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在线团体教育对促进高血压患者知识、动机、自我效能、自我护理行为及预防血压失控的影响:一项准实验研究。

The Effect of Online Group Education on Promoting Knowledge, Motivation, Self-Efficacy, Self-Care Behaviors and Preventing Uncontrolled Blood Pressure in Hypertensive Patients: A Quasi-Experiment Study.

作者信息

Upoyo Arif Setyo, Sari Yunita, Taufik Agis, Anam Akhyarul, Kuswati Ani

机构信息

Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Jawa Tengah, Indonesia.

Department of Nursing, Poltekkes Kemenkes Semarang, Semarang, Jawa Tengah, Indonesia.

出版信息

SAGE Open Nurs. 2024 Dec 12;10:23779608241299288. doi: 10.1177/23779608241299288. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

Hypertensive patients may lack time to visit clinics and attend educational sessions, resulting in poor blood pressure control. Uncontrolled blood pressure in people with hypertension can increase the risk of heart disease and stroke.

OBJECTIVE

The specific purpose of this study was to determine the effect of online group education on knowledge, motivation, self-efficacy, self-care behavior, and blood pressure control of hypertensive patients.

METHOD

The research method used a quasi-experiment method. The subjects were hypertensive patients in Indonesia. The sampling technique used was cluster random sampling. Total sampling consisted of 96 participants, consisting of 48 intervention groups and 48 control groups. The inclusion criteria in the study were patients with primary hypertension who were willing to become research respondents. The exclusion criteria in this study were respondents who were sick and unable to follow therapy, had hearing problems, and had complications of other diseases (kidney disease, heart disease, diabetes mellitus, and stroke). Data collection methods include observation. The instruments used were the HKLS, HBP-SCP questionnaire, and Sphygmomanometer digital.

RESULT

Data analysis using repeated ANOVA and Friedman tests. There was a significant decrease in systolic ( < .001) and diastolic ( = .001) blood pressure and an increase in knowledge ( < .001), motivation ( < .001), self-efficacy ( < .001), and self-care behavior ( < .001) in the intervention group.

CONCLUSION

Online group education effectively reduces blood pressure and increases self-care behaviors in hypertensive patients.

摘要

引言

高血压患者可能没有时间去诊所就诊并参加教育课程,导致血压控制不佳。高血压患者血压不受控制会增加患心脏病和中风的风险。

目的

本研究的具体目的是确定在线小组教育对高血压患者的知识、动机、自我效能感、自我护理行为和血压控制的影响。

方法

研究方法采用准实验法。研究对象为印度尼西亚的高血压患者。采用的抽样技术是整群随机抽样。总样本包括96名参与者,分为48个干预组和48个对照组。本研究的纳入标准是愿意成为研究对象的原发性高血压患者。本研究的排除标准是患病且无法接受治疗、有听力问题以及患有其他疾病(肾病、心脏病、糖尿病和中风)并发症的研究对象。数据收集方法包括观察。使用的工具包括HKLS、HBP-SCP问卷和数字血压计。

结果

采用重复方差分析和弗里德曼检验进行数据分析。干预组的收缩压(<0.001)和舒张压(=0.001)显著降低,知识(<0.001)、动机(<0.001)、自我效能感(<0.001)和自我护理行为(<0.001)有所增加。

结论

在线小组教育能有效降低高血压患者的血压并增加其自我护理行为。

相似文献

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Vascular function in hypertension: does gender dimension matter?高血压中的血管功能:性别维度重要吗?
J Hum Hypertens. 2023 Aug;37(8):634-643. doi: 10.1038/s41371-023-00826-w. Epub 2023 Apr 15.
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Hypertension in Women.女性高血压
Front Cardiovasc Med. 2022 Jun 3;9:905504. doi: 10.3389/fcvm.2022.905504. eCollection 2022.

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