高血压患者应用体验式健康教育的效果观察

目的 探讨体验式健康教育在社区高血压患者中的应用效果。方法 运用方便抽样的方法,选取杭州市滨江区共5个社区242例高血压患者作为研究对象。按照随机数字表法分为对照组124例、观察组118例。观察组给予体验式健康教育,对照组给予常规健康教育。通过高血压治疗依从性量表和脑卒中健康知识量表对比分析2组的高血压依从性行为和脑卒中知识水平。结果 干预前2组高血压患者治疗依从性行为和脑卒中知识水平的得分比较差异无统计学意义（P>0.05）。干预3个月末观察组高血压患者治疗依从性中遵医服药行为、不良服药行为、烟酒嗜好管理行为、生活管理行为得分及总分均高于对照组（P<0.05）;干预3个月末观察组高血压患者脑卒中知识水平的健康生活方式知识、服药知识、危险因素知识、预警信号知识各维度得分及总分均高于对照组（P<0.05）。结论 对高血压患者采取体验式健康教育可提高其高血压治疗依从性,提升脑卒中知识水平。

Effect of Experiential Health Education in Patients with Hypertension

Objective To investigate the effects of experiential health education in community-dwelling hypertension patients. Methods With convenience sampling method,totally 242 patients were randomly divided into intervention group（n=118） with experiential health education and control group（n=124） with conventional health education on hypertension. Differences in self-care activities and knowledge of stroke between the two groups before and after health education were compared. Results Before the intervention, there was no statistical significance in terms of patient's compliance and knowledge of stroke in the two groups (P>0.05). The score of medication compliance, smoke and alcohol management behavior and life management behavior and the total score of the intervention group were much higher than those in the control group,and the differences were statistically significant(P<0.05). Knowledge on healthy life style, medication, risk factors, and warning signals and the total score in the intervention group at the end of 3-month intervention were much higher than those in the control group (P<0.05). Conclusion Experiential health education is effective for improving patient compliance and stroke knowledge.