| ObjectiveThe purpose of this study is to understand the status quo of Mongolian hypertension patients’ disease-related knowledge,self-efficacy,quality of life and medication compliance in Inner Mongolia.To explore the effect of network interactive health education on blood pressure,disease-related knowledge,self-efficacy,quality of life,medication compliance and satisfaction with nursing services of Mongolian hypertension patients,so as to provide up-to-date information on the status quo of Mongolian hypertension in Inner Mongolia and scientific basis for prevention and control of Mongolian hypertension population.Methods1.Using convenient sampling method,138 Mongolian hypertension patients were selected from January to November 2019 in a medical examination center of a 3A hospital in Hohhot.The general situation questionnaire(self-made),hypertension knowledge questionnaire,hypertension self-efficacy questionnaire,medication compliance questionnaire and China Cardiovascular Quality of Life Assessment Questionnaire(CQCC)were used to describe blood pressure value,self-efficacy level,quality of life level and satisfaction score of hypertension-related knowledge.The frequency and composition ratio were used to describe the general information and medication compliance of patients.2.138 Mongolian hypertension patients were selected as the research object and divided into groups by random number table method.Odd numbers were divided into experimental group and even numbers were divided into control group.Finally,2 patients were lost to follow-up.A total of 136 patients completed all interventions.The experimental group implemented a network interactive health education program,which is based on We Chat platform,combined with We Chat assistant,Monclerite input method and other software,and combined with CICARE communication mode,to carry out continuous,dynamic and network health education for Mongolian hypertension patients for three months.The control group implemented conventional health education methods,and used the same scale as the first partto evaluate on the day and three months after the establishment of We Chat group,and increased the satisfaction scale after three months of intervention to evaluate the health education satisfaction.Use the quantized data to build a database,compare and analyze the results.Results1.This part is a descriptive study,in which 144 patients were investigated,6 invalid questionnaires and 138 valid questionnaires were collected.The specific results are as follows:(1)The average score of related knowledge of Mongolian hypertension patients is 5.971.26,which is at a medium level.(2)The average score of self-efficacy of Mongolian hypertension patients is 26.76 3.37,which is at a moderate level.(3)The total score of quality of life for Mongolian hypertension patients is 75.96 19.75,which is basically consistent with the national norm of quality of life for hypertension patients.(4)Among 138 Mongolian hypertension patients,medication compliance is generally at the middle and lower levels.2.This part is divided into quasi-experimental studies,including 138 patients and 2patients who were lost to follow-up.Finally,136 patients were completed in this study,68 in the experimental group and 68 in the control group.There was no statistical difference in gender,age,educational level,drinking or not,body mass index between the two groups(P>0.05).The remaining results are as follows:(1)blood pressure: before the intervention,the two groups had the same baseline(p <0.05);After the intervention,compared with the control group,the difference between systolic pressure and diastolic pressure in Mongolian hypertension patients was statistically significant(P<0.05)and the effect in the experimental group was more significant(P<0.05).(2)hypertension related knowledge: before the intervention,the baseline of the two groups was the same(P<0.05);After the intervention,the scores of hypertension-relatedknowledge in the experimental group were significantly different from those in the control group(P<0.05),and the effect in the experimental group was more significant(P<0.05).(3)self-efficacy: before the intervention,the baseline of the two groups was the same(P<0.05);After the intervention,the differences of compliance behavior dimension and drug therapy dimension between the two groups were statistically significant(P<0.05)and the effect of the experimental group was better than that of the control group(P<0.05).There was no significant difference in the scores of health behavior dimensions between the two groups(P<0.05).There was no significant difference in the scores of daily life dimension and total score between the control group and the pre-intervention group(P>0.05),while there was significant difference between the experimental group and the pre-intervention group(P<0.05).(4)quality of life: before the intervention,the two groups had the same baseline(p >0.05);After the intervention,the total score of quality of life,physical strength,disease condition,general life,social psychology and working conditions of the experimental group and the control group had no significant difference compared with those before the intervention(P > 0.05).In the medical dimension,the difference between the two groups after intervention and before intervention was statistically significant(P<0.05)and the effect of the experimental group was more significant(P<0.05).(5)medication compliance: after intervention,the number of patients with good medication compliance in the experimental group increased from 16(23.5%)to 41(60.3%);The number of patients with moderate medication compliance decreased from 35(51.5%)to24(35.5%),while the number of patients with poor medication compliance decreased from 17(25%)to 3(4.4%).After the intervention,the number of patients with good medication compliance in the control group increased from 14(20.6%)to 27(39.7%).The number of patients with moderate medication compliance decreased from 39(57.4%)to 32(47.1%),while the number of patients with poor medication compliance decreased from 15(22%)to 9(13.2%).The difference between the two groups after intervention and before intervention was statistically significant(P<0.05),and the effect of the experimental group was moresignificant(P<0.05).(6)satisfaction: the difference between the experimental group and the intervention group was statistically significant(P<0.05).Conclusion1.Mongolian hypertension patients’ hypertension-related knowledge is at a medium level,their self-efficacy is at a medium level,their medication compliance is generally at a lower-middle level,and their quality of life is basically consistent with the national hypertension norm.2.Network interactive health education can effectively control systolic and diastolic blood pressure of Mongolian hypertension patients,improve the level of hypertension-related knowledge,medication compliance level and intervention effect is better than conventional health education.It can effectively improve the scores of daily life,compliance behavior,medication dimension and total score of Mongolian hypertension patients’ self-efficacy,and the intervention effect is better than that of conventional health education,but the scores of self-efficacy and health behavior dimension of this health education have not been improved,which needs further in-depth discussion.It can effectively improve the score of medical treatment in quality of life,but it has no effect on the total score of quality of life and the score of physical strength,disease condition,general life,social psychology and working condition,which needs further in-depth discussion.Internet interactive health education helps to improve the satisfaction of Mongolian hypertension patients with nursing services. |
PDF Full Text Request