健康教练技术对社区高血压患者康复治疗自我效能及健康行为的影响研究  

Study on influence of health coaching technology on self-efficacy and health behaviorals of rehabilitation therapy in patients with community hypertension

作　　者：叶玉玲[1] 蔡诗琪 晏晓颖[1] YE Yuling;CAI Shiqi;YAN Xiaoying(Guangdong Pharmaceutical University,Guangzhou,Guangdong 510310,China)

机构地区：[1]广东药科大学,广东广州510310

出　　处：《现代医药卫生》2019年第10期1474-1477,1481,共5页Journal of Modern Medicine & Health

基　　金：广州市哲学社会科学发展"十三五"规划2019年度课题(2019GZGJ98)

摘　　要：目的探讨健康教练技术对社区高血压患者自我效能及健康行为的影响。方法选取2018年3月19日至4月19日在广州市苏湾区某社区卫生服务中心进行健康体检的120例高血压患者作为研究对象,采用随机数字表法分为研究组和对照组,每组60例。研究组给予健康教练技术干预,对照组采取常规社区慢性病管理措施,均干预3个月,比较2组患者干预效果。结果研究组患者干预后自我效能总分[(36.49±1.69)分]、行为依从性总分[(17.57±1.32)分]均明显优于对照组[分别为(29.61±3.17)、(23.02±2.07)分],血压[126/75mm Hg(1mm Hg=0.133kPa)]明显低于对照组(134/79mm Hg),差异均有统计学意义(P<0.05)。结论与常规社区慢性病管理措施比较,健康教练技术可有效改善高血压患者自我效能及健康行为,降低患者血压水平,值得在社区护理中推广应用。Objective To explore the effects of health coaching technology on self-efficacy and healthy behaviorals in the patients with community hyperten. Methods One hundred and twenty hypertensive patients undergoing the healthy physical examination in a community health service center of Liwan District in Guangzhou City from March 19 to April 19,2018 were selected as the study subjects and divided into the study group and control group by adopting the random number table method,60 cases in each group.The study group was given the health coaching technological intervention,while the control group adopted the routine community chronic disease management measures,and the intervention lasted for 3 months.The intervention effects were compared between the two groups. Results After the intervention,the total score of self-efficacy in the study group was (36.49±1.69) points,the behavior compliance total score was (17.57±1.32) points,which were significantly better than [(29.61±3.17) points and (23.02±2.07) points] in the control group,blood pressure was significantly lower than that in the control group [126/75 mm Hg (1 mm Hg=0.133 kPa) vs .134/79 mm Hg],and the differences were statistically significant ( P <0.05). Conclusion Compared with the conventional community chronic disease management measures,the health coaching technology can effectively improve the self-efficacy and health behavior in the patients with hypertension,and reduce the blood pressure level,which is worth to be promoted and applied in community nursing.

关 键 词：高血压 动机性访谈 健康教练技术 跨理论模型 

分 类 号：R544.1[医药卫生—心血管疾病]