健康教育与健康促进在高血压患者中的应用效果  

Application Effect of Health Education and Health Promotion in Hypertensive Patients

作　　者：李海洋 Li Haiyang(Ganyu District Center for Disease Control and Prevention in Lianyungang City,Lianyungang 222100,Jiangsu Province,China)

机构地区：[1]连云港市赣榆区疾病预防控制中心,江苏连云港222100

出　　处：《中国社区医师》2025年第1期150-152,共3页Chinese Community Doctors

摘　　要：目的:分析健康教育与健康促进在高血压患者中的应用效果。方法:选取2023年1月—2024年6月连云港市赣榆区疾病预防控制中心登记的86例高血压患者作为研究对象,以随机数字表法分组,对照组43例,行常规管理,研究组43例,在对照组基础上行健康教育联合健康促进。对比两组疾病知识知晓度、健康促进行为、自我效能及服药依从性。结果:干预后,两组饮食运动、生活作息、疾病认知及用药知识得分较干预前提高,且研究组高于对照组(P<0.05)。干预前,两组健康促进生活方式量表(HPLP-Ⅱ)、慢性病自我效能量表(SEMCD)评分比较,差异无统计学意义(P>0.05);干预后,两组HPLP-Ⅱ、SEMCD评分提高,且研究组高于对照组(P<0.05)。研究组服药总依从率较对照组高(P<0.05)。结论:健康教育与健康促进在高血压患者中的应用效果显著,有利于帮助患者建立健康行为,提高患者疾病知识知晓度、自我效能、服药依从性。Objective:To analyze the application effect of health education and health promotion in patients with hypertension.Methods:A total of 86 hypertensive patients registered at the Ganyu District Center for Disease Control and Prevention in Lianyungang City from January 2023 to June 2024 were selected as the study subjects.They were divided into groups using a random number table method.The control group consisted of 43 patients who received routine management,while the study group consisted of 43 patients who received health education combined with health promotion on the basis of the control group.The disease knowledge awareness,health promotion behavior,self-efficacy,and medication adherence of the two groups were compared.Results:After the intervention,the scores of diet and exercise,daily routine,disease cognition,and medication knowledge in both groups increased compared to before the intervention,and the scores in the study group were higher than those in the control group(P<0.05).Before the intervention,there was no significant difference in the scores of the Health-Promoting Lifestyle ProfileⅡ(HPLP-Ⅱ)and the Self-efficacy to Manage Chronic Disease(SEMCD)between two groups(P>0.05).After the intervention,the scores of HPLP-Ⅱand SEMCD in both groups increased,and the scores in the study group were higher than those in the control group(P<0.05).The total medication adherence rate in the study group was higher than that in the control group(P<0.05).Conclusion:The application of health education and health promotion in patients with hypertension has significant effects and is beneficial for helping patients establish health behavior and improve patient's disease knowledge awareness,self-efficacy and medication adherence.

关 键 词：高血压 健康促进 健康教育 

分 类 号：R544.1[医药卫生—心血管疾病]