

With the rapid development of science andtechnology, internet technology has become matureincreasingly. It has become an important part ofpeople’s work, life and study. At the same time, thenetwork environment has also brought an impact onthe physical and mental health of college students.Nowadays, the quality and level of college students’mental health education has become society topics.College psychological health education work shouldkeep pace with the network environment developmentand the students’ physical and mental development.It is the effective innovation of psychological healtheducation work. The new model of college students’psychological health education development isconstructed. It is improve the level of students’ physicaland mental health development, and the psychologicalquality of college students is strengthen. Based onthis, this paper analyzes the existing problems on thecollege students’ mental health development. Under thenetwork environment, it proposes an effective method toconstruct a new mode of college students’ mental healtheducation .

Global health education for the post-pandemic years:parity,people,planet,priorities,and practices

Global health degree programs are now offered by institutions of higher education in most world regions.Based on our review of the curricula for many of these programs,we identified five domains that are central to current global health education.“Parity”emphasizes health equity as the ultimate goal of global health.“People”comprises the social,economic,cultural,and political contributors to health and access to medical care for individuals and communities.“Planet”encompasses various aspects of globalization and environmental health that affect population health.“Priorities”and“practices”include the values,data,and tools used to design,implement,and evaluate partnerships,policies,programs,and other global health interventions in countries of all income levels.The pandemic is likely to increase student demand for global health education from the undergraduate through the graduate and professional levels.Our“5 Ps model of global health education”provides a comprehensive framework for the core student learning objectives for global health today.Knowledge of each of these domains is essential for preparing students for meaningful experiential learning and skilled professional practice in global health.

大模型视域下的心理健康教育体系构建

随着大模型技术的日益成熟,教育领域迎来了前所未有的变革机遇。在心理健康教育领域,大模型技术凭借卓越的自然语言处理、知识推理和情感分析能力为心理健康的评估、干预和预防工作提供了前所未有的精准度、效率和个性化服务。文章首先强调了大模型视域下心理健康教育的重要意义及其变革潜力,指出了实施过程中可能遇到的挑战,探讨了大模型视域下心理健康教育体系构建的目标、原则、基本策略及具体实践路径,旨在形成一套科学、系统的构建方案。最后,文章构建了大模型视域下的心理健康教育体系框架,该框架不仅为心理健康教育的转型和升级奠定了坚实的理论和实践基础,而且为学生的心理健康成长和全面发展提供了可靠的保障。

赋能授权联合药物素养健康教育处方在心肌梗死患者中的应用研究

目的探讨赋能授权联合药物素养构建的健康教育处方对首发心肌梗死(myocardial infarction,MI)患者的药物素养、服药依从性及自我管理情况的影响。方法采用便利抽样法选取2023年6—12月江西省某三级甲等医院心内科首发MI入院治疗的70例患者为研究对象,按随机数字表法分为对照组35例和观察组35例。对照组采取常规健康教育处方,观察组实施赋能授权联合药物素养构建的健康教育处方,评估比较2组患者干预前后的药物素养、服药依从性及自我管理情况。结果干预后,观察组患者的药物素养、服药依从性得分分别为(5.29±0.93)分、(6.51±0.82)分,均优于对照组(4.69±0.96)分、(5.91±1.10)分,差异有统计学意义(P<0.05);观察组患者的自我管理情况总得分为(95.63±7.15)分,明显高于对照组(88.79±6.00)分,差异有统计学意义(P<0.05)。结论赋能授权联合药物素养构建的健康教育处方,有助于改善首发MI患者安全用药情况,提高自我管理水平。

基于格林模式的健康教育联合激励式心理护理在2型糖尿病患者中的应用效果

目的 探讨基于格林模式的健康教育联合激励式心理护理在2型糖尿病患者中的应用效果。方法 将2021年5月至2023年2月我院收治的102例2型糖尿病患者随机分为对照组(51例,常规健康教育+心理护理)及研究组(51例,基于格林模式的健康教育+激励式心理护理)。比较两组的护理效果。结果 护理后,研究组的认知程度评分高于对照组(P<0.05)。护理后,研究组的饮食管理、运动管理及用药管理评分高于对照组(P<0.05)。护理后,研究组的自我感受负担量表(SPBS)各维度评分均低于对照组(P<0.05)。护理后,研究组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平低于对照组(P<0.05)。护理后,研究组的2型糖尿病患者生活质量评定量表(DMQLS)评分低于对照组(P<0.05)。结论 基于格林模式的健康教育联合激励式心理护理可提高2型糖尿病患者的认知程度及自我管理能力,减轻自我感受负担,降低血糖水平,改善生活质量。

人工智能大语言模型在基层医疗卫生服务中的应用与挑战

基层医疗系统是实现健康公平的关键。我国面临医疗资源分布不平衡、基层医生数量短缺以及慢性病防治形势不容乐观的严峻挑战。人工智能大语言模型在医疗系统中发挥出了强大优势,本文深入探讨了大模型在基层医疗系统中的应用及其面临的挑战,提出应进一步深化大模型的应用,以辅助基层医生常见病诊疗,推动智能化健康教育和慢性病管理,托底“老少边穷”地区基层卫生服务,激发全科医学的飞跃性发展,并推进大模型在全科诊疗与基层卫生服务中的产业化,为健康中国建设提供重要支撑。

社区中老年慢性病患者个体化健康教育干预效果:一项整群随机对照试验

背景慢性病的频发与患者对健康知识及疾病风险认识不足有关,从全国范围来看,较为传统的健康教育方式依然广泛存在于社区卫生服务中,基层医生提供健康教育的形式单一、内容缺乏针对性,居民参与健康教育积极性普遍不足,对慢性病患者实施健康教育质量及效果有待提升。目的探究基于应用信息化知识库模型生成的个体化健康教育干预对社区中老年慢性病群体的影响,为进一步强化社区慢性病治理效果提供参考。方法于2021年选取北京市东城区社区卫生服务中心7390例患有4种慢性病(高血压、糖尿病、冠心病、脑卒中)的50~70岁患者作为研究对象,并进行为期1年的整群随机对照试验。对照组患者采用常规慢性病随访管理策略(保持原有的慢性病基本公共卫生服务项目);干预组患者在常规慢性病随访管理策略的基础上,应用信息化知识库模型生成健康教育指导方案的方式,即添加了健康教育处方指导和个体化健康管理的方式进行随访,每3个月进行1次随访及干预,共持续12个月。在所有患者入组1年后进行终线调查。本研究主要从“慢性病知识知晓率、自我管理态度、自我效能、服药依从性、健康信息化接受程度”等方面来分析两组慢性病患者在基线与终线调查之间数据结果的差异。结果共纳入7390例4种慢性病患者,其中干预组患者3673例,对照组患者3717例。两组慢性病患者年龄分布、性别、文化程度、工作状态比较,差异无统计学意义(P>0.05);两组慢性病患者医疗保障形式比较,差异有统计学意义(P<0.05)。干预组干预后整体疾病知识、慢性病基础知识、糖尿病知识、冠心病知识、脑卒中知识知晓正确率高于组内干预前(P<0.05);干预前后高血压知识知晓正确率比较,差异无统计学意义(P>0.05)。对照组患者干预后整体疾病知识、慢性病基础知识、高血压知识、糖尿病知识、冠心病知识知晓正确率与干预前比较,差异无统计学意义(P>0.05),脑卒中知识知晓正确率低于组内干预前(P<0.05)。干预组干预后自我管理态度问卷、自我效能问卷、服药依从性问卷、健康信息化接受度问卷得分均高于对照组(P<0.05)。干预后干预组自我管理态度问卷、自我效能问卷、服药依从性问卷、健康信息化接受度问卷得分均高于组内干预前(P<0.05)。对照组干预后自我效能问卷、服药依从性问卷得分高于组内干预前(P<0.05);对照组干预后自我管理态度问卷、健康信息化接受度问卷得分与组内干预前比较,差异无统计学意义(P>0.05)。结论从患者对慢性病知识知晓率、自我管理态度、信息化接受度方面可看出干预组患者改善效果明显优于对照组;从患者自我效能与服药依从性角度方面,两组患者在干预后均有提升,干预组效果更为显著。综合研究结果表明,通过信息化知识库模型进行个体化健康教育方式有助于慢性病患者健康素养提升。

Modeling the role of public health education in Ebola virus disease outbreaks in Sudan

Public involvement in Ebola Virus Disease(EVD)prevention efforts is key to reducing disease outbreaks.Targeted education through practical health information to particular groups and sub-populations is crucial to controlling the disease.In this paper,we study the dynamics of Ebola virus disease in the presence of public health education with the aim of assessing the role of behavior change induced by health education to the dynamics of an outbreak.The power of behavior change is evident in two outbreaks of EVD that took place in Sudan only 3 years apart.The first occurrence was the first documented outbreak of EVD and produced a significant number of infections.The second outbreak produced far fewer cases,presumably because the population in the region learned from the first outbreak.We derive a system of ordinary differential equations to model these two contrasting behaviors.Since the population in Sudan learned from the first outbreak of EVD and changed their behavior prior to the second outbreak,we use data from these two instances of EVD to estimate parameters relevant to two contrasting behaviors.We then simulate a future outbreak of EVD in Sudan using our model that contains two susceptible populations,one being more informed about EVD.Our finding show how a more educated population results in fewer cases of EVD and highlights the importance of ongoing public health education.

The analysis of a drug transmission model with family education and public health education

In this paper,we formulate a six dimensional drug transmission model to study the effect of family education and public health education.The dynamical behaviors of the model are discussed in terms of the basic reproduction number R0.By constructing Lyapunov functions,we obtain the drug-free equilibrium is globally asymptotically stable if R0≤1 and the drug addiction equilibrium is globally asymptotically stable if R0>1.Sensitivity analyses are performed to seek for effective control measures for drug spread.The analysis show that both the family and public health education can influence the spread of drug transmission.However,the combination of family and public health education is more effective to reduce the prevalence of drugs.Some numerical simulations are given to confirm the obtained theoretical results.

基于健康信念模式的健康教育在消化道早癌筛查中的应用效果

目的探讨基于健康信念模式的健康教育在消化道早癌筛查中的应用效果。方法选取87例消化道早癌高危筛查患者,随机分为观察组(n=43)和对照组(n=44)。对照组接受常规的健康教育,观察组应用基于健康信念模式的健康教育,比较2组患者的筛查依从性,干预前后疾病知识掌握情况(包括消化道早癌相关知识、健康行为、筛查相关知识及心理疏导评分)、自我管理能力[自我管理能力测评量表(AHSMSRS)评分]、自护能力[自我护理能力量表(ESCA)评分]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)评分]、负性情绪状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分],护理满意度[纽卡斯尔护理服务满意度量表(NSNS)评分]。结果干预后,观察组疾病知识掌握情况各项评分、HPLP-Ⅱ、AHSMSRS和ESCA评分均高于对照组,SAS和SDS评分均低于对照组(P<0.05或P<0.001)。观察组总筛查依从率和总护理满意率均高于对照组(97.67%比81.82%,P<0.05;97.67%比79.55%,P<0.001)。结论将基于健康信念模式的健康教育应用于消化道早癌筛查患者中,能促进患者健康行为的养成,提高患者自护能力、筛查依从性,改善患者负性情绪状况。

以家庭为中心的赋能健康教育模式在剖宫产初产妇早期母乳喂养中的应用

目的探讨以家庭为中心的赋能健康教育模式在剖宫产初产妇早期母乳喂养中的应用效果。方法选取2021年11月-2022年1月在我院计划行剖宫产的初产妇及其照顾者93例作为对照组,采用常规健康教育宣教方法,宣教对象主要为初产妇本人;选取2022年3-7月在我院计划行剖宫产的初产妇及其照顾者98例作为观察组,在对照组基础上实施以家庭为中心的赋能健康教育模式。比较2组初产妇及其照顾者干预前后母乳喂养知识情况;干预前后初产妇婴儿喂养态度、母乳喂养家庭支持;干预后初产妇泌乳Ⅱ期启动时间和出院时纯母乳喂养率。结果干预前2组初产妇及照顾者各指标比较,差异均无统计学意义(P>0.05);干预后,观察组初产妇及其照顾者母乳喂养知识,以及初产妇婴儿喂养态度、母乳喂养家庭支持、泌乳Ⅱ期启动时间和出院时纯母乳喂养率方面均优于对照组(P<0.05)。结论以家庭为中心的赋能健康教育模式能提高产妇及照顾者的母乳喂养知识,提升婴儿喂养态度及母乳喂养家庭支持,缩短泌乳Ⅱ期启动时间,提高产妇出院时纯母乳喂养率。

多形式健康教育模式联合简易呼吸功能锻炼对老年肺癌放疗病人癌因性疲乏及遵医行为的影响

目的 探究老年肺癌放疗病人接受多形式健康教育模式联合简易呼吸功能锻炼的效果。方法 选取本院于2021年3月至2023年9月收治的60例肺癌放疗病人进行前瞻性研究,按照随机数表法分为研究组(30例)与对照组(30例),对照组接受常规护理干预,研究组接受多形式健康教育模式联合简易呼吸功能锻炼干预,比较2组干预前后癌因性疲乏[Piper疲乏量表(PFS)评分]、生活质量[生活质量核心问卷(QLQ-C30)评分]、呼吸功能[呼出气一氧化氮(FeNO)、呼吸频率及氧合指数]、遵医行为、护理满意度(病人护理需求及满意程度调查表)情况。结果 干预前,2组PFS、QLQ-C30评分,FeNO、呼吸频率、氧合指数水平比较,差异无统计学意义(P>0.05);干预后,2组上述指标均有改善,差异有统计学意义(P<0.05),且研究组PFS评分、FeNO水平和呼吸频率低于对照组,QLQ-C30评分和氧合指数高于对照组,差异有统计学意义(P<0.05);护理期间,研究组的遵医率及护理干预满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论 对老年肺癌放疗病人采取多形式健康教育模式联合简易呼吸功能锻炼干预,能够显著改善其癌因性疲乏,提高老年病人遵医性与生活质量,提升其对护理干预的满意度,具有较好的临床应用价值。

我国高校心理健康教育政策发展历程与主题演进分析

以1987—2023年国家层面颁布的高校心理健康教育政策文本为研究对象,综合政策效力量化模型和LDA主题模型分别对我国高校心理健康教育政策的演进历程、主题识别及强度演化情况进行分析。研究结果表明:我国高校心理健康教育政策演进历程分为萌芽扎根期、成长探索期、深化发展期等三个阶段,政策体系经历了从无到有的发展过程;政策主题涵盖“思想健康与品德教育”“心理健康知识与技能教学”“青年人才择业心理疏导与服务”“心理咨询服务与队伍建设”“心理健康教育环境与体系构建”“心理卫生工作保健与服务”等六个方面,各主题强度随着政策演进阶段的发展而趋于平衡,政府愈加重视高校心理健康教育工作建设并统筹兼顾其各方面发展。