IMB模型健康教育对桂西地区空巢老人高血压患者生活质量的影响  

Influence of IMB model health education on the quality of life of empty nest elderly with hypertension in western Guangxi

作　　者：黄凤形[1] 陆柳雪[1] 韦柳青[1] 陆志谈 黄花玉[1] 陆小妮[1] 林丽飞[1] 

机构地区：[1]右江民族医学院附属医院,百色533000 [2]广西德保县计生服务站,德保533700

出　　处：《右江医学》2016年第4期393-397,共5页Chinese Youjiang Medical Journal

基　　金：广西壮族自治区卫生厅科研课题(z2011139);百色市科学研究与技术开发计划项目(百科计20141105)

摘　　要：目的探讨IMB模型健康教育(信息-动机-行为技巧模型,Information-Motivation-Behavioral Skills Model,IMB)对桂西地区空巢老人高血压病患者生活质量的影响。方法将220例桂西地区空巢老人高血压病患者随机分为两组,对照组110例实施传统的健康教育;研究组110例应用IMB模型健康教育进行干预,观察两组干预前后高血压疾病康复技能掌握情况;干预前、后3个月血压控制达标率;用简明健康调查量表(SF-36)评定两组干预前、后的生活质量。结果干预前两组高血压病康复技能评分比较差异无统计意义(P>0.05),干预后两组高血压病康复技能评分均较干预前提高(P<0.01),但研究组提高幅度大于对照组(P<0.01)。干预前两组收缩压、舒张压控制达标率比较差异均无统计学意义(P>0.05),干预后两组收缩压、舒张压控制达标率均有明显提高(P<0.01),但研究组的提高幅度大于对照组(P<0.01)。干预前两组SF-36量表得分比较差异无统计学意义(P>0.05),干预后研究组SF-36量表得分明显优于对照组(P<0.01)。结论 IMB模型健康教育能唤起患者对生活的信心,提高患者掌握疾病康复技能水平,改变不良生活习惯,有效控制血压,提高患者的生活质量,值得推广应用。Objective To investigate the influence of IMB model health education （Inlonnation-Motivation-Behavioml Skills Model） on the quality of life of empty nest elderly with hypertension in western Guangxi.Methods 220 empty nest elderly with hypertension in western Guangxi were randomly divided into study group （110 cases） and control group （110 cases）.The control group were given traditional health education, while the study group were inten^ened with IMB model health education. And then, masteiy of disease rehabilitation skills before and alter intenention as well as blood pressure control com-pliance rates before intenention and three months alter intervention in the two groups were obsened.In addition,the quality of life before and alter intervention in the two groups were assessed by simple health sun^ey scale（SF-36） .Results There was no statistically significant difference in rehabilitation skills of the two groups before intervention（ P〉0.05） .The rehabilitation skills of both groups were higher alter intervention（ P〈0.01） ,but the improvement in the study group was better than that in the control group （P〈0.01） .There were no statistically significant differences in control compliance rates of systolic blood pressure and diastolic blood pressure between the two groups before intervention（ P〉0.05） .After intervention, systolic blood pressure and diastolic blood pressure control compliance rates of the two groups significantly improved（ P〈0.01） ,but the im-provement of the study group was better than that of the control group （ P〈0.01） .There was no statistically significant differ ence in SF-36 scores between the two groups before intervention （ P〉 0.05） , the SF-36 score in the study group was signifi-cantly higher than that in the control group after intenention（ P〈0.01 ） .Conclusion IMB model health education can arouse patient5 s conlidence in life, improve the level of disease rehabilitation skills, change bad living habits, control

关 键 词：桂西地区 空巢老人 高血压 生活质量 IMB模型 健康教育 

分 类 号：R544.1[医药卫生—心血管疾病]