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增强自我效能干预对中年高血压患者自我管理能力的效果评价

李艳红 张振香 李平 张秋实 林蓓蕾 郑蔚 李俊玲 陈颖 徐燕茹

中国全科医学2013,Vol.16Issue(5):546-548,3.
中国全科医学2013,Vol.16Issue(5):546-548,3.DOI:10.3969/j.issn.1007-9572.2013.02.060

增强自我效能干预对中年高血压患者自我管理能力的效果评价

Effects of Enhanced Self-efficacy Interventions on Self-management for Middle-aged Hypertensive Patients

李艳红 1张振香 2李平 1张秋实 2林蓓蕾 2郑蔚 3李俊玲 3陈颖 3徐燕茹3

作者信息

  • 1. 450005,河南省郑州市,郑州市卫生学校临床教学部
  • 2. 郑州大学护理学院
  • 3. 郑州大学第二附属医院
  • 折叠

摘要

Abstract

Objective To explore the effects of enhanced self - efficacy intervention on self - management for middle- aged patients with hypertension. Methods A total of 200 middle - aged hypertensive patients were randomly divided into control group ( n = 100 ) and intervention group ( n = 100 ). Conventional intervention was taken in control group and enhanced self- efficacy intervention was applied in intervention group. The self - efficacy intervention included group classes, providing health education manual, peer education, family participation. Before and after 12 months intervention, the scores of self- management, self - efficacy and blood pressure were measured. Results There were no significant differences in the baseline measures between two groups. Significant differences were found at 12 months after intervention between groups in scores of self -efficacy control ( 43. 89 ±7. 66 ) vs. intervention ( 49. 96 ± 5. 31 ) and self - management control ( 47. 37 ± 8. 49 ) vs. intervention ( 56. 72 ±7. 37 ). Other significant differences were systolic blood pressure control ( 138. 21 ± 15. 68 ) vs. intervention ( 130. 03 ± 14. 63 ) mm Hg and diastolic blood pressure control ( 84. 43 ±7. 38 ) mm Hg vs. intervention ( 79. 24 ±7. 89 ) mm Hg. The rate of blood pressure control was 66. 3% , 78.4% (P=0. 06). Conclusion Self - efficacy enhancing interventions have positive effects on self - management and blood pressure control for middle - aged hypertensive patients.

关键词

中年/高血压/自我管理/自我效能/干预

Key words

Middle - aged/ Hypertension/ Self - management/ Self - efficacy/ Intervention

分类

医药卫生

引用本文复制引用

李艳红,张振香,李平,张秋实,林蓓蕾,郑蔚,李俊玲,陈颖,徐燕茹..增强自我效能干预对中年高血压患者自我管理能力的效果评价[J].中国全科医学,2013,16(5):546-548,3.

基金项目

2009年郑州市科技局科技攻关项目(0910SGYG23257-6) (0910SGYG23257-6)

2012年郑州市科技局科技攻关项目(121PPTGG487) (121PPTGG487)

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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