Grueninger U J
Patient Educ Couns. 1995 Sep;26(1-3):37-55. doi: 10.1016/0738-3991(95)00750-t.
The face of hypertension has been changing rapidly over the last few decades, from a serious disease to a cardiovascular risk factor. Patient education has been instrumental in bringing about tremendous improvements in hypertension-related mortality, morbidity, life expectancy, and life quality. Patient education has evolved from an adjunct to medical therapy to an intervention in its own right. In this process patient education tasks and techniques themselves have undergone remarkable developments, driven by evolving patient needs due to medical progress. The same is true for the roles of patients and health care providers. Dealing with hypertension is a behavior change process which demands serious learning efforts from all parties involved, patients, health practitioners and health care administrators alike. This paper focuses therefore on patient education for preventive behavior change and risk factor management. Special emphasis will be placed on processes and tools for effective patient education.
在过去几十年里，高血压的面貌迅速改变，从一种严重疾病转变为心血管危险因素。患者教育在降低高血压相关死亡率、发病率、延长预期寿命以及提高生活质量方面发挥了巨大作用。患者教育已从医疗治疗的辅助手段演变成一种独立的干预措施。在此过程中，由于医学进步导致患者需求不断变化，患者教育的任务和技术本身也取得了显著进展。患者和医疗保健提供者的角色变化亦是如此。应对高血压是一个行为改变过程，需要患者、健康从业者和医疗保健管理人员等所有相关方付出认真的学习努力。因此，本文重点关注针对预防行为改变和危险因素管理的患者教育。将特别强调有效开展患者教育的过程和工具。
