中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2015年
2期
114-117
,共4页
张持晨%胡伟红%苏纯惠%郭丹%郑建中
張持晨%鬍偉紅%囌純惠%郭丹%鄭建中
장지신%호위홍%소순혜%곽단%정건중
疾病管理%高血压%社区卫生服务%自我效能
疾病管理%高血壓%社區衛生服務%自我效能
질병관리%고혈압%사구위생복무%자아효능
Disease management%Hypertension%Community health services%Self efficacy
目的：探讨健康管理对提升社区高血压患者自我效能的影响效果。方法在山西省太原市迎泽区范围内采用分层随机抽样的方法，选取347名社区高血压患者为调查对象，其中男性191例，女性156例，年龄38~72岁，平均（55.90±9.60）岁。实施为期6个月的“高血压患者自我效能提升计划”，利用自我效能量表对健康管理前后自我效能总分及日常生活、健康行为、服药行为、遵医行为的得分进行比较。采用Excel 2007和SPSS 19.0对数据进行录入与统计学分析。结果实施健康管理前，研究对象的平均自我效能总分为（26.96±0.77）分，在实施健康管理后该值增加为（29.51±0.86）分，差异具有统计学意义（t=-41.23，P<0.05）。4个维度中，除健康行为[管理前（7.25±0.40）分，管理后（7.26±0.40）分，t=-1.94]外，日常生活[管理前（6.85±0.20）分，管理后（7.49±0.31）分，t=-40.66]、服药行为[管理前（7.52±0.21）分，管理后（7.98±0.23）分，t=-26.93]、遵医行为[管理前（5.26±0.15）分，管理后（6.78±0.19）分，t=-115.97]得分管理后均高于健康管理前，差异有统计学意义（P<0.05）。结论健康管理规范了高血压患者的自我保健行为，提高了患者依从性，增强了自我效能，起到了控制疾病发生发展的作用。
目的：探討健康管理對提升社區高血壓患者自我效能的影響效果。方法在山西省太原市迎澤區範圍內採用分層隨機抽樣的方法，選取347名社區高血壓患者為調查對象，其中男性191例，女性156例，年齡38~72歲，平均（55.90±9.60）歲。實施為期6箇月的“高血壓患者自我效能提升計劃”，利用自我效能量錶對健康管理前後自我效能總分及日常生活、健康行為、服藥行為、遵醫行為的得分進行比較。採用Excel 2007和SPSS 19.0對數據進行錄入與統計學分析。結果實施健康管理前，研究對象的平均自我效能總分為（26.96±0.77）分，在實施健康管理後該值增加為（29.51±0.86）分，差異具有統計學意義（t=-41.23，P<0.05）。4箇維度中，除健康行為[管理前（7.25±0.40）分，管理後（7.26±0.40）分，t=-1.94]外，日常生活[管理前（6.85±0.20）分，管理後（7.49±0.31）分，t=-40.66]、服藥行為[管理前（7.52±0.21）分，管理後（7.98±0.23）分，t=-26.93]、遵醫行為[管理前（5.26±0.15）分，管理後（6.78±0.19）分，t=-115.97]得分管理後均高于健康管理前，差異有統計學意義（P<0.05）。結論健康管理規範瞭高血壓患者的自我保健行為，提高瞭患者依從性，增彊瞭自我效能，起到瞭控製疾病髮生髮展的作用。
목적：탐토건강관리대제승사구고혈압환자자아효능적영향효과。방법재산서성태원시영택구범위내채용분층수궤추양적방법，선취347명사구고혈압환자위조사대상，기중남성191례，녀성156례，년령38~72세，평균（55.90±9.60）세。실시위기6개월적“고혈압환자자아효능제승계화”，이용자아효능량표대건강관리전후자아효능총분급일상생활、건강행위、복약행위、준의행위적득분진행비교。채용Excel 2007화SPSS 19.0대수거진행록입여통계학분석。결과실시건강관리전，연구대상적평균자아효능총분위（26.96±0.77）분，재실시건강관리후해치증가위（29.51±0.86）분，차이구유통계학의의（t=-41.23，P<0.05）。4개유도중，제건강행위[관리전（7.25±0.40）분，관리후（7.26±0.40）분，t=-1.94]외，일상생활[관리전（6.85±0.20）분，관리후（7.49±0.31）분，t=-40.66]、복약행위[관리전（7.52±0.21）분，관리후（7.98±0.23）분，t=-26.93]、준의행위[관리전（5.26±0.15）분，관리후（6.78±0.19）분，t=-115.97]득분관리후균고우건강관리전，차이유통계학의의（P<0.05）。결론건강관리규범료고혈압환자적자아보건행위，제고료환자의종성，증강료자아효능，기도료공제질병발생발전적작용。
Objective To understand the effect of health management to enhance the community hypertensive patients' self-efficacy. Method With the method of stratified random sampling, 347 patients who come from communities were diagnosed as hypertension were selected as research subjects from the range of Yingze in Taiyuan of Shanxi province. There were 191 males and 156 females, the age ranged from 38 to 72 (55.90±9.60) years. The self efficacy promotion plan was conducted on high blood pressure patients. A comparison before and after six months of health management was made among the self efficacy scores, daily life scores, health behavior scores, drug behavior scores, medical compliance behavior scores by using self-efficacy scale. Excel 2007 and SPSS 19.0 were used for data analyses. Result Before the implementation of health management, the self efficacy scores of research subjects were 26.96 ± 0.77. After the implementation of health management, the value increased to 29.51 ± 0.86 (t=-41.23, P<0.05). In four dimensions, daily life (before and after management 6.85 ± 0.20 and 7.49 ± 0.31, t=-40.66), drug behaviors (before and after management 7.52 ± 0.21 vs. 7.98 ± 0.23, t=-26.93) and medical compliance behavior scores (before and after management 5.26±0.15 vs. 6.78±0.19, t=-115.97) were higher than those before the health management except health behaviors (before and after management 7.25 ± 0.40 vs. 7.26 ± 0.40, t=-1.94, P<0.05). Conclusion Health management regulated the self care behavior of patients with hypertension, improved the patients' compliance and enhanced self efficacy, which played an important role in controlling the development of disease.
