中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
25期
2980-2984
,共5页
社区保健护理%高血压%自我效能干预%老年%自我管理行为%健康状况
社區保健護理%高血壓%自我效能榦預%老年%自我管理行為%健康狀況
사구보건호리%고혈압%자아효능간예%노년%자아관리행위%건강상황
Community health nursing%Hypertension%Self-efficacy intervention%Elderly%Selfmanagement behavior%Health state
目的 探讨以社区护士为主导的自我效能干预对社区老年高血压患者自我管理行为的影响.方法 采用无相等对照组设计方法,选取两个社区卫生服务中心的社区老年高血压患者78例,其中干预组38例,对照组40例.对干预组患者进行为期3个月的自我效能干预,对照组不采取干预措施.采用慢性病自我管理行为测量表和身体测量指标对研究对象干预前和干预后3个月的干预效果进行评价.结果 干预组3个月内收缩压下降(5.11±12.30)mmHg,对照组患者收缩压下降(0.33±4.64) mm Hg,两组比较差异有统计学意义(t =2.248,P＜0.05);干预组体重指数下降(0.43±0.42) kg/m2,对照组体重指数比3个月前增加(0.39±1.26) kg/m2,两组差异有统计学意义(t =3.825,P＜0.01).两组患者3个月的自我效能、自我管理行为、健康状况比较差异均有统计学意义(P＜0.01);在卫生服务利用方面,干预组和对照组干预前后3个月的变化值进行比较差异均无统计学意义(P＞0.05).结论 自我效能干预可以增强社区老年高血压患者的自我效能,提高其自我管理行为,改善健康状况,对于减少卫生服务使用有一定作用,但需要要进行远期效果观察.
目的 探討以社區護士為主導的自我效能榦預對社區老年高血壓患者自我管理行為的影響.方法 採用無相等對照組設計方法,選取兩箇社區衛生服務中心的社區老年高血壓患者78例,其中榦預組38例,對照組40例.對榦預組患者進行為期3箇月的自我效能榦預,對照組不採取榦預措施.採用慢性病自我管理行為測量錶和身體測量指標對研究對象榦預前和榦預後3箇月的榦預效果進行評價.結果 榦預組3箇月內收縮壓下降(5.11±12.30)mmHg,對照組患者收縮壓下降(0.33±4.64) mm Hg,兩組比較差異有統計學意義(t =2.248,P＜0.05);榦預組體重指數下降(0.43±0.42) kg/m2,對照組體重指數比3箇月前增加(0.39±1.26) kg/m2,兩組差異有統計學意義(t =3.825,P＜0.01).兩組患者3箇月的自我效能、自我管理行為、健康狀況比較差異均有統計學意義(P＜0.01);在衛生服務利用方麵,榦預組和對照組榦預前後3箇月的變化值進行比較差異均無統計學意義(P＞0.05).結論 自我效能榦預可以增彊社區老年高血壓患者的自我效能,提高其自我管理行為,改善健康狀況,對于減少衛生服務使用有一定作用,但需要要進行遠期效果觀察.
목적 탐토이사구호사위주도적자아효능간예대사구노년고혈압환자자아관리행위적영향.방법 채용무상등대조조설계방법,선취량개사구위생복무중심적사구노년고혈압환자78례,기중간예조38례,대조조40례.대간예조환자진행위기3개월적자아효능간예,대조조불채취간예조시.채용만성병자아관리행위측량표화신체측량지표대연구대상간예전화간예후3개월적간예효과진행평개.결과 간예조3개월내수축압하강(5.11±12.30)mmHg,대조조환자수축압하강(0.33±4.64) mm Hg,량조비교차이유통계학의의(t =2.248,P＜0.05);간예조체중지수하강(0.43±0.42) kg/m2,대조조체중지수비3개월전증가(0.39±1.26) kg/m2,량조차이유통계학의의(t =3.825,P＜0.01).량조환자3개월적자아효능、자아관리행위、건강상황비교차이균유통계학의의(P＜0.01);재위생복무이용방면,간예조화대조조간예전후3개월적변화치진행비교차이균무통계학의의(P＞0.05).결론 자아효능간예가이증강사구노년고혈압환자적자아효능,제고기자아관리행위,개선건강상황,대우감소위생복무사용유일정작용,단수요요진행원기효과관찰.
Objective To elucidate the effect of community nurse-led self-efficacy intervention on selfmanagement behaviors of hypertension in community elderly.Methods In this study,non-equivalent control group was designed,78 community elderly patients with hypertension were selected in the two community health service centers and divided into intervention group (38 cases) and control group (40 cases).The intervention group was treated with self-efficacy intervention for 3-month,and control group did not take any interventions.The “chronic disease self-management behavior measurement" (Stanford University research tool) and the measure of physical intervention study were used to valuate the effect of interference before and 3 months after intervention.Results Systolic blood pressure in intervention group was (5.11 ± 12.30) mm Hg and (0.33 ±4.64) mm Hg in control group,the difference was statistically significant ( t =2.248,P ＜ 0.05 ).BMI in intervention group was reduced by (0.43 ± 0.42 ) kg/m2,however,in control group was increased by ( 0.39 ±1.26) kg/m2,the difference has reached the statistical significance ( t =3.825,P ＜ 0.01 ).Self-efficacy,selfmanagement,health state in two groups were different ( P ＜ 0.01 ).Other factors in scale did not reach statistical significance in health service utility in two groups ( P ＞ 0.05 ).Conclusions The self-efficacy intervention can significantly enhance the community' s self-efficacy in elderly hypertensive patients,improve self-management behaviors and health,reduce health service use for a certain effect,but long-term effects need to be observed.
