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健康教育对居家老年高血压患者血压控制及心理状况的影响研究

  • 胡杰

* 通信作者: 胡杰, 单位:河南科技大学第一附属医院病案统计科

摘要


目的:探讨重视针对居家老年高血压患者开展健康教育工作对血压水平、心理[ 作者简介:胡杰,女,1970.07- ,河南洛阳,郑大护理学院,本科,主管护师,研究方向:血液病病人常见心理问题的分析 心理护理 邮箱:xundiaoshunb27@163.com 电话:13623792928 ]状况的影响。

方法:选取2018年1月至2019年1月期间我院收治的100例居家老年高血压患者作为研究对象,采用随机数字表法分组,就重视依据居家患者知识需求特征,开展个体化健康教育(观察组,n=50)与进行常规健康指导(对照组,n=50)知识掌握水平、遵医依从率、血压水平、心理状况评分展开对比。

结果:两组干预前,经高血压知识量表(HK-LS)测验,得出相关知识掌握程度无差异(P>0.05),干预后,测验值均有升高,但观察组升高程度较对照组更为显著,差异具有统计学意义(P>0.05)。观察组治疗依从性各维度中,科学运动、安全用药、合理膳食、诱因规避、情绪调适、体质量控制占比均高于对照组,差异具有统计学意义(P<0.05);两组干预前收缩压、舒张压水平经测定无差异(P>0.05)干预后各项指标值均降低,且观察组较对照组降低程度更为显著,差异具有统计学意义(P<0.05)。两组干预前焦虑、抑郁评定经测验无差异(P>0.05)干预后各项评分值均有降低,且观察组较对照组降低程度更为显著,差异具有统计学意义(P<0.05)。

结论:针对社区卫生服务中心负责管理的居家老年高血压患者,重视健康教育工作的开展,可提高知识掌握程度,增强遵医依从,利于保持血压水平稳定,并可改善焦虑、抑郁负性情绪,值得广泛推广。

关键词:居家老年高血压;健康教育;知识掌握度;遵医依从性;血压水平、心理评分

ABSTRACT


Objective: To explore the effect of health education on blood pressure level and psychological status of elderly hypertensive patients at home. METHODS: 100 elderly hypertensive patients admitted to our center from January 2018 to January 2019 were selected as the research objects. Random number table method was used to group them. Individualized health education (observation group, n=50) and routine health guidance (control group, n=50) were carried out according to the characteristics of knowledge needs of patients at home. Knowledge mastery level, compliance rate and blood pressure level were emphasized. The psychological status scores were compared. Result: Before the intervention, there was no difference in the degree of knowledge mastery between the two groups (P > 0.05) by the Hypertension Knowledge Scale (HK-LS). After the intervention, the test values increased, but the increase in the observation group was more significant than that in the control group (P > 0.05), and the difference was statistically significant (P > 0.05). The proportion of scientific exercise, safe medication, reasonable diet, incentive avoidance, emotional adjustment and body mass control in the observation group was higher than that in the control group, with statistical significance (P < 0.05); there was no difference in systolic and diastolic blood pressure levels between the two groups before intervention (P > 0.05); after intervention, the values of each index in the observation group were lower than those in the control group, and the degree of reduction in the observation group was more significant than that in the control group. The difference was significant (P < 0.05). There was no difference in anxiety and depression before intervention between the two groups (P > 0.05). After intervention, the scores of each group decreased, and the degree of reduction in the observation group was more significant than that in the control group, the difference was statistically significant (P < 0.05). CONCLUSION: For the elderly hypertensive patients at home who are managed by community health service centers, paying attention to health education can improve their knowledge and compliance, help to maintain stable blood pressure level, and improve the negative emotions of anxiety and depression. It is worth popularizing widely.

Key words: elderly hypertension at home; health education; knowledge mastery; compliance; blood pressure level, psychological score

引用本文 / How to Cite This Article

胡杰.健康教育对居家老年高血压患者血压控制及心理状况的影响研究[J]. 国际精神病学杂志, 2019, 46(4): 730-733

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