Baghianimoghadam Mohammad Hossein, Rahaee Zohreh, Morowatisharifabad Mohammad Ali, Sharifirad Gholamreza, Andishmand Abas, Azadbakht Leila
Associate Professor in Health Education, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
J Res Med Sci. 2010 Mar;15(2):70-7.
Hypertension is one of the most important health problems. Self-monitoring may be an effective method for controlling this disease. The aim of this study is to determine the effectiveness of education on blood pressure self-monitoring in patients with hypertension based on BASNEF model.
In this clinical trial, 150 outpatients with hypertension were randomly selected from those referred to private clinics in Yazd, Iran, during 2008. They were divided in two groups. The data were collected by a validated and reliable questionnaire. The implementing educational program was continued for 2 months and the pre-test and post-test had an interval of 2-months. BASNEF model was applied to explain the motivation of a behavior. Descriptive analysis, correlation test and also regression analysis were used to analyze data.
The respondents acquired 17.72% of total score for self-monitoring behavior, 47.03% of attitude, 12.37% of subjective norms, 33.46% of intention and 50.95% of enabling factors. After intervention, there were significant increases in self-monitoring behavior (173.31%), attitude (62.60%), subjective norms (54.70%), intention (129.93%) and enabling factors (46.62%) in the intervention group. There was no significant difference between the constructs of BASNEF model in the control group after intervention compared to the baseline values (p > 0.05).
The results of this study showed that the level of self-monitoring behavior in the patients was low. Educational programs are helpful and necessary to improve self-monitoring behavior in patients with hypertension.
高血压是最重要的健康问题之一。自我监测可能是控制该疾病的有效方法。本研究的目的是基于BASNEF模型确定高血压患者血压自我监测教育的有效性。
在这项临床试验中，2008年从伊朗亚兹德的私人诊所转诊的患者中随机选取了150名高血压门诊患者。他们被分为两组。数据通过一份经过验证且可靠的问卷收集。实施教育计划持续2个月，前测和后测间隔2个月。应用BASNEF模型来解释行为动机。使用描述性分析、相关性检验以及回归分析来分析数据。
受访者在自我监测行为方面获得总分的17.72%，态度方面为47.03%，主观规范方面为12.37%，意图方面为33.46%，促成因素方面为50.95%。干预后，干预组的自我监测行为（173.31%）、态度（62.60%）、主观规范（54.70%）、意图（129.93%）和促成因素（46.62%）均有显著增加。干预后对照组BASNEF模型各构念与基线值相比无显著差异（p>0.05）。
本研究结果表明患者的自我监测行为水平较低。教育计划有助于并对改善高血压患者的自我监测行为是必要的。
