CAJ | 학술논문

目的探讨健康教育临床路径在高血压出院患者中的应用效果.方法将100例高血压出院患者分为研究组和对照组,每组各50例.研究组采用健康教育临床路径表对出院后患者进行健康教育,对照组采用传统的随访方式.在患者出院前,出院后1个月和3个月采用高血压防治知识问卷,自我护理能力测定量表(the exercise of self-care agency scale,ESCA)和健康行为量表(health-promoting lifestyle profile,HPL)对患者进行调查.结果研究组患者出院后3个月,其血压控制、遵医行为均优于对照组,两组比较,均P<0.05,差异具有统计学意义.出院前后研究组患者ESCA与HPL得分比较,均P>0.05,差异无统计学意义.结论实施健康教育临床路径可提高高血压出院患者血压控制水平和遵医行为,使患者自我护理能力得到稳定和持续地提高,有助于患者建立良好的健康模式.
목적 탐토건강교육림상로경재고혈압출원환자중적응용효과.방법 장100례고혈압출원환자분위연구조화대조조,매조각50례.연구조채용건강교육림상로경표대출원후환자진행건강교육,대조조채용전통적수방방식.재환자출원전,출원후1개월화3개월채용고혈압방치지식문권,자아호리능력측정량표(the exercise of self-care agency scale,ESCA)화건강행위량표(health-promoting lifestyle profile,HPL)대환자진행조사.결과 연구조환자출원후3개월,기혈압공제、준의행위균우우대조조,량조비교,균P<0.05,차이구유통계학의의.출원전후연구조환자ESCA여HPL득분비교,균P>0.05,차이무통계학의의.결론 실시건강교육림상로경가제고고혈압출원환자혈압공제수평화준의행위,사환자자아호리능력득도은정화지속지제고,유조우환자건립량호적건강모식.
Objective To investigate the effect of clinical path for health education on the discharged hypertensive patients. Methods One hundred discharged hypertensive patients were randomized into the study group and the control group in equal number:the former received health education by health education clinical path and the latter by the routine follow-up.A questionnaire on hypertension prevention,the Exercise of Slef-care Agency Scale and the Health-promoting Lifestyle Profile were used for the test of their knowledge on hypertension prevention as well as the investigation of their lifestyle right after discharge and at months 1 and 3. The study group was significantly better than the control group 3 months after discharge in terms of blood pressure control,medical compliance,mastery of knowledge on hypertension prevention and self-care(all P<0.05).Conclusion The clinical path for health education may be effective in blood pressure control and promotion of medical compliance of the discharged hypertensive patients and be helpful for them to form a healthy lifestyle.