CAJ | 학술논문

目的：对高血压患者进行电话随访式的健康教育，并对健康教育的效果进行评价。方法：将河北联合大学附属医院心血管内科住院治疗后好转出院的386名高血压患者随机分为2组，对照组行常规出院指导，干预组在此基础上由管床医生定期对患者进行电话随访。半年后在患者来院复诊时对其进行问卷调查，评价2组患者对高血压相关知识的知晓率、对高血压治疗的依从性和对医院服务的满意度。结果：对高血压相关知识的知晓率干预组均高于对照组，2组比较差异具有统计学意义(P＜0.05)；对高血压药物治疗、合理饮食和限酒的依从性2组比较差异有统计学意义(P＜0.05)；对坚持体育锻炼、保持情绪稳定和戒烟的知晓率间2组比较差异无统计学意义(P＞0.05)；干预组患者对医院服务的满意率(95.8%)明显高于对照组(86.7%)，2组比较差异具有统计学意义( P＜0.05)。结论：电话随访式健康教育提高了患者对高血压病相关知识的知晓率、对高血压治疗的依从性和患者对医院服务的满意率。
목적：대고혈압환자진행전화수방식적건강교육，병대건강교육적효과진행평개。방법：장하북연합대학부속의원심혈관내과주원치료후호전출원적386명고혈압환자수궤분위2조，대조조행상규출원지도，간예조재차기출상유관상의생정기대환자진행전화수방。반년후재환자래원복진시대기진행문권조사，평개2조환자대고혈압상관지식적지효솔、대고혈압치료적의종성화대의원복무적만의도。결과：대고혈압상관지식적지효솔간예조균고우대조조，2조비교차이구유통계학의의(P＜0.05)；대고혈압약물치료、합리음식화한주적의종성2조비교차이유통계학의의(P＜0.05)；대견지체육단련、보지정서은정화계연적지효솔간2조비교차이무통계학의의(P＞0.05)；간예조환자대의원복무적만의솔(95.8%)명현고우대조조(86.7%)，2조비교차이구유통계학의의( P＜0.05)。결론：전화수방식건강교육제고료환자대고혈압병상관지식적지효솔、대고혈압치료적의종성화환자대의원복무적만의솔。
Objective: To administer health education for the patients with hypertension by telephone fol-low-ups and evaluate the effects of the therapy. Methods:All 386 patients discharged from department of cardiovas-cular medicine of Hebei United University Affiliated Hospital were randomized into two groups, the control groups received routine discharge guidance, the intervention group were given with telephone follow-ups on the foundation of the therapy for the control group. The patients were surveyed with questionnaire during the next visit in half of the year. Awareness rates of hypertension-related knowledge in both groups, the compliance of hypertension treatment and satisfactory rate of hospital service were evulated. Results:The intervention group was higher than the control group in the awareness rates of hypertension-related knowledge, the difference demonstrated statistical meaning (P<0.05);the differences had statistical meaning in the compliances of drug therapy for hypertension, proper diet and al-cohol limitations (P<0.05);the difference had no statistical meaning in doing exercise, emotional stability and quit-ting smoking (P>0.05);satisfactory rate (95.8%) of hospital service in the intervention group was obviously higher than that(86.7%) of the control group, the difference demonstrated statistical meaning (P<0.05). Conclusion:Health education by telephone follow-ups could improve the awareness rate of hypertension-related knowledge, the compli-ance of hypertension treatment and satisfactory rate of hospital service.