Skinner’s Health Education Model In Self-management Of Middle-aged And Elderly Patients With Hypertension Impact Study

Objective: The purpose of this study was to assess the current status of selfmanagement behavior and its influencing factors in middle-aged and elderly hypertensive inpatients,analyze the correlation between patients’ self-management behavior and the level of knowledge,self-perceived burden,and psychological capital,develop an intervention plan for self-management in middle-aged and elderly hypertensive patients using Skinner’s teaching theory as a guide,and explore the Skinner’s health education model in middle-aged and elderly hypertensive patients’ knowledge level,self-perceived burden,psychological capital burden,psychological capital,and self-management behavior in middle-aged and elderly hypertensive patients.Methods: 1.804 middle-aged and elderly inpatients with essential hypertension admitted to the hypertension department of the First Hospital of Xinjiang Medical University from January 2021 to June 2021 were selected as study subjects using the general information questionnaire,Hypertension Knowledgelevel Scale(HK-LS),Self-Perceived Burden Scale(SPBS),Positive Psy Cap Questionnaire(PPQ),Hypertension Patients Self Management Behavior Rating Scale(HSPBS),and the Hypertension Patients Self 2.210 middle-aged and elderly hypertensive patients admitted to the hypertension department of the First Hospital of Xinjiang Medical University from January 2021 to June 2022 were selected,and the study subjects were randomly divided into the control group and the experimental group according to the different intervention methods by using a single-blind method and according to the order of hospitalization time.The study subjects were randomly divided into control group and experimental group,105 cases in each group.In the control group,traditional health education was used,and in the experimental group,the Skinner health education model was used on the basis of traditional health education in the control group.Before the intervention,1 month after the intervention,3 months after the intervention and 6 months after the intervention,the knowledge acquisition of hypertension,self-perceived burden,psychological capital,selfmanagement behavior,changes in blood pressure,BMI level and health management satisfaction were evaluated in the two groups.Results: 1.The results of the baseline data survey showed that the total score of hypertension knowledge level was(10.49±6.86),the total score of self-perceived burden was(34.91±8.60),the total score of psychological capital was(117.89±27.90),and the total score of self-management behavior was(102.32± 22.19);2.By Pearson correlation analysis The results showed that self-management behavior of hypertensive patients was positively correlated with knowledge level and psychological capital;self-management behavior was negatively correlated with patients’ self-perceived burden(P<0.01);3.The results of multiple linear regression analysis showed that age,education level,family history,knowledge level,self-perceived burden,and psychological capital were the influencing factors of self-management behavior of middle-aged and elderly hypertensive patients;4.Before the intervention,the two groups Patients’ knowledge level,self-perceived burden,psychological capital,and selfmanagement behaviors were at moderate levels.The knowledge level,psychological capital,and self-management behavior of the test group were better than those of the control group after 1 month,3 months,and 6 months of intervention(P<0.05,P<0.01,P<0.001);the self-perceived burden and blood pressure level of the test group were lower than those of the control group(P<0.05,P<0.01,P<0.001).The BMI values of the two groups showed no statistically significant differences before and 1 month after the intervention(P>0.05),and the BMI values of the test group were lower than those of the control group after 3 and 6 months of the intervention(P<0.01,P<0.001);the differences in health management satisfaction between the two groups before the intervention were not statistically significant(P>0.05),and the health management satisfaction of the test group was better than that of the control group after 6 months of the intervention.The results of repeated measures ANOVA showed that the differences in time effect,group effect and interaction effect of patients’ blood pressure level,knowledge level,selfperceived burden,psychological capital and self-management behavior after the intervention were statistically significant(P<0.001).the differences in time effect and group effect of BMI value were statistically significant(P<0.001),and the differences in group effect were not statistically significant(P>0.05).Conclusion: 1.The level of knowledge,self-perceived burden,psychological capital and self-management behavior of middle-aged and elderly people are generally at an intermediate level 2.The level of knowledge,self-perceived burden,psychological capital and self-management behavior of patients are closely related.3.Skinner’s health education model has a positive effect on the level of knowledge,self-perceived burden,psychological capital and self-management behavior of middle-aged and elderly hypertensive patients.