短信教育对青少年高血压病患者健康行为的影响

目的 评价短信教育对青少年高血压患者健康行为的影响.方法 将50例青少年高血压患者按随机数字表法分为观察组和对照组各25例,对照组进行常规教育,即在患者就诊时由专职教育护士根据收集的信息对患者进行一次即时的面对面口头教育,教育内容包括疾病相关知识、饮食、运动、药物、情绪应对等.观察组由护士根据对照组教育内容有计划地进行为期3个月的短信教育.干预前后采用健康行为量表对患者的健康行为情况进行评定及比较.结果 实施健康教育后,观察组患者健康行为总分为（95.72±4.23）分,对照组为（76.08±3.77）分,两组比较差异有统计学意义（t=17.172,P＜0.01）.观察组在自我实现、健康责任、压力处理、人际关系、营养及运动各维度的得分均明显高于对照组（30.24±2.42）/（23.56±2.26）分,（18.44±1.74）/（15.60±1.76）分,（14.68±1.25）/（9.92±1.35）分,（12.04±1.43）/（10.80±1.08）分,（13.08±1.55）/（11.80±1.22）分,（7.24±1.54）/（4.40±1.32）分],两组比较,差异有统计学意义（t值分别为10.095,5.754,12.933,3.462,3.237,7.007；P＜0.05）.结论 对青少年高血压患者进行短信教育,有利于患者养成良好的健康行为,有效地控制血压.

Effect of short messaging service education on health behavior of adolescent patients with hypertension

Objective To explore and evaluate the effect of short messaging service （SMS） education on health behavior of adolescent patients with hypertension.Methods Fifty adolescent patients with hypertension were divided into the experimental group and the control group according to random number table method,with 25 cases per group.The patients in the control group received routine education,which meant that the patients were gave a real-time face-to-face verbal education by the full-time education nurses basing on the information collected when they went to hospital,including knowledge of the disease,diet,exercise,drugs,emotional response and so on.The patients in the experimental group were gave SMS education in a planned way for three months by nurses basing on the education contents of control group.The health behavior of patients were assessed and compared before and after the intervention by using the Health Bel~avior Scale.Results The total score of health behavior of the experimental group was （95.72 ± 4.23）,and that of the control group was （76.08 ± 3.77）,the difference was statistically significant between the two group （t =17.172,P ＜ 0.01）.The scores of self-realization,health responsibility,stress management,interpersonal relationship,nutrition and exercise in the experimental group were significantly higher than those in the control group （30.24 ± 2.42） vs （23.56±2.26）,（18.44±1.74） vs （15.60±1.76）,（14.68±1.25） vs （9.92±1.35）,（12.04±1.43）vs （10.80 ± 1.08）,（13.08 ± 1.55） vs （11.80 ± 1.22）,（7.24 ± 1.54） vs （4.40 ± 1.32）,respectively],theses differences were statistically significant between the two groups （t =10.095,5.754,12.933,3.462,3.237,7.007,respectively; P ＜ 0.05）.Conclusions The implement of SMS education on health behavior in adolescent patients with hypertension can help patients develop good health behaviors,and effectively control blood pressure.