CAJ | 학술논문

目的：探究开展个体化健康教育对于门诊高血压患者的治疗效果，确定个体化健康教育存在的意义。方法选择2011年6月以来到惠州市第一人民医院门诊并明确诊断为原发性高血压的258例患者为研究对象（除外继发性高血压病），依据患者的意愿及参与情况分为两组：第1组（个体化健康教育护理组）130例，根据每位患者的不同特点制定有针对性的个体化健康教育，开通电话咨询热线，定期随访评估情况；第2组（对照组）128例患者，接受药物治疗和指导，按时随诊，不参与小组活动。以上两组每例观察1．5～2年。结果第1组与第2组知识的知晓率、治疗率、控制率、治疗依从性及行为治疗差异有统计学意义（P＜0．01）。结论采用个体化的健康教育方法，可以提高患者的知识知晓率、治疗率、治疗依从性，自觉的采取行为治疗，从而的提高血压控制率。投入成本不高，成效大。
목적：탐구개전개체화건강교육대우문진고혈압환자적치료효과，학정개체화건강교육존재적의의。방법선택2011년6월이래도혜주시제일인민의원문진병명학진단위원발성고혈압적258례환자위연구대상（제외계발성고혈압병），의거환자적의원급삼여정황분위량조：제1조（개체화건강교육호리조）130례，근거매위환자적불동특점제정유침대성적개체화건강교육，개통전화자순열선，정기수방평고정황；제2조（대조조）128례환자，접수약물치료화지도，안시수진，불삼여소조활동。이상량조매례관찰1．5～2년。결과제1조여제2조지식적지효솔、치료솔、공제솔、치료의종성급행위치료차이유통계학의의（P＜0．01）。결론채용개체화적건강교육방법，가이제고환자적지식지효솔、치료솔、치료의종성，자각적채취행위치료，종이적제고혈압공제솔。투입성본불고，성효대。
Objective To explore the effect of individual health education for patients with hypertension , determine the meaning of the existence of individual health education .Methods Essential hypertension patients ( n=258) which were dignosed in Huizhou first people's hospital since June 2011were selected as the research object ( except for secondary hypertension ) , according to the wishes of patients and participation they were divided into 2 groups:group 1 includ (individual health education nursing group ) 130 cases, a health education target for individuals was made according to different characteristics of each patient , opened a telephone hotline , regularly followed-up and made assessment .Group 2 ( control group ) had 128 cases, received medication and guidance, timely followed-up, but do not participate in group activities .The above two groups were observed for 1.5 to 2 years.Results The differences of awareness rate , treatment rate, control rate, treatment compliance and behavior treatment between the two groups were statistically significant ( P <0.01).Conclusions The method of individual health education can improve knowledge awareness rate , treatment rate and treatment compliance of the patients , make them take the behavior therapy consciously , thus improve the rate of blood pressure control .The cost is not high , and the effectiveness is large .