Effect of self-efficacy intervention on self-management behaviors of hypertension in community elderly
10.3760/cma.j.issn.1674-2907.2011.25.002
- VernacularTitle:自我效能干预对社区老年高血压患者自我管理行为的影响
- Author:
Ying-Li ZHAI
1
;
Chun-Yu LI
Author Information
1. 煤炭总医院
- Keywords:
Community health nursing;
Hypertension;
Self-efficacy intervention;
Elderly;
Selfmanagement behavior;
Health state
- From:
Chinese Journal of Modern Nursing
2011;17(25):2980-2984
- CountryChina
- Language:Chinese
-
Abstract:
Objective To elucidate the effect of community nurse-led self-efficacy intervention on selfmanagement behaviors of hypertension in community elderly.Methods In this study,non-equivalent control group was designed,78 community elderly patients with hypertension were selected in the two community health service centers and divided into intervention group (38 cases) and control group (40 cases).The intervention group was treated with self-efficacy intervention for 3-month,and control group did not take any interventions.The “chronic disease self-management behavior measurement" (Stanford University research tool) and the measure of physical intervention study were used to valuate the effect of interference before and 3 months after intervention.Results Systolic blood pressure in intervention group was (5.11 ± 12.30) mm Hg and (0.33 ±4.64) mm Hg in control group,the difference was statistically significant ( t =2.248,P ＜ 0.05 ).BMI in intervention group was reduced by (0.43 ± 0.42 ) kg/m2,however,in control group was increased by ( 0.39 ±1.26) kg/m2,the difference has reached the statistical significance ( t =3.825,P ＜ 0.01 ).Self-efficacy,selfmanagement,health state in two groups were different ( P ＜ 0.01 ).Other factors in scale did not reach statistical significance in health service utility in two groups ( P ＞ 0.05 ).Conclusions The self-efficacy intervention can significantly enhance the community' s self-efficacy in elderly hypertensive patients,improve self-management behaviors and health,reduce health service use for a certain effect,but long-term effects need to be observed.
