CAJ | 학술논문

目的探讨在授权教育模式下,辨证穴位按压对阴虚阳亢型老年高血压患者血压控制水平及血压控制自我效能的作用.方法选取阴虚阳亢型老年高血压患者80例,随机分为对照组和实验组各40例,分别给予4周辨证穴位按压指导,实验组在授权教育模式下进行,对照组在常规健康教育模式下进行.干预结束后,均随访3个月,在干预前、干预后第1、3个月测量2组患者的血压,并在干预前后评价2组患者的自我效能得分.结果干预前,2组血压水平及自我效能评分比较差异无统计学意义；干预后,实验组收缩压明显低于对照组,自我效能评分高于对照组,差异均有统计学意义.结论以授权理论为指导的中医辨证穴位按压对提高老年人血压控制自我效能和血压控制方面具有显著的促进作用.
목적 탐토재수권교육모식하,변증혈위안압대음허양항형노년고혈압환자혈압공제수평급혈압공제자아효능적작용.방법 선취음허양항형노년고혈압환자80례,수궤분위대조조화실험조각40례,분별급여4주변증혈위안압지도,실험조재수권교육모식하진행,대조조재상규건강교육모식하진행.간예결속후,균수방3개월,재간예전、간예후제1、3개월측량2조환자적혈압,병재간예전후평개2조환자적자아효능득분.결과 간예전,2조혈압수평급자아효능평분비교차이무통계학의의；간예후,실험조수축압명현저우대조조,자아효능평분고우대조조,차이균유통계학의의.결론 이수권이론위지도적중의변증혈위안압대제고노년인혈압공제자아효능화혈압공제방면구유현저적촉진작용.
Objective To evaluate the effectiveness of differentiation acupoint massage on the level of blood pressure control and self-efficacy in the elderly with hypertension with yin-deficiency and yangexcess under the model of empowerment education.Methods 80 elderly with hypertension with yin-deficiency and yang-excess were randomly divided into the intervention group and the control group with 40 patients in each group.Both of them received health education of differentiation acupoint massage consisted of 4 weekly sessions.The intervention group received it under the model of empowerment education whilst the other under the model of the general health education.After 4 weeks of sessions,all patients were followed up for 3 months.The blood pressure value was measured before the sessions and 4 weeks and 3 months after the sessions.The scores of self-efficacy was collected before and 3 months later.Results There were significant differences in the blood pressure,self-efficacy between the two groups after the intervention.Conclusions Differentiation acupoint massage under the model of empowerment education can significantly improve patients'self-efficacy and decrease the level of the blood pressure.