基于 PRECEDE-PROCEED 模式的教育干预对高血压患者自我护理行为和生活质量的影响。
The effect of educational intervention based on the PRECEDE-PROCEED model on self-care behaviors and quality of life of hypertensive patients.
机构信息
Nutrition Research Center, Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Front Public Health. 2024 Jul 18;12:1410843. doi: 10.3389/fpubh.2024.1410843. eCollection 2024.
BACKGROUND
To prevent the harmful consequences of hypertension and enhance the quality of life of hypertensive patients, the use of educational models is highly suggested. Therefore, the present study was designed to determine the effect of education based on the PRECEDE-PROCEED on self-care behaviors and the quality of life of hypertensive patients in Kazeroon city, Iran, in 2023.
METHODS
A total of 120 hypertensive individuals who were referred to Kazeroon city health centers participated in the current quasi-experimental study. The participants were divided into two experimental and control groups using a random sampling technique (60 participants in each group). The self-care behaviors questionnaire, the quality of life questionnaire, and a questionnaire based on the PRECEDE-PROCEED model were used as the data acquisition techniques. Both groups completed the questionnaires before and 2 months after the intervention. The educational program included a six-session, 50-60 min training program using three different teaching methods (speaking, Q&A, group discussion, and peer training) in health facilities. The data were examined using paired , independent , and chi-square statistical tests after being entered into the SPSS 24 statistical program.
RESULTS
Following the intervention, the experimental group showed significantly higher values in quality of life, knowledge, attitude, enabling and reinforcing factors, and self-care behaviors compared to the control group ( < 0.001 for all comparisons). The experimental group also exhibited a significant reduction in systolic blood pressure measures compared to the control group ( < 0.001).
CONCLUSION
In the present study, education based on the PRECEDE-PROCEED model and focusing on blood pressure self-care behavior in patients with hypertension led to a decrease in their systolic blood pressure measures and improved their quality of life.
背景
为了预防高血压的不良后果，提高高血压患者的生活质量，建议使用教育模式。因此，本研究旨在确定基于 PRECEDE-PROCEED 的教育对伊朗卡泽伦市高血压患者自我护理行为和生活质量的影响，研究于 2023 年进行。
方法
本研究共纳入 120 名被转诊至卡泽伦市健康中心的高血压患者，采用随机抽样技术将其分为实验组和对照组（每组 60 名）。采用自我护理行为问卷、生活质量问卷和基于 PRECEDE-PROCEED 模型的问卷作为数据采集技术。两组在干预前和干预后 2 个月均完成了问卷。教育计划包括在卫生设施中进行六节、50-60 分钟的培训课程，使用三种不同的教学方法（演讲、问答、小组讨论和同伴培训）。将数据输入 SPSS 24 统计程序后，采用配对、独立和卡方检验进行分析。
结果
干预后，实验组在生活质量、知识、态度、促进和强化因素以及自我护理行为方面的得分均显著高于对照组（所有比较均<0.001）。与对照组相比，实验组的收缩压也显著降低（<0.001）。
结论
本研究表明，基于 PRECEDE-PROCEED 模型并关注高血压患者的血压自我护理行为的教育可降低其收缩压，并改善其生活质量。
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