Health Management Model Construction and Effect Evaluation of Hypertension Patients Based on Disease-related Health Literacy
- Conditions
- Health LiteracyHypertension
- Interventions
- Behavioral: Health education tools combined with health literacy intervention
- Registration Number
- NCT04327102
- Lead Sponsor
- Huzhou Normal University
- Brief Summary
Huzhou City, Zhejiang Province was chosen as the research site, and a general hospital was randomly selected. The "Chinese version of hypertension health literacy scale" of the tutor of this research group was used to evaluate the health literacy level of inpatients with hypertension in the Department of Cardiology, and the patients with critical and lack of health literacy were selected as the research objects. In the control group, routine health management was carried out. On the basis of the control group, the intervention group used health education tools combined with health literacy intervention to implement interactive health management for 12 months. The results of the intervention measures were compared to evaluate the effects of the intervention measures on improving the health literacy level, Hypertension Self-care ability, quality of life and reducing systolic and diastolic blood pressure, body mass index, waist circumference, physiological and biochemical indicators of the patients, so as to provide theoretical basis and practical reference for the further development of prevention and treatment strategies of hypertension patients.
- Detailed Description
First, the Chinese version of hypertension health literacy scale was used to evaluate the health literacy of inpatients in a hospital, and then the critical and lack of health literacy patients were selected as the research objects.
Then, taking a place in Huzhou City of Zhejiang Province as the research site, a general hospital was randomly selected. According to the ratio of male to female = 1:1, the hypertension patients who meet the inclusion criteria were screened until the intervention group and the control group reached the required sample size. Patients were randomly assigned to the intervention group and the control group.
After the patients signed the informed consent, the patients were intervened. Finally, data collection and statistical processing are carried out
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 140
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental : intervention group Health education tools combined with health literacy intervention Combination of health education tools and health literacy intervention: on the basis of the control group, the hypertension health education tools are used as the education media to encourage patients to find out the elements of the tool chart, use the picture content to guide the topic development, encourage patients to discuss with each other, realize heuristic questions, rather than a single indoctrination, so as to deepen the understanding and memory of patients. At the end of the course, patients are encouraged to set short-term goals to encourage behaviors that continue to achieve larger goals. At the same time, health literacy lectures were organized during the hospitalization. Health literacy lecture is mainly to learn the information that hypertension needs to pay attention to in order to improve the health literacy of hypertension patients and other indicators.
- Primary Outcome Measures
Name Time Method Chinese version of Hypertension Self-care Profile 12 months There are 60 items in the scale. Each item in the scale is 1-4 points, and the total score of the scale is 60-240 points. The higher the score, the better the self-care ability. Compare the changes of patients' scale scores before and after intervention
High Blood Pressure-Health Literacy Scale into Chinese 12 months The scale consists of 15 items and 5 dimensions, with a total score of 0-60. One score will be given if one question is answered correctly. The higher the score is, the higher the HL level is. According to the TOFHLA classification standard, HL level is divided into three levels. If the score is less than 32, the HL level is deficient; if the score is 32-40, the HL level is critical; if the score is more than 40, the HL level is sufficient. The score of the scale before and after the intervention was compared.
Body Mass Index ，BMI 12 months According to 2008 WHO guidelines, BMI \< 25 kg / m2 is normal weight or low weight, 30 kg / m2 \> BMI ≥ 25 kg / m2 is overweight, BMI ≥ 30 kg / m2 is obesity. To evaluate the changes of BMI of patients before and after intervention
Quality of Life Instruments for Chronic Diseases - Hypertension V2.0: scale scores 12 months The scale consists of 41 items and uses the five point equidistant scoring method. The scores are 1, 2, 3, 4 and 5 in turn. The total score of the scale is between 41 and 205. The higher the score, the better the quality of life.Compare the changes of the scale scores before and after the intervention
Systolic and diastolic blood pressure in hypertension 12 months The decrease of systolic and diastolic blood pressure in hypertension patients after health literacy intervention
Waist Circumference，WC 12 months WC ≥ 102CM in male and 88cm in female were abdominal obesity, 94cm ≤ male WC \< 102CM, 80cm ≤ female WC \< 88cm are abdominal overweight, WC \< 94cm in male and 80cm in female is normal.To evaluate the changes of WC of patients before and after intervention
- Secondary Outcome Measures
Name Time Method Low Density Lipoprotein, LDL 12 months Comparison of changes in indicators before and after intervention
Total Cholesterol, TC 12 months Comparison of changes in indicators before and after intervention
Fasting Glucose, Glu 12months Comparison of changes in indicators before and after intervention
The self rated health status of the patients 12 months Draw a scale with a minimum of 0 and a maximum of 100. 0 represents the worst health condition in the patient's mind, and 100 represents the best health condition in the patient's mind.
Please mark the health status of the participants on the scale to help them reflect the health status