CAJ | 학술논문

目的：探讨社区综合干预对高血压患者预防脑卒中知信行的影响。方法对70例高血压患者实施为期1年的社区综合干预，包括建立健康档案、进行高血压分级管理、定期随访及采用多种形式的健康教育。干预前后采用脑卒中预防知识问卷（stroke－prevention knowledge questionnaire，SPKQ）、健康信念量表（Champion′s health belief model scale，CHBMS）、预防脑卒中健康行为问卷（stroke－prevention behavior questionnaire，SPBQ）对患者进行测评。结果干预后患者的生活起居及卒中先兆知识、患者的部分健康行为（健康责任、运动锻炼、压力管理）优于干预前（均P＜0．05）；预防脑卒中相关的其他知识、行为及健康信念，干预前后比较，差异均无统计学意义（均P＞0．05）。结论社区综合干预可提高患者的生活起居及卒中先兆知识，提高患者的健康责任、运动锻炼和压力管理行为，但未能提高高血压患者的预防脑卒中健康信念。建议运用生态学理论及健康信念模式，进一步完善社区综合干预方案，从而提高高血压患者预防脑卒中的知识、行为和信念。
목적：탐토사구종합간예대고혈압환자예방뇌졸중지신행적영향。방법대70례고혈압환자실시위기1년적사구종합간예，포괄건립건강당안、진행고혈압분급관리、정기수방급채용다충형식적건강교육。간예전후채용뇌졸중예방지식문권（stroke－prevention knowledge questionnaire，SPKQ）、건강신념량표（Champion′s health belief model scale，CHBMS）、예방뇌졸중건강행위문권（stroke－prevention behavior questionnaire，SPBQ）대환자진행측평。결과간예후환자적생활기거급졸중선조지식、환자적부분건강행위（건강책임、운동단련、압력관리）우우간예전（균P＜0．05）；예방뇌졸중상관적기타지식、행위급건강신념，간예전후비교，차이균무통계학의의（균P＞0．05）。결론사구종합간예가제고환자적생활기거급졸중선조지식，제고환자적건강책임、운동단련화압력관리행위，단미능제고고혈압환자적예방뇌졸중건강신념。건의운용생태학이론급건강신념모식，진일보완선사구종합간예방안，종이제고고혈압환자예방뇌졸중적지식、행위화신념。
Objective To explore the effect of community comprehensive intervention on stroke-prevention-related knowledge, belief and behavior of hypertensive patients. Methods The community-based comprehensive interventions were done to 77 hypertensive patients, with the measures including archives establishment, hypertension-phased management, regular follow-up and multi-mode health education. The stroke-prevention-related knowledge, belief and behavior of them were assessed by the stroke-preventing knowledge questionnaire (SPKQ), champion′s health belief model scale (CHBMS) and (stroke-prevention behavior questionnaire,SPBQ) before and after the intervention. Results Their knowledge on daily-life and pre-stroke symptoms and part of their behaviors (health duty, physical exercises and stress management after the intervention were superior, as compared to the pre-intervention (P<0.05). There were no significant differences in other stroke-related knowledge and behaviors and health belief in comparison of the pre-and post-intervention (P>0.05). Conclusion The community-based intervention can improve parts of stroke prevention knowledge and health behavior among hypertensive patients. The intervention needs to be modified based on ecological models of health promotion and health belief model.