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引文資料
題名:
衛生教育對於榮民之家高血壓老人自我照顧行為與血壓控制之影響
書刊名:
中華公共衛生雜誌
作者:
杜明勳
作者(外文):
Tu, Ming-shium
出版日期:
1999
卷期:
18:1
頁次:
頁54-65
主題關鍵詞:
高血壓
;
老人
;
自我照顧行為
;
衛生教育
;
Hypertension
;
Elderly
;
Self-care
;
Health education
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
2
共同引用:
25
點閱:35
明白施予衛生教育六個月後,高血壓個案之疾病認知、態度、自我照顧行為及血壓變化情形如何,又影響其變化之因素為何。以83年某榮家全體住家榮民健康調查時,篩檢出懷疑高血壓個案為對象。於其每月門診追蹤時,施予衛教前測驗,後予衛教。衛教以隨機分組分為每月衛教及隔月衛教兩組。85年7月至86年元月共收集有效問卷222份。個案以71-80歲老人居多,教育年數大多不及六年,視力及聽力不佳,智能狀況不理想,對高血壓之認知、態度及行為得分好壞各半。46.4%個案之朋友亦患高血壓或中風,71.6%個案除高血壓外尚患有其他疾病。衛教後,其高血壓之認知、「 在意血壓」態度、及「依指示用藥」、「定期看診」和「自測血壓」行為各分數均有顯著改進。衛教方面,每月組之認知改善比隔月組明顯,但態度或行為之差異則不顯著。血壓方面,不論縮壓或舒壓於衛教後均比衛教前稍高,而舒壓之增高於隔月組比每月組明顯。衛教後促成各因素改變之探討,於認知、態度、或各項行為方面,各別均或與個案之「年齡、智能、亦患他病、衛教分組、朋友數、及衛教前個別健康信念得分」有關。另舒張壓方面,除上述因子可能相關外,個案之「教育、讀寫能力、聽力、認知、及用藥行為」均亦有關。就本榮家高血壓老人而言,除定期追蹤 給予藥物治療對個案血壓控制有幫忙外,每月一次重複衛教,給予清楚簡單的訊息,對其疾病照顧也很重要。另外,增進人際關係及彼此關懷應該也有助益。
以文找文
This study examined the effect of health education (HE) on individual's hypertension (HT) cognition, attitude, self-care behaviors and blood pressure (BP) control after 6 months HE for those suspected HT subjects at a veterans home. All suspected hypertensive individuals screened in 1994 were included as subjects. Pre-test and HE were applied at clinic before participant's regular monthly followup. Subjects were randomly allocated to monthly education group (MEG) and every-other-month group (EOMG). A to tal of 222 complete interviews were collected from July 1996 to January 1997. Most subjects were 71 to 80 years old with less than 6 years of education, had poor vision and audition, and had low mental scores. Only half of the subjects had good HT cognition, attitude and self-care behaviors. Of these individuals, 46.4% had friends with HT or a stroke history. In addition to HT, 71.6% were co-morbid with other diseases. After HE, the HT cognition, the attitude toward BP, and self-care behaviors, such as medical compliance, on-schedule clinic visits and self-check of BP, improved. MEG was better than EOMG in disease cognition, but not in attitude or behaviors. The BP measurements, both systolic and diastolic, were slightly higher after HE than before. From analysis of factors that influence the changes after HE, the promotion of HT cognition, attitude, and behaviors were related to individual's age, mentality, co-morbidity, HE group, the number of friends and pre-educational HT health believes. In addi tion to above factors, the diastolic BP reduction was also related to individual's educational level, writing or reading ability, audition, disease cognition and medical compliance. For those HT residents, in addition to physician's regular follow up and medication, repeated monthly education, giving simple and clear messages, was helpful for their disease care.
以文找文
期刊論文
1.
Iso, H.、Shimamoto, T.、Sankai, T.(1994)。A randomized controlled trail of intensive and usual community-based education for Mood pressure control。Japanese Journal of Public Health,41,1015-1026。
2.
Ren, X.、Yan, D.、Huang, B.(1994)。The effect of medical treatment on hypertension community control--a follow-up study of more than one thousand hypertensives in East City Proper, Beijing。Chinese Journal of Epidemiology,15,145-149。
3.
Green, M. Jr.(1994)。Experts say education is the key to controlling hypertension。Journal of Practical Nursing,44,14-15。
4.
(1994)。National High Blood Pressure Education Program Working Group Report on Hypertension in the Elderly. National High Blood Pressure Education Program Working Group。Hypertension,23,275-285。
5.
Porsche, R.(1995)。Hypertension: diagnosis, acute antihypertension therapy, and long-term management。AACN Clinical Issues,6,515-525。
6.
杜明勳、蔡世滋(19911200)。影響群醫門診高血壓病患疾病認知的因素。中華民國家庭醫學雜誌,1(4),184-192。
延伸查詢
7.
Ley, P.、Spellman, M. S.(1965)。Communication in an out-patient setting。Br J Soc Clin Psychol,4,114-116。
8.
Ley, P.、Whitworth, M. A.、Skilbeck, C. E.(1974)。Improving doctor-patient communications in General Practice。J Roy Coll Gen Pract,26,720-724。
9.
Bertakis, K. D.(1977)。The communication of information from physician to patient: a Method for increasing patient retention and satisfaction。J Fam Pract,5,217-222。
10.
李蘭、季緯珠、施金水、潘怜燕、呂槃、江永盛、楊志良(19900300)。社區高血壓控制實驗--先驅研究。中華民國公共衛生學會雜誌,10(1),44-52。
延伸查詢
11.
胡文郁、高紀惠(19921200)。高血壓患者之知識、健康信念與服藥遵從行為之相關性研究。護理雜誌,39(4),77-89。
延伸查詢
12.
Carney, S.、Gillies, A.、Smith, A.、Taylor, M.(1993)。Hypertension education: patient knowledge and satisfaction。Journal of Human Hypertension,7,505-508。
13.
杜明勳(19960200)。南部某榮民安養之家住家榮民健康狀況調查。中華公共衛生雜誌,15(1),97-107。
延伸查詢
14.
Horowitz, A.(1994)。Vision impairment and functional disability among nursing home residents。The Gerontologist,34(3),316-323。
15.
郭乃文(19881200)。「簡短式智能評估」之中文施測與常模建立。復健醫學會雜誌,16,52-59。
延伸查詢
16.
Yesavage, J. A.、Brink, T. L.、Rose, T. L.、Lum, O.、Huang, V.、Adey, M.、Leirer, V. O.(1983)。Development and validation of a geriatric depression screening scale: A preliminary report。Journal of Psychiatric Research,17(1),37-49。
17.
Walsh, J. T.、Andrews, R.、Batin, P. D.、Cowley, A. J.(1995)。Haemodynamic and hormonal response to a stream of cooled air。Euro J of Applied Physio & Occup Physiology,72,76-80。
18.
Ballaro, A.、Cortina-Borja, M.、Collin, J.(1998)。A seasonal variation in the incidence of ruptured abdominal aortic aneurysms。Euro J of Vase & Endovasc Surg,15,429-431。
19.
胡文郁、曾春典、邱泰源、余玉眉(19961200)。整體性介入措施對社區高血壓患者服藥遵從行為及血壓控制成效之探討。中華民國家庭醫學雜誌,6(4),169-179。
延伸查詢
20.
李守義、周碧瑟、晏涵文(19890900)。健康信念模式的回顧與前瞻。中華民國公共衛生學會雜誌,9(3),123-137。
延伸查詢
21.
杜明勳(19920900)。影響群醫門診糖尿病病患疾病認知的因素。中華民國公共衛生學會雜誌,11(3),196-203。
延伸查詢
22.
Folstein, Marshal F.、Folstein, Susan E.、McHugh, Paul R.(1975)。"Mini-mental state": A practical method for grading the cognitive state of patients for the clinician。Journal of Psychiatric Research,12(3),189-198。
23.
胡文郁、曾春典、戴玉慈、余玉眉(19960800)。高血壓患者服藥遵從行為及其相關因素之探討。中華公共衛生雜誌,15(4),319-332。
延伸查詢
圖書論文
1.
Rees, T. S.、Duckert, L. G.、Milczuk, H. A.(1994)。Auditory and vestibular dysfunction。Principles of Geriatric Medicine and Geronotology。New York:McGraw-Hill。
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