自我管理教育对中青年高血压病人健康行为及预后的影响

发布时间：2018-08-11 19:32

【摘要】：[目的]探讨自我管理教育对中青年高血压病人健康行为及预后的影响。[方法]将200例中青年高血压病人随机分为对照组和观察组各100例,对照组给予常规的健康教育、出院指导及电话随访,观察组在对照组的基础上按自我管理教育项目加强健康教育,制订健康行为目标计划书,并将健康教育延续到院外。比较两组病人的自我管理能力、健康行为得分、血压控制情况及心脑血管意外事件发生率。[结果]出院后1年观察组病人自我管理疾病能力各项得分、健康行为得分均高于对照组(P0.05),血压控制水平优于对照组(P0.05),1年内心脑血管意外事件发生率及再住院率均低于对照组(P0.05)。[结论]应用自我管理教育对中青年高血压病人实施健康教育能提高病人的自我管理疾病的能力,建立良好的健康行为,有效控制血压,减少心脑血管意外事件的发生。
[Abstract]:Objective: to explore the effect of self-management education on health behavior and prognosis of young and middle-aged hypertensive patients. [methods] 200 young and middle-aged patients with hypertension were randomly divided into control group (n = 100) and observation group (n = 100). The control group was given routine health education, discharge guidance and telephone follow-up. On the basis of the control group, the observation group strengthened the health education according to the self-management education project, formulated the health behavior goal plan, and extended the health education to the outside hospital. Self-management, scores of healthy behavior, blood pressure control and incidence of cardiovascular and cerebrovascular accidents were compared between the two groups. [results] one year after discharge, the scores of self-management disease ability, healthy behavior and blood pressure control level in the observation group were higher than those in the control group (P0.05), and the incidence of internal cerebrovascular accident and the rate of readmission in one year were lower than those in the control group (P0.05). [conclusion] applying self-management education to young and middle-aged hypertension patients can improve the ability of self-management disease, establish good healthy behavior, effectively control blood pressure, and reduce the occurrence of cardiovascular and cerebrovascular accidents.
【作者单位】：广东省佛山市第二人民医院;
【基金】：佛山市科技局资助项目,编号:2014AB00348
【分类号】：R473.5

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