CAJ | 학술논문

目的：描述社区高血压患者脑卒中预防知识、健康信念和健康行为水平，探讨三者间的相关性。方法采.用脑卒中预防知识问卷（stroke-prevention knowledge questionnaire，SPKQ）、Champion健康信念量表（champion's health belief model scale，CHBMS）、健康促进生活方式量表Ⅱ（health promoting lifestyle profile Ⅱ，HPLP Ⅱ）对广州市某社区94例高血压患者进行调查。结果社区高血压患者的SPKQ总分标准分为（62.70±18.39）分，CHBMS均分为（3.51±0.24）分，HPLPⅡ均分为（2.48±0.37）分。健康知识与健康信念、健康动力及自我效能维度呈正相关（r值分别为0.289、0.246及0.350，P＜0.01或P＜0.05）；健康信念的健康动力与健康行为呈正相关（r值为0.304，P＜0.01）；健康信念的感知严重性与健康行为呈负相关（r值为-0.279，P＜0.01）。结论医护人员应重视社区高血压患者对预防脑卒中相关知识的教育，促进其建立预防脑卒中的健康动力及自我效能，让患者认识到脑卒中的严重性，建立和维持健康的生活方式。
목적：묘술사구고혈압환자뇌졸중예방지식、건강신념화건강행위수평，탐토삼자간적상관성。방법채.용뇌졸중예방지식문권（stroke-prevention knowledge questionnaire，SPKQ）、Champion건강신념량표（champion's health belief model scale，CHBMS）、건강촉진생활방식량표Ⅱ（health promoting lifestyle profile Ⅱ，HPLP Ⅱ）대엄주시모사구94례고혈압환자진행조사。결과사구고혈압환자적SPKQ총분표준분위（62.70±18.39）분，CHBMS균분위（3.51±0.24）분，HPLPⅡ균분위（2.48±0.37）분。건강지식여건강신념、건강동력급자아효능유도정정상관（r치분별위0.289、0.246급0.350，P＜0.01혹P＜0.05）；건강신념적건강동력여건강행위정정상관（r치위0.304，P＜0.01）；건강신념적감지엄중성여건강행위정부상관（r치위-0.279，P＜0.01）。결론의호인원응중시사구고혈압환자대예방뇌졸중상관지식적교육，촉진기건립예방뇌졸중적건강동력급자아효능，양환자인식도뇌졸중적엄중성，건립화유지건강적생활방식。
Objectives To study the correlations between stroke-preventive knowledge,health belief and health behaviors in community hypertensive patients.Methods The questionnaire of SPKQ,CHBMS and HPLPⅡwere used to take the investigation among 94 hypertensive patients from a community hospital in Guangzhou.Results The total score on SPKQ was 62.70±18.39 and the average scores on CHBMS and HPLPⅡwere 3.51±0.24 and 2.48±0.37,respectively.The stroke-preventive knowledge was positively correlated with health belief,health motivation and self-efficacy(r=0.289,P<0.01;r=0.246,P<0.05;r=0.350 (P<0.01,respectively).The health motivation was positively correlated with health behaviors(r=0.304,P<0.01)and the seriousness negatively correlated with health behaviors(r=-0.279,P<0.01).Conclusion Medical staff should provide much more stroke education with community hypertensive patients and promote patients’health motivation and self-efficacy of health belief in stroke prevention,help patients understand stroke seriousness,establish and sustain healthy lifestyles.