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健康教育和促进领域的无名英雄:社区卫生工作者如何助力高血压管理。

Unsung heroes in health education and promotion: How Community Health Workers contribute to hypertension management.

机构信息

Department of Preventive Medicine and Population Health, University of Texas at Tyler Health Science Center, Tyler, TX, United States.

Department of Health Policy, Economics, and Management, University of Texas at Tyler Health Science Center, Tyler, TX, United States.

出版信息

Front Public Health. 2023 Feb 23;11:1088236. doi: 10.3389/fpubh.2023.1088236. eCollection 2023.

Abstract

Rural communities are noted as having poor health outcomes. Rural areas experience barriers to care primarily due to a lack of resources, including education, health insurance, transportation, and social support. Additionally, poor health outcomes are a consequence of poor health literacy skills. Community Health Workers (CHWs) are utilized as a resource to combat these issues. This study focused on a CHW led Self-Management Blood Pressure (SMBP) program offered through the University of Texas at Tyler Health Science Center. The goal of the program was to improve management of hypertension through awareness, education, navigation, advocacy, and resource assistance. The SMBP program included structured workshops and regular follow-up with participants including connections to community resources and social support. CHWs worked closely with physicians providing bi-directional feedback on referrals and engagement of communities through outreach events. Furthermore, CHWs aided to bridge cultural or linguistic gaps between service providers and community members. Data is provided indicating this CHW-led intervention played a significant role in improving hypertension through education of how to make lifestyle changes that impact overall health and quality of life. Participants gained knowledge encouraging them to create lifelong healthy habits, coping skills, stress management, self-care, and accountability. Through this innovative approach, participants thrived in the supportive and encouraging environment led by CHWs as well as improved their blood pressure management.

摘要

农村社区的健康状况较差。农村地区在获得医疗服务方面存在障碍,主要是因为缺乏资源,包括教育、医疗保险、交通和社会支持。此外,较差的健康素养技能也是健康状况不佳的后果。社区卫生工作者(CHWs)被用作解决这些问题的资源。本研究关注的是由德克萨斯大学泰勒健康科学中心开展的 CHW 主导的自我管理血压(SMBP)项目。该项目的目标是通过提高认识、教育、指导、倡导和资源援助来改善高血压的管理。SMBP 项目包括有组织的研讨会和定期与参与者进行随访,包括与社区资源和社会支持的联系。CHWs 与医生密切合作,通过外展活动提供双向反馈,以促进社区参与和转诊。此外,CHWs 还帮助弥合服务提供者和社区成员之间的文化或语言差距。有数据表明,这种由 CHW 领导的干预措施在通过教育如何改变生活方式来影响整体健康和生活质量方面,对改善高血压起到了重要作用。参与者获得了鼓励他们养成终生健康习惯、应对技能、压力管理、自我保健和责任感的知识。通过这种创新方法,参与者在 CHWs 领导的支持和鼓励环境中茁壮成长,并改善了他们的血压管理。

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