護理指導對高血壓員工自我照護之影響

The Influence of Nursing Intervention on Hypertensive Employees' self-care

張媚(Mei-Chang Yeh) ； 陳滋茨(Zei-Tei Chen) ； 徐幸妙(Hsing-Miao Hsu) ； 林豔君(Yen-Chun Lin)

《中華公共衛生雜誌》 18卷4期 (1999/08) Pp. 247-254

https://doi.org/10.6288/CJPH1999-18-04-03

摘要

Objectives: The purpose of the study was to evaluate the effectiveness of worksite nursing intervention via individual health teaching and regular follow-ups for hypertensive employs. Methods: A pre-experimental design was chosen for the study. It was conducted in 6 large or medium manufacturing companies. The subjects were 408 employed adults with elevated blood pressure (≧140/90 mmHg). The experimental nursing interventions were provided by trained occupational health nurses. The interventions included regular blood pressure readings and individual nursing counseling on subject's self-care. Data were collected at baseline, 4-and 16-month intervals from subject's blood pressure records and If-completed questionnaires. Results: Significant improvements were shown in subject's knowledge and self-care behavior, such as exercise frequency, healthy diet consumption, and weight control. Meanwhile, significant reductions (P＜0.001) were observed in subjects blood pressure. Average decreases were 11.31 mmHg for systolic and 7.07 mmHg for diastolic blood pressure alter 4-month nursing intervention. At the end of 16 months of intervention, the effects mentioned above were maintained or further improved. Conclusions: Worksite nursing intervention via individual health teaching and regular follow-ups can effectively improve hypertensive employs self-care.

關鍵字

高血壓 ； 自我照護 ； 護理措施 ； 工作場所

並列摘要

Objectives: The purpose of the study was to evaluate the effectiveness of worksite nursing intervention via individual health teaching and regular follow-ups for hypertensive employs. Methods: A pre-experimental design was chosen for the study. It was conducted in 6 large or medium manufacturing companies. The subjects were 408 employed adults with elevated blood pressure (≧140/90 mmHg). The experimental nursing interventions were provided by trained occupational health nurses. The interventions included regular blood pressure readings and individual nursing counseling on subject's self-care. Data were collected at baseline, 4-and 16-month intervals from subject's blood pressure records and If-completed questionnaires. Results: Significant improvements were shown in subject's knowledge and self-care behavior, such as exercise frequency, healthy diet consumption, and weight control. Meanwhile, significant reductions (P＜0.001) were observed in subjects blood pressure. Average decreases were 11.31 mmHg for systolic and 7.07 mmHg for diastolic blood pressure alter 4-month nursing intervention. At the end of 16 months of intervention, the effects mentioned above were maintained or further improved. Conclusions: Worksite nursing intervention via individual health teaching and regular follow-ups can effectively improve hypertensive employs self-care.

並列關鍵字

hypertension ； self-care ； nursing intervention ； workplace