Effectiveness of a BCW-based interactive pictorial health education program among patients with hypertension in the urban-rural fringe area in China

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-04-08 DOI:10.1016/j.pec.2025.108782

Qinghua Zhang , Wei Gan , Ruqing Pei , Xuemei Bao , Yoko Shimpuku , Sanmei Chen , Li Song , Jinyu Yin , Yujie Wang , Yafei Zheng

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引用次数: 0

Abstract

Objective

To evaluate the effects of the interactive pictorial health education (IPHE) program on enhancing high blood pressure-specific health literacy (HBP-HL), controlling blood pressure, and improving self-management behavior (SMB) and Health-related Quality of Life (HRQOL) among hypertensive patients with inadequate HBP-HL (HPIH) in the urban-rural fringe area in China.

Methods

A quasi-experimental study with repeated measures was used. The intervention group (n = 60) received IPHE program, while the control group (n = 60) received health education lectures. Outcome measures were HBP-HL, systolic blood pressure (SBP), diastolic blood pressure (DBP), SMB and HRQOL evaluated at baseline (T₀), six months (T₆), nine months (T₉), and 12 months (T₁₂).

Results

The effects of intervention factors on HBP-HL, SBP and HRQOL were stronger over time (P < 0.05), but not on DBP and SMB. The SMB scores were better in the intervention group at T_6, T₉ and T_{12 (}P < 0_.05)_. Compared to T₀, the SBP and DBP in the intervention group decreased by 9.22 and 4.27 mmHg at T₁₂.

Conclusion

The IPHE program can enhance HBP-HL, control blood pressure, and improve SMB and HRQOL among HPIH.

Practice Implications

The IPHE program was an active and promising method to manage HPIH.

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以bcw为基础的互动式图示健康教育项目在中国城乡结合部高血压患者中的效果

目的评价交互式图像健康教育（IPHE）项目在提高中国城乡结合部高血压患者高血压特异性健康素养（HBP-HL）、控制血压、改善自我管理行为（SMB）和健康相关生活质量（HRQOL）方面的效果。方法采用重复测量的准实验研究。干预组（n = 60）接受IPHE方案，对照组（n = 60）接受健康教育讲座。结果指标为HBP-HL、收缩压（SBP）、舒张压（DBP）、SMB和HRQOL在基线（T0）、6个月（T6）、9个月（T9）和12个月（T12）时的评估。结果干预因素对HBP-HL、SBP和HRQOL的影响随时间的推移而增强（P <； 0.05），但对DBP和SMB的影响不明显。干预组的SMB评分在T6、T9、T12时均优于干预组（P <； 0.05）。与T0相比，干预组在T12时收缩压和舒张压分别下降9.22和4.27 mmHg。结论IPHE方案可提高HPIH患者的HBP-HL水平，控制血压，改善SMB和HRQOL。实践意义IPHE计划是一种积极和有前途的管理HPIH的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.