CAJ | 학술논문

目的：分析以家庭为中心的健康教育对社区高血压患者自我效能的影响，为改善患者预后积累经验。方法：2010年1月-2013年12月收治高血压患者98例作为研究对象，按照抽签随机取样法将其分为对照组和观察组，各49例。对照组实施常规社区健康教育；观察组实施以家庭为中心的健康教育模式。实施6个月后，比较两组患者自我效能改善情况。结果：实施健康教育前，两组患者自我效能总分及各维度评分比较差异均无统计学意义(P＞0.05)；实施后，除血压监测外，观察组各项评分均较对照组有显著升高(P＜0.05)。结论：以家庭为中心的健康教育通过家庭帮助患者减轻各种心理负担，建立良好的自我控制能力，显著提高其自我效能，值得临床上推广应用。
목적：분석이가정위중심적건강교육대사구고혈압환자자아효능적영향，위개선환자예후적루경험。방법：2010년1월-2013년12월수치고혈압환자98례작위연구대상，안조추첨수궤취양법장기분위대조조화관찰조，각49례。대조조실시상규사구건강교육；관찰조실시이가정위중심적건강교육모식。실시6개월후，비교량조환자자아효능개선정황。결과：실시건강교육전，량조환자자아효능총분급각유도평분비교차이균무통계학의의(P＞0.05)；실시후，제혈압감측외，관찰조각항평분균교대조조유현저승고(P＜0.05)。결론：이가정위중심적건강교육통과가정방조환자감경각충심리부담，건립량호적자아공제능력，현저제고기자아효능，치득림상상추엄응용。
Objective:To analyze the influence of family-oriented health education on the self-efficacy of community hypertension patients for accumulating experience to improve the prognosis of the patients.Methods:98 patients with hypertension were selected from January 2010 to December 2013.They were as the research objects.According to the draw random sampling method,they were divided into the control group and the observation group with 49 cases in each.The control group received the routine community health education.The observation group received the family-oriented health education model.6 months after the implementation,the self-efficacy improvements of patients in two groups were compared.Results:Before the implementation of health education,the comparative differences of self-efficacy scores and each dimension scores of patients in two groups were not statistically significant(P>0.05).After the implementation,in addition to blood pressure monitoring,the scores of the observation group were significantly increased than those of the control group(P<0.05).Conclusion:The family-oriented health education can help patients to relieve various psychological burden through the family,establish good self control ability,and significantly improve the self-efficacy.It is worthy of clinical popularization and application.