| Objective:To understand the current application status of health coaching and self-management behavior of patients with primary hypertension in the community.To explore the impact of health coaching on self-management behavior and quality of life of patients with primary hypertension in the community.Methods:(1)Review the literature,systematically search the relevant literatures on health coaching and self-management behaviors of patients with hypertension in the community,analyze and summarize.(2)Using the convenience sampling method,two communities in Yingze District,Taiyuan City,Shanxi Province were selected from January 2019 to June 2019,and one community was randomly selected as the experimental group and the other as the control group.132 cases of patients with primary hypertension included in the exclusion criteria were grouped by random number table.The experimental group(n=65)used healthy coaching to intervene,and the control group(n=67)used conventional community-based management methods for patients with primary hypertension.The intervention period was 6 months.(3)Data collection was performed before and after patient intervention using the"Hypertension Patients’Self-Management Behavior Assessment Scale(HPSMBRS)","the MOS item short from health survey(SF-36)",and blood pressure values as evaluation indicators.(4)Data analysis was performed using SPSS 25.0 statistical software.?x±s,number of cases and composition ratio,median and interquartile range are used for description.Two independent samples t test,χ~2 test,Fisher exact test,rank sum test are used for comparison between groups.Results:(1)Comparison of general information in patients with hypertension132 patients enrolled in the study,77 were male(58.3%)and 55 were female(41.7%).The average age was(54.25±5.469)years.The experimental group had 65patients,37 males(56.9%)and 28 females(43.1%).The average age(54.08±5.538)years old.The control group had 67 patients,including 40 males(59.7%)and 27 females(40.3%).The average age was(54.53±5.437)years old.The two groups of patients are comparable.There were no significant differences in the marital status,education,work status,living style,and average monthly income of the two groups of patients in the two groups by the t test,χ~2test,or Fisher’s exact probability test(P>0.05).(2)Blood pressure in patients with hypertensionBefore the intervention,the systolic blood pressure in the experimental group was(148.42±3.409)mmHg,the diastolic blood pressure was(86.75±3.527)mmHg.The systolic blood pressure in the control group was(147.88±3.319)mmHg,and the diastolic pressure was(87.61±3.266)mmHg.There was no statistical significance(P>0.05);after intervention,the systolic blood pressure in the experimental group was(134.48±3.428)mmHg,the diastolic blood pressure was(82.45±3.396)mmHg.The systolic blood pressure in the control group was(139.46±3.354)mmHg,diastolic blood pressure.It was(84.16±3.440)mmHg,and the difference was statistically significant(P<0.05).(3)Self-management behavior in patients with hypertensionBefore the intervention,there was no significant difference in the total scores of self-management behavior,diet management,medication management,mood management,work and rest management,exercise management,and disease monitoring scores between the experimental group and the control group(P>0.05);after intervention,the total scores of self-management behavior,diet management,medication management,mood management,work and rest management,exercise management,and condition monitoring were higher in the experimental group than in the control group,and the differences were statistically significant(P<0.05).(4)Quality of life in patients with hypertensionBefore the intervention,there was no significant difference in the total quality of life scores,physical functioning,role-physical,bodily pain,general health,vitality,social functioning,role-emotional,and mental health scores between the experimental group and the control group(P>0.05);after intervention,the total score of quality of life,physical functioning,role-physical,general health,vitality,social functioning,role-emotional,and mental health score of the experimental group were higher than those of the control group,the difference was statistically significant(P<0.05),and there was no significant difference in bodily pain score(P>0.05).Conclusion:Health coaching is applied to patients with primary hypertension in the community,which can effectively control the patient’s blood pressure level,enhance the patient’s ability and confidence in self-disease management,improve the patient’s self-management behavior,and then improve the patient’s quality of life. |
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