高血压多元化健康教育模式的研究进展
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摘要
综述了现阶段国内外高血压健康教育模式的研究现状,并按各自特征分为强调个体行为改变的模式、强调以病人为中心的模式、强调延续医院干预效果的模式及联合性健康教育模式。通过分析阐述不同教育模式在高血压病人行为干预中应用及对自我管理效能的影响,以期建立良好健康教育方式的新思路,为病人的自我管理提供一个多元化、安全有效的健康教育模式。
This article reviewed the present research status quo of major hypertension health education models in China and abroad,and divided them into models that emphasizing individual behavior changes,emphasizing patient-centered,emphasizing continuing hospital intervention effects,and joint health education.Through analysis,it expanded the application of different education models in the behavioral intervention of hypertensive patients and the impact on self-management efficiency,in order to establish a new way of good health education,and provide a diversified,safe,and effective health education model for patients′ self-management.
This article reviewed the present research status quo of major hypertension health education models in China and abroad,and divided them into models that emphasizing individual behavior changes,emphasizing patient-centered,emphasizing continuing hospital intervention effects,and joint health education.Through analysis,it expanded the application of different education models in the behavioral intervention of hypertensive patients and the impact on self-management efficiency,in order to establish a new way of good health education,and provide a diversified,safe,and effective health education model for patients′ self-management.
引文
[1] 王潇雨.我国高血压一路“走高”[N].健康报,2017-08-11(02).
[2] LI Z,FU C,YANG F,et al.Prevalence and risk factors of hypertension for the middle-aged population in China-results from the China Health and Retirement Longitudinal Study (CHARLS)[J].Clin Exp Hypertens,2019,41(1):80-86.
[3] ANH D T T,SHIH Y W,MIAO N F,et al.Differences of self-management in controlling blood pressure between patients with hypertension and healthy people in Vietnam[J].Res Theor Nurs Pract,2017,1(1):1-8.
[4] YANG S,HE C,ZHANG X,et al.Determinants of anti-hypertensive adherence among patients in Beijin:application of the health belief model[J].Patient Educ Couns,2016,99(11):1894-1900.
[5] RAZMARA A,AGHAMOLAEI T,MADANI A,et al.Prediction of safe driving behaviours based on health belief model:the case of taxi drivers in Bandar Abbas,Iran[J].BMC Public Health,2018,18(1):380.
[6] KHORSANDI M,FEKRIZADEH Z,ROOZBAHANI N.Investigation of the effect of education based on the health belief model on the adoption of hypertension-controlling behaviors in the elderly[J].Clin Interv Aging,2017,27(12):233-240.
[7] HOSEINI H,MALEKI F,MOEINI M,et al.Investigating the effect of an education plan based on the health belief model on the physical activity of women who are at risk for hypertension[J].Iran J Nurs Midwifery Res,2014,19(6):647-652.
[8] KAMRAN A,SADEGHIEH AHARI S,BIRIA M,et al.Determinants of patient′s adherence to hypertension medications:application of health belief model among rural patients[J].Ann Med Health Sci Res,2014,4(6):922-927.
[9] 林滢宇.健康信念模式对高血压患者自我管理能力干预效果研究[J].中国老年保健医学,2016,14(2):21-23.
[10] 周淑华,王桂彬,纪沈峰,等.健康信念模式的家庭访视护理对高龄高血压患者血压和健康行为的影响[J].现代临床护理,2017,16(2):26-30.
[11] ZHAO Y,CHEN L,QI W,et al.Application of the health belief model to improve the understanding of anti-hypertensive medication adherence among Chinese patients[J].Patient Educ Couns,2015,98(5):669-673.
[12] 邹宝林.健康信念模式与多阶段改变理论相结合对血液透析高磷血症患者饮食管理的研究[D].桂林:广西医科大学,2017.
[13] GREEN E C,MURPHY E.Health belief model[M]//COCKERHAM W C,DINGWALL R,QUAH S.The Wiley Blackwell encyclopedia of health,illness,behavior,and society.New Jersey:John Wiley and Sons Inc,2014:1375-1381.
[14] PROCHASKA J O,VELICER W F.The transtheoretical model of health behavior change[J].Am J Health Promot,1997,12(1):38-48.
[15] BOWLES T V.The adaptive change model:an advance on the transtheoretical model of change[J].J Psychol,2006,140(5):439.
[16] KIM Y.A stage-matched intervention for exercise behavior change based on the transtheoretical model[J].Psychol Rep,2008,102(3):939-950.
[17] LIU T,LIU X,LI S,et al.Impact of trans-theoretical model based home visiting on medication compliance behavior in community elderly hypertensive patients[J].Chinese Journal of Nursing,2016,51(5):629-634.
[18] HIRVONEN N,HUOTARI M L,NIEMEL? R,et al.Information behavior in stages of exercise behavior change[J].J Assoc Inf Sci Tech,2012,63(9):1804-1819.
[19] 曹雪群.动机性访谈及跨理论模型干预对老年高血压患者自我管理的影响[D].广州:南方医科大学,2012.
[20] ABBASPOUR S,FARMANBAR R,NJAFI F,et al.Decisional balance and self-efficacy of physical activity among the elderly in Rasht in 2013 based on the transtheoretical model[J].Electronic Physician,2017,9(5):4447.
[21] 陈小芳,刘海波.跨理论模型在健康教育中的研究进展[J].医学与哲学(B),2016,37(9):73-75.
[22] DAS S,HAZRA A,RAY B K,et al.Knowledge,attitude,and practice in relation to stroke:a community-based study from Kolkata,West Bengal,India[J].Ann Indian Acad Neur,2016,19(2):221.
[23] JAFARI F,SHAHRIARI M,SABOUHI F,et al.Effects of a lifestyle modification program on knowledge,attitude and practice of hypertensive patients with angioplasty:a randomized controlled clinical trial[J].International Journal of Community Based Nursing & Midwifery,2016,4(4):286-296.
[24] 胡艳芬,李翠琼,吴毅琴.知信行模式改善老年高血压病病人自我护理能力及血压控制的效果[J].全科护理,2018,16(7):800-801.
[25] 方艳春,肖玲,霍小梅.KTH整合式健康教育对老年高血压患者依从行为的影响[J].当代护士(下旬刊),2013(9):152-154.
[26] ANDERSON R M,FUNNELL M M.Patient empowerment:myths and misconceptions[J].Patient Educ Couns,2010,79(3):277.
[27] YEH M Y,WU S C,TUNG T H.The relation between patient education,patient empowerment and patient satisfaction:a cross-sectional-comparison study[J].Appl Nurs Res,2018,39:11-17.
[28] SCHATELL D,WITTEN B.Dialysis patient empowerment:what,why,and how[J].Nephrology News Issues,2005,19(9):37.
[29] ANDERSON B,FUNNELL M M.The art of empowerment:stories and strategies for diabetes educators[M].Alexandria:American Diabetes Association,2005:151-194.
[30] BROWN C,BORNSTEIN E,WILCOX C.Partnership and empowerment program:a model for patient-centered,comprehensive,and cost-effective care[J].Oncology Nursing Society,2012,16(1):15-17.
[31] CHANG A K,FRITSCHI C,KIM M J.Nurse-led empowerment strategies for hypertensive patients with metabolic syndrome[J].Contemp Nurse,2012,42(1):118-128.
[32] 王霞.授权教育对社区原发性高血压患者自我管理行为的影响[D].长春:吉林大学,2015.
[33] HEDAYATI B.Effect of family-based empowerment model on the self-efficacy of hypertensive elderly people[J].Iranian Journal of Ageing,2018,13(1):86-97.
[34] 李静,龚晓芳,李志宏.授权教育对社区原发性高血压患者用药依从性的影响[J].中国医学创新,2016,13(20):90-92.
[35] 范福玲.授权理论在社区高血压病人教育中的应用与研究[J].卫生职业教育,2015,33(14):114-116.
[36] 邱良枝,毛晓群,王霞,等.授权教育在糖尿病健康教育中的研究进展[J].解放军护理杂志,2017,34(1):57-60.
[37] KILLEEN M B,KING I M.Viewpoint:use of King′s conceptual system,nursing informatics,and nursing classification systems for global communication[J].Int J Nurs Terminol Classif,2007,18(2):51-57.
[38] 翁玲琍,施香颖.个体化健康教育在临床护理中的应用进展[J].中西医结合护理(中英文),2017,3(7):176-178.
[39] YIN H,GUO X.Influence of individualized health education on compliance of hypertensive cerebral hemorrhage sufferers and their family members[J].Chinese Journal of Convalescent Medicine,2015,24(4):349-351.
[40] O′DONNELL A J,BOGNER H R,KELLOM K,et al.Peer reviewed:stakeholder perspectives on changes in hypertension care under the patient-centered medical home[J].Prev Chronic Dis,2016,13(2):28.
[41] LYU N,XIAO L,SIMMONS M L,et al.Personalized hypertension management using patient-generated health data integrated with electronic health records (EMPOWER-H):six-month pre-post study[J].J Med Internet Res,2017,19(9):311.
[42] 官颖萍,官莉萍,刘永燕.个体化健康教育对门诊高血压患者自我管理能力的影响[J].当代护士(下旬刊),2017(12):140-142.
[43] WALDMANN G.Patient-individual care pathways in phase D neurological rehabilitation[J].Rehabilitation,2007,46(4):246-250.
[44] 赵伟.高血压健康教育策略及其应用进展[J].内蒙古中医药,2017,36(1):111-112.
[45] 于琴.个性化阶段性健康教育在产科护理中的效果分析[J].中国医药指南,2013,11(21):715-716.
[46] 张海洋,张会敏,李荣,等.以家庭为中心的护理模式在社区高血压病人健康教育中的应用研究[J].护理研究,2012,26(3A):664-665.
[47] 李望,王琛,陈林波,等.“家庭健康教育”对居家养老高血压患者的管理效果[J].上海医药,2017,38(12):56-57.
[48] SHEN Y,PENG X,WANG M,et al.Family member-based supervision of patients with hypertension:a cluster randomized trial in rural China[J].J Hum Hypertens,2016,31(1):29.
[49] LIU D,DU Q,LI S,et al.Effect of home visiting on medication adherence behaviors and family function in elderly patients with hypertension in communities[J].Chinese General Practice,2015,18(1):77-80.
[50] 周茜,乔建建.以家庭为中心的健康教育对提高社区高血压患者自我管理的作用研究[J].中国社区医师,2017,33(32):153;155.
[51] YU Z.Exploration in the management mode of community hypertension club[J].Medicine & Society,2012,25(11):58-60.
[52] LIU A,WANG C,LIU H.Evaluation on effectiveness of health education for hypertension patients club[J].Chinese Nursing Research,2009,23(35):3223-3226.
[53] 刘武定,卢智胜,张保玉,等.高血压俱乐部对促进患者自我管理能力的探讨[J].中国医药指南,2016,14(31):1-3.
[54] 郝雁,孙朝阳,王艳丽.KTH整合式健康教育在社区老年高血压患者中的应用及效果评价[J].中国健康教育,2015,31(10):986-988.
[55] LI G,FENG Y,XIE W,et al.Analysis of the effect of health education with telephone follow-up for elderly patients with hypertension[J].Chinese Medical Record English Edition,2014,2(2):91-94.
[2] LI Z,FU C,YANG F,et al.Prevalence and risk factors of hypertension for the middle-aged population in China-results from the China Health and Retirement Longitudinal Study (CHARLS)[J].Clin Exp Hypertens,2019,41(1):80-86.
[3] ANH D T T,SHIH Y W,MIAO N F,et al.Differences of self-management in controlling blood pressure between patients with hypertension and healthy people in Vietnam[J].Res Theor Nurs Pract,2017,1(1):1-8.
[4] YANG S,HE C,ZHANG X,et al.Determinants of anti-hypertensive adherence among patients in Beijin:application of the health belief model[J].Patient Educ Couns,2016,99(11):1894-1900.
[5] RAZMARA A,AGHAMOLAEI T,MADANI A,et al.Prediction of safe driving behaviours based on health belief model:the case of taxi drivers in Bandar Abbas,Iran[J].BMC Public Health,2018,18(1):380.
[6] KHORSANDI M,FEKRIZADEH Z,ROOZBAHANI N.Investigation of the effect of education based on the health belief model on the adoption of hypertension-controlling behaviors in the elderly[J].Clin Interv Aging,2017,27(12):233-240.
[7] HOSEINI H,MALEKI F,MOEINI M,et al.Investigating the effect of an education plan based on the health belief model on the physical activity of women who are at risk for hypertension[J].Iran J Nurs Midwifery Res,2014,19(6):647-652.
[8] KAMRAN A,SADEGHIEH AHARI S,BIRIA M,et al.Determinants of patient′s adherence to hypertension medications:application of health belief model among rural patients[J].Ann Med Health Sci Res,2014,4(6):922-927.
[9] 林滢宇.健康信念模式对高血压患者自我管理能力干预效果研究[J].中国老年保健医学,2016,14(2):21-23.
[10] 周淑华,王桂彬,纪沈峰,等.健康信念模式的家庭访视护理对高龄高血压患者血压和健康行为的影响[J].现代临床护理,2017,16(2):26-30.
[11] ZHAO Y,CHEN L,QI W,et al.Application of the health belief model to improve the understanding of anti-hypertensive medication adherence among Chinese patients[J].Patient Educ Couns,2015,98(5):669-673.
[12] 邹宝林.健康信念模式与多阶段改变理论相结合对血液透析高磷血症患者饮食管理的研究[D].桂林:广西医科大学,2017.
[13] GREEN E C,MURPHY E.Health belief model[M]//COCKERHAM W C,DINGWALL R,QUAH S.The Wiley Blackwell encyclopedia of health,illness,behavior,and society.New Jersey:John Wiley and Sons Inc,2014:1375-1381.
[14] PROCHASKA J O,VELICER W F.The transtheoretical model of health behavior change[J].Am J Health Promot,1997,12(1):38-48.
[15] BOWLES T V.The adaptive change model:an advance on the transtheoretical model of change[J].J Psychol,2006,140(5):439.
[16] KIM Y.A stage-matched intervention for exercise behavior change based on the transtheoretical model[J].Psychol Rep,2008,102(3):939-950.
[17] LIU T,LIU X,LI S,et al.Impact of trans-theoretical model based home visiting on medication compliance behavior in community elderly hypertensive patients[J].Chinese Journal of Nursing,2016,51(5):629-634.
[18] HIRVONEN N,HUOTARI M L,NIEMEL? R,et al.Information behavior in stages of exercise behavior change[J].J Assoc Inf Sci Tech,2012,63(9):1804-1819.
[19] 曹雪群.动机性访谈及跨理论模型干预对老年高血压患者自我管理的影响[D].广州:南方医科大学,2012.
[20] ABBASPOUR S,FARMANBAR R,NJAFI F,et al.Decisional balance and self-efficacy of physical activity among the elderly in Rasht in 2013 based on the transtheoretical model[J].Electronic Physician,2017,9(5):4447.
[21] 陈小芳,刘海波.跨理论模型在健康教育中的研究进展[J].医学与哲学(B),2016,37(9):73-75.
[22] DAS S,HAZRA A,RAY B K,et al.Knowledge,attitude,and practice in relation to stroke:a community-based study from Kolkata,West Bengal,India[J].Ann Indian Acad Neur,2016,19(2):221.
[23] JAFARI F,SHAHRIARI M,SABOUHI F,et al.Effects of a lifestyle modification program on knowledge,attitude and practice of hypertensive patients with angioplasty:a randomized controlled clinical trial[J].International Journal of Community Based Nursing & Midwifery,2016,4(4):286-296.
[24] 胡艳芬,李翠琼,吴毅琴.知信行模式改善老年高血压病病人自我护理能力及血压控制的效果[J].全科护理,2018,16(7):800-801.
[25] 方艳春,肖玲,霍小梅.KTH整合式健康教育对老年高血压患者依从行为的影响[J].当代护士(下旬刊),2013(9):152-154.
[26] ANDERSON R M,FUNNELL M M.Patient empowerment:myths and misconceptions[J].Patient Educ Couns,2010,79(3):277.
[27] YEH M Y,WU S C,TUNG T H.The relation between patient education,patient empowerment and patient satisfaction:a cross-sectional-comparison study[J].Appl Nurs Res,2018,39:11-17.
[28] SCHATELL D,WITTEN B.Dialysis patient empowerment:what,why,and how[J].Nephrology News Issues,2005,19(9):37.
[29] ANDERSON B,FUNNELL M M.The art of empowerment:stories and strategies for diabetes educators[M].Alexandria:American Diabetes Association,2005:151-194.
[30] BROWN C,BORNSTEIN E,WILCOX C.Partnership and empowerment program:a model for patient-centered,comprehensive,and cost-effective care[J].Oncology Nursing Society,2012,16(1):15-17.
[31] CHANG A K,FRITSCHI C,KIM M J.Nurse-led empowerment strategies for hypertensive patients with metabolic syndrome[J].Contemp Nurse,2012,42(1):118-128.
[32] 王霞.授权教育对社区原发性高血压患者自我管理行为的影响[D].长春:吉林大学,2015.
[33] HEDAYATI B.Effect of family-based empowerment model on the self-efficacy of hypertensive elderly people[J].Iranian Journal of Ageing,2018,13(1):86-97.
[34] 李静,龚晓芳,李志宏.授权教育对社区原发性高血压患者用药依从性的影响[J].中国医学创新,2016,13(20):90-92.
[35] 范福玲.授权理论在社区高血压病人教育中的应用与研究[J].卫生职业教育,2015,33(14):114-116.
[36] 邱良枝,毛晓群,王霞,等.授权教育在糖尿病健康教育中的研究进展[J].解放军护理杂志,2017,34(1):57-60.
[37] KILLEEN M B,KING I M.Viewpoint:use of King′s conceptual system,nursing informatics,and nursing classification systems for global communication[J].Int J Nurs Terminol Classif,2007,18(2):51-57.
[38] 翁玲琍,施香颖.个体化健康教育在临床护理中的应用进展[J].中西医结合护理(中英文),2017,3(7):176-178.
[39] YIN H,GUO X.Influence of individualized health education on compliance of hypertensive cerebral hemorrhage sufferers and their family members[J].Chinese Journal of Convalescent Medicine,2015,24(4):349-351.
[40] O′DONNELL A J,BOGNER H R,KELLOM K,et al.Peer reviewed:stakeholder perspectives on changes in hypertension care under the patient-centered medical home[J].Prev Chronic Dis,2016,13(2):28.
[41] LYU N,XIAO L,SIMMONS M L,et al.Personalized hypertension management using patient-generated health data integrated with electronic health records (EMPOWER-H):six-month pre-post study[J].J Med Internet Res,2017,19(9):311.
[42] 官颖萍,官莉萍,刘永燕.个体化健康教育对门诊高血压患者自我管理能力的影响[J].当代护士(下旬刊),2017(12):140-142.
[43] WALDMANN G.Patient-individual care pathways in phase D neurological rehabilitation[J].Rehabilitation,2007,46(4):246-250.
[44] 赵伟.高血压健康教育策略及其应用进展[J].内蒙古中医药,2017,36(1):111-112.
[45] 于琴.个性化阶段性健康教育在产科护理中的效果分析[J].中国医药指南,2013,11(21):715-716.
[46] 张海洋,张会敏,李荣,等.以家庭为中心的护理模式在社区高血压病人健康教育中的应用研究[J].护理研究,2012,26(3A):664-665.
[47] 李望,王琛,陈林波,等.“家庭健康教育”对居家养老高血压患者的管理效果[J].上海医药,2017,38(12):56-57.
[48] SHEN Y,PENG X,WANG M,et al.Family member-based supervision of patients with hypertension:a cluster randomized trial in rural China[J].J Hum Hypertens,2016,31(1):29.
[49] LIU D,DU Q,LI S,et al.Effect of home visiting on medication adherence behaviors and family function in elderly patients with hypertension in communities[J].Chinese General Practice,2015,18(1):77-80.
[50] 周茜,乔建建.以家庭为中心的健康教育对提高社区高血压患者自我管理的作用研究[J].中国社区医师,2017,33(32):153;155.
[51] YU Z.Exploration in the management mode of community hypertension club[J].Medicine & Society,2012,25(11):58-60.
[52] LIU A,WANG C,LIU H.Evaluation on effectiveness of health education for hypertension patients club[J].Chinese Nursing Research,2009,23(35):3223-3226.
[53] 刘武定,卢智胜,张保玉,等.高血压俱乐部对促进患者自我管理能力的探讨[J].中国医药指南,2016,14(31):1-3.
[54] 郝雁,孙朝阳,王艳丽.KTH整合式健康教育在社区老年高血压患者中的应用及效果评价[J].中国健康教育,2015,31(10):986-988.
[55] LI G,FENG Y,XIE W,et al.Analysis of the effect of health education with telephone follow-up for elderly patients with hypertension[J].Chinese Medical Record English Edition,2014,2(2):91-94.