Research Unit of Nursing Science and Health Management, University of Oulu Finland University of Oulu, P.O.Box 5000, 90014, Finland.
Lapland University of Applied Sciences, Kemi, Finland.
Patient Educ Couns. 2020 Aug;103(8):1554-1561. doi: 10.1016/j.pec.2020.02.026. Epub 2020 Feb 19.
To evaluate the effects of the nurse-led health coaching on health-related quality of life and clinical health outcomes among frequent attenders in primary healthcare.
A quasi-experimental study design. A total of 110 patients were enrolled in the study. The experimental group (n = 52) received nurse-led health coaching and the control group (n = 58) received the usual care at primary health care centres in Finland. The data were collected before the intervention and 12 months via a questionnaire of health-related quality of life and clinical health outcomes as measured by health-coaching nurses.
This study found frequent attenders have low health-related quality of life. The nurse-led health coaching showed no differences in health-related quality of life between the experimental and control groups. However, the nurse-led health coaching had statistically significant effects on the blood pressure and health-related quality of life among the experimental participants, especially in emotional role limitation and energy.
This study suggests that nurse-led health coaching may lead to an improvement in the health-related quality of life and blood pressure among frequent attenders.
The health-coaching sessions with own health-coaching nurses and action plans support the frequent attenders´ health promotion goals and implementation.
评估护士主导的健康辅导对初级保健中频繁就诊者的健康相关生活质量和临床健康结果的影响。
采用准实验设计。共有 110 名患者参与了这项研究。实验组（n=52）在芬兰的初级保健中心接受护士主导的健康辅导，对照组（n=58）接受常规护理。干预前和 12 个月通过健康辅导护士测量的健康相关生活质量和临床健康结果的问卷收集数据。
本研究发现，频繁就诊者的健康相关生活质量较低。护士主导的健康辅导在实验组和对照组之间的健康相关生活质量方面没有差异。然而，护士主导的健康辅导对实验组参与者的血压和健康相关生活质量有统计学上的显著影响，特别是在情绪角色限制和能量方面。
本研究表明，护士主导的健康辅导可能会改善频繁就诊者的健康相关生活质量和血压。
有针对性的健康辅导课程和行动计划支持了频繁就诊者的健康促进目标和实施。
