The Intervention Study Of IMB Phone SMS Education Applied In Community Elderly Hypertention Patients’ Self-Efficacy

Objective:To explore the community elderly hypertensive patients self-efficacy level and the influences of IMB model combined with the telephone message education in community elderly hypertensive patients self-efficacy level, anti-hypertensive efficacy, medication adherence, the score of hypertension related knowledge and quality of life. To provide a scientific basis for nursing intervention in community elderly hypertensive patients.Method:1. Adopt the method of stratified random sampling and extract 250 community elderly hypertensive patients who live in Xixiang Tang area Nanmian community Guangxi Nanning city. Using self-made community elderly hypertensive patients’general information questionnaire, morisky scale, Chinese questionnaire of quality of life in patients with cardiovascular disease, score of hypertension related knowledge questionnaire, self-efficacy assessment scale for Hypertensives. Using descriptive statistics method to analyze the current of patient general condition, self-efficacy level. Using Spearman correlation analysis to study the relationship among hypertension disease related knowledge score, medication adherence, quality of life with self-efficacy.2. Randomized clinical trial study. The hypertension patients, using randomized divided into intervention group and control group, each group of 45. Intervention group implement the IMB telephone message education intervention program, the program is divided into three stages, the first is the information support stage(3 days once to send text messages for 2 months,20 times in total), the second is the motivational interviewing stage (1 week 1 time for 2 months, eight times in total), the last stage of behavioral skills (including four times Telephone guidance,1 week 1 time and a centralized demonstration activities).Control group with telephone message education intervention program (including 20 times message interactions with 10 times Phone interactions and a centralized demonstration activities).Assess the intervention effects in 1,3,5 month by using hypertension self-efficacy scale, medication adherence scale, quality of life questionnaire, the blood pressure value. To entry and analyze the data with the EPidata3.0 software and SPSS 17.0 software. The mainly statistical methods are descriptive analysis, independent sample t-test, chi-square, repetitive measure analysis of variance, etc.P<0.05 was representing the difference was statistically significant.Result:1. The community hypertension patients self-efficacy is (27.32+4.490) points, scoring index is 0.62, general self-efficacy in the medium level. Individual self-efficacy≤2 points of the more than half of the total project has five:exercise (accounting for 61.4% of the total), reasonable diet (accounting for 69.1% of the total), take medicine on time (accounts for 58.3% of the total), blood pressure monitoring (accounts for 50.3% of the total) and return on a regular basis (accounting for 65.2% of the total).2. Hypertension patients in community self-efficacy and medication adherence and quality of life, high blood pressure disease related knowledge positively correlated (’r’respectively 0.298,0.844,0.307; P<0.05), The each dimensions self-efficacy and medication adherence, quality of life, high blood pressure disease related knowledge positively correlated (r=0.101～ 0.620; P<0.05).3. The IMB phone SMS education program used in hypertension patients in community3.1 After the intervention, intervention group’s level of self-efficacy, hypertension related knowledge score, medication adherence and quality of life score are better than before, and the difference has a significant meaning; Blood pressure is lower than before, and the difference has significant meaning.3.2 After intervention two groups of patients’levels of self-efficacy, hypertension disease related knowledge score, medication adherence exist significant difference.Conclusion1. Community elderly hypertension patients’ self-efficacy in the medium level, and suggests we should focus on the exercise, diet, medication, monitoring blood pressure, regularly visit these five aspects of self-efficacy.2. We can improve the level of community elderly hypertension patients self-efficacy to improve patients’medication adherence, life quality and hypertension related knowledge.3.IMB phone SMS education intervention program can enhance the community elderly hypertension patients self-efficacy level of medication adherence and hypertension related knowledge.