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[健康指导计划对贫困高血压患者自我效能、健康行为及生活质量的影响]

[The Effect of Health Coaching Programs on Self-Efficacy, Health Behaviors, and Quality of Life in Hypertensive People Living in Poverty].

作者信息

Eom Sun Ok, Lee Insook

机构信息

Depertment of Nursing, Songgok College, Chuncheon, Korea.

College of Nursing, Seoul National University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2017 Jun;47(3):380-391. doi: 10.4040/jkan.2017.47.3.380.

DOI:10.4040/jkan.2017.47.3.380
PMID:28706172
Abstract

PURPOSE

This study was designed to determine the effects of health coaching and mediating variables on quantitative aspect of health in low-income hypertensive people.

METHODS

The experimental group for the current study consisted of 21 clients who received health coaching services, and the control group consisted of 22 clients who received home-visiting nursing services. Two groups received health coaching or homevisiting nursing services once a week for 8 weeks. The evaluation variables were self-efficacy, nutrition management, health behaviors, self-rated health, and quality of life.

RESULTS

The results revealed that the level of nutrition management was significantly higher in the experimental group than the control group (F=10.33, p=.005).

CONCLUSION

These results confirm that health coaching is a useful strategy that encourages clients to continuously maintain their own health behaviors. Thus, the findings of the current study provide useful data for establishing measures for the health management of those afflicted with chronic disease, such as hypertension. Furthermore, health coaching may be developed into useful intervention strategies for dealing with chronic diseases and improving home-visiting nursing.

摘要

目的

本研究旨在确定健康指导及中介变量对低收入高血压患者健康定量指标的影响。

方法

本研究的实验组由21名接受健康指导服务的客户组成,对照组由22名接受家访护理服务的客户组成。两组均每周接受一次健康指导或家访护理服务,为期8周。评估变量包括自我效能感、营养管理、健康行为、自评健康状况和生活质量。

结果

结果显示,实验组的营养管理水平显著高于对照组(F = 10.33,p = .005)。

结论

这些结果证实,健康指导是一种有用的策略,可鼓励客户持续保持自身的健康行为。因此,本研究结果为制定慢性病(如高血压)患者的健康管理措施提供了有用的数据。此外,健康指导可能会发展成为应对慢性病和改善家访护理的有用干预策略。

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