改變生活型態、增進高血壓自我保健知識與行為有助於控制高血壓,延緩高血壓合併證的發生。本研究旨在探討高血壓自我保健的衛生教育介入,社區民眾對高血壓自我保健知識與行為的成效。以台中市某兩個里之社區關懷據點中,具有高血壓病史的社區民眾為對象。立意取樣,分成實驗組21人,對照組21人,採類實驗(Quasi-experimental)設計法進行,實驗組給予連續四週高血壓自我保健衛生教育之介入措施,對照組則無。結果顯示藉由對社區民眾衛生教育的介入,高血壓自我保健知識提升,統計上呈顯著差異,具有成效。高血壓「應減少攝取的食物」行為提升,統計上呈顯著差異,具有成效;就醫回診及運動行為則無顯著差異。本研究結果可提供社區健康照護者,擬定社區高血壓民眾相關健康促進計畫之參考,提供未來臨床醫護人員在設計高血壓衛教方案時之依據,亦可做為其他慢性病實施衛教方案設計之參考。
Changing the life style, promoting the behaviours and knowledge of self-care in hypertension are helpful to control the disease of hypertension and delay the probability of the complication of hypertension. This study is aimed to explore the involvement of the self-care health and health education in hypertension and to evaluate the effect amongst the community. The participants include the mid-aged and old people with hypertension from two community care stations in Taichung. Twenty-one participants were recruited in the experimental group and 21 were in the control group, utilizing the quasi-experimental design. The experimental group was continually offered the self-care health education as the involvement in the period of four weeks. The control group received none. According to the result, the involvement of health education in the community and the progress of self-care in hypertension were statistically distinguishable and effective. In addition, there was significant effect in educating the intake. However; there was no obvious difference in re-check in the hospital and exercise behaviours. The findings of the research may help the community health care providers to plan the health promotion program in hypertension for the community people.