家庭訪視與電話衛教對高血壓患者知識增進效果之研究

The Effects of Home-Visiting and Telephone Education in Improving Hypertension Knowledge for Hypertensive Patients

王瑞霞(Ruey-Shya Wang) ； 沈素月(Su-Yueh Shen)

《The Kaohsiung Journal of Medical Sciences》 3卷10期 (1987/10) Pp. 668-673

https://doi.org/10.6452/KJMS.198710.0668

摘要

對高雄市三民區安東里及安生里高血壓患者，經隨機抽樣分為家庭訪視組(n=22)，電話衛教組(n=25)及控制組(n=23)，比較以不同方法以相同內容的衛教，對高血壓患者知識增進的效果。結果顯示衛教前，三組研究對象在高血壓佑識的得分，無顯著的差異，然而在衛教後，三組的測試結果，除了對高血壓合併症的認識此一項之得分沒有差異外，其餘各項得分三組間有顯著地差異，若再比較衛教前後的得分情形，控制組除了在高血壓影響因素的認識得分前後有差異外，其餘各項得分在衛教前後並無顯著的不同，而家庭訪視與電話衛教組後的各項得分，則皆顯著地高於衛教前之得分。但再比較二組於衛教後的得分，則發現無顯著地差異，可佑家庭訪視與電話衛教雖然是兩種不同的衛教方法，但對高血壓患者知識的增進，其效果卻是一樣的，同時衛教時家庭訪視平均比電話衛教多花約2～4分的時間，且家庭訪視時訪視者至患者家中所須時間，平均約須15.55±2.46分，所以電話衛教比家庭訪視能為省時且有效的衛教方法。

並列摘要

A total of 70 hypertensive patients collected from An-Tung and An-Sheng village of the San-Min district, Kaohsiung city, were divided randomly into 3 groups: a home-visiting group (n=22), a telephone-education group(n=25)and a controlled group(n=23). The effects of these 3 different education methods in improving patient’s hypertension knowledge were evaluated.
The study showed that there were no significant differences in the hypertension knowledge scores among the 3 groups prior to education.The hypertension knowledge scores before and after education however revealed significant differences in the home-visiting and telephone-education groups, but not in the controlled group. However in the scores following education there were no significant differences between home-visiting and telephone-education groups. These results indicated that both home-visiting and telephone-education had the same effects in improving the patient’s hypertension knowledge.
The duration of travel for a home-visiting was 18.55±5.26 minutes, and the home-visiting group required more than the 2-4 minutes used by the telephone-education group for educating

並列關鍵字

hypertension knowledge ； home visit ； telephone education