健康教练技术对老年高血压患者依从行为及血压控制的影响  

Effect of health coaching on the level of behavioral compliance and blood pressure control in elderly patients with hypertension

作　　者：吴都[1] 陆梅佳 WU Du;LU Mei-jia(Department of Internal Medicine, Hangzhou Wuyun Moutain Sanatorium, Hangzhou 310009;General MedicineDepartment, Sir Run Run Shaw Hospital affiliated with Zhejiang University School of Medicine, Hangzhou 310016, China)

机构地区：[1]杭州市五云山疗养院内科,浙江杭州310009 [2]浙江大学医学院附属邵逸夫医院全科医学科,浙江杭州310016

出　　处：《健康研究》2019年第3期255-259,共5页Health Research

基　　金：杭州市卫生计生科技计划一般项目(2017A69)

摘　　要：目的探讨健康教练技术干预对老年高血压患者依从行为及血压控制的影响。方法220例接受慢性病管理服务的老年高血压患者分为观察组和对照组各110例。对照组由非健康教练给予常规健康教育,观察组由健康教练运用教练技术,并根据自制的《高血压管理行为改变路径》进行电话干预。干预6个月后,比较两组高血压行为依从性及血压控制情况。结果干预后,观察组在自我管理意向、生活方式、态度、责任、药物治疗及依从行为总得分的结果均优于对照组,差异有统计学意义(P<0.05)。干预后,观察组的血压自测率(72.8%)高于对照组(52.8%),血压达标率(78.6%)高于对照组(56.6%),差异有统计学意义(P<0.05)。结论健康教练技术干预能有效提升老年高血压患者的行为依从性,有助于提高血压控制率。Objective To evaluate the effect of health coaching on the level of behavioral compliance and blood pressure control in elderly patients with hypertension. Methods Firstly, 220 elderly patients with hypertension admitted for chronic disease management service were randomly divided into an experimental group ( n =110) and a control ( n =110). The control group was subjected to conventional health education delivered by non health coach. The experimental group was subjected to health coaching delivered in the form of telephone intervention by a certified health coach referring to “Hypertension manages behavioral change criteria”. Secondly, the levels of behavioral compliance and blood pressure control of the two groups as observed 6 months after intervention were compared. Results After intervention, the scores that the experimental group achieved in self-management intention, life style, attitude, responsibility, drug treatment, and behavioral compliance were higher than those of the control group. The differences were statistically significant ( P <0.05). The blood pressure self-test rate of the experimental group was 72.8%, which was higher than that of the control group (52.8%). The blood pressure control rate in the experimental group was 78.6%, which was higher than that of the control group (56.6%). The differences were statistically significant( P <0.05). Conclusions The health coaching in discussion can effectively improve the level of behavioral compliance level and hence the level of blood pressure control in elderly patients with hypertension.

关 键 词：健康教练技术 高血压 行为依从性 血压控制 

分 类 号：R193.2[医药卫生—卫生事业管理]