Application Study Of Health Education Based On The Self-regulated Learning Theory In Community Elderly Hypertensive Patients

ObjectiveImplement health education which based on self-regulated learning theory in community elderly hypertensive patients,in order to explore the effect of health education which based on self-regulated learning theory on blood pressure,self-management behavior,self-efficacy,medication compliance,knowledge of hypertension,and quality of life.And to compare the effects of health education and routine education on improving the self-management behavior,self-efficacy,and quality of life of community elderly hypertension patients.To provide theoretical and practical basis for the future research on related health education and the health education based on self-regulated learning theory in immunity elderly hypertension patients.MethodsIn this study,four communities with similar economic and health conditions(Wufuqiao community,Tonghui community,Jingjusi community,Niusha community)under the jurisdiction of Wufu Community Health Service Center in Jinjiang District of Chengdu were divided into two groups by geographical location.Within the range of the communities under the jurisdiction of the two groups of communities,among the elderly patients with hypertension in the health service center who had health records and joined the chronic disease management system,40 elderly patients with hypertension were randomly selected,and a total of 80 patients were included.Two groups of patients were randomly divided into experimental group and control group.The control group used routine health education.The experimental group used health education based on self-regulated learning theory.Both groups used collective health education knowledge lectures and individualized health education,those two intervention forms were conducted every one a weeks,including 6 lectures on health education for 30-45 minutes and 6 times for individual health education for 3 months in all.The self-management behavior scale for hypertensive patients,self-efficacy evaluation scale for hypertension patients,hypertension knowledge scale,drug compliance scale and quality of life scale(SF-36)were used before and after the intervention for evaluation between groups and within group,All the research data collected were analyzed by Spss21.0 statistical software.ResultsIn this study,71 cases of elderly hypertension patients were recovered,including 36 cases in the experimental group(4 cases were dropped out,0 cases were excluded),and 35 cases in the control group(4 cases were removed and 1 cases were excluded).1.Baseline dataBefore the intervention,the general information,self-management behavior score,self-efficacy score,hypertension knowledge score,drug compliance score,blood pressure and other dimensions were compared between the experimental group and the control group.The difference were no statistical significance(P>0.05).The data of the two groups can be compared.2.Blood pressure measurement resultsThe level of systolic blood pressure and diastolic blood pressure in experimental group were lower than that in control group(P<0.05).The level of systolic blood pressure and diastolic blood pressure in experimental group were lower than that before the intervention(P<0.05).There was no significant difference in blood pressure before and after intervention in the control group(P>0.05).3.Self-management behavior measurement resultsThe scores of diet management,medication management,emotion management,work and rest management,disease monitoring and the total score of the self-management behavior scale of the elderly hypertension patients in the experimental group were higher than those in the control group(P<0.05),but there was no significant difference in the score of motor management between the two groups after intervention(P>0.05).The five dimensions of diet management,medication management,emotion management,work and rest management,and disease monitoring in the experimental group were higher than those before intervention(P<0.05),but there was no significant difference between the before and after the intervention in the dimension of exercise management(P>0.05).And there was on difference of control groups between the before and after the intervention(P>0.05).4.Self-efficacy measurement resultsThe scores of daily life,compliance,drug therapy and the total score of the scale in the self-efficacy evaluation scale of the elderly hypertension patients in the experimental group were higher than those in the control group(P<0.05),and there was no significant difference between the two groups before and after the intervention(P>0.05).In the experimental group,the scores of daily life,compliance behavior,drug therapy and the total score of the scale were higher than those before intervention(P<0.05),but there was no significant difference between the before and after the intervention in the dimension of health behavior dimension(P>0.05).And there was no significant difference between the groups before and after the intervention in the elderly hypertension patients in the control group(P>0.05).5.Evaluation results of knowledge level of HypertensionThere was no significant difference in hypertension knowledge scores between the elderly hypertensive patients in the experimental group and the control group(P>0.05).The knowledge scores of hypertension in the experimental group and the control group were higher than those before the intervention(P<0.05).6.Medication compliance measurement resultsIn the experimental group,the medication compliance score of elderly hypertension patients was higher than that of the control group after intervention(P<0.05).The medication compliance after the intervention in the experimental group was higher than that before the intervention(P<0.05),but there was no significant difference about the control group between the before and after the intervention(P>0.05).7.Quality of Life measurement ResultsThe scores of physical pain,general health,vitality/energy,emotional function,mental health,physical health,mental health and the total score of the quality of life were higher than those of the control group(P<0.05),but there was no significant difference in the three dimensions of physiological function,physiological function and social function between the two groups(P>0.05).In the experimental group,the scores of physical pain,general health,vitality/energy,emotional function,mental health,physical health,mental health and the total score of the quality of life were higher than those before the intervention(P<0.05),And there was no significant difference in the scores of physiological function,physiological function and social function before and after the intervention(P>0.05).There was no significant difference about the control group between the before and after the intervention in the scores of each dimension of the quality of life scale,physical health and mental health scores and the total score(P>0.05).ConclusionsThe application of health education self-regulated learning theory can effectively improve the self-management behavior,drug compliance and hypertension knowledge level,enhance their self-efficacy,effectively regulate their blood pressure,and improve significantly the quality of life of community elderly hypertension patients.Therefore,applying health education self-regulated learning theory on the community elderly hypertension patients can effectively improve the effect of health education and lay a theoretical and practical foundation for the study of health education for other chronic diseases.It is worth popularizing and applying the model of health education in the community in order to promote the effective management of chronic diseases in the community.