MP4應用於中老年人高血壓的衛教
MP4 應用於中老年人高血壓的衛教
吳曼阡1 林祝君2*
1 慈濟技術學院護理系講師、慈濟大學醫學科學研究所博士候選人
2*慈濟技術學院護理系副教授
摘 要
本研究目的在提升在中老年人高血壓飲食及自我照顧的認知，並評價MP4 於提升疾病認知與自我照顧之成效。本研究的研究假設為透過MP4 在高血壓衛教的應用能提高中老年人高血壓認知，並期望能改變其健康行為。本研究採隨機對照試驗（RCT）立意選取花蓮縣社區中老年人，隨機方式分派為實驗組及對照組，共計80 位社區中老年人參與本研究。實驗組接受「運用MP4 於高血壓認知、飲食與運動處方的介入措施」，而對照組則採取「一般衛教單張指導」。所有實驗組及對照組參與者皆在參與實驗前後，分別進行基本資料高血壓認知、運動行為自我效能、自我照顧行為量表等各變項資料之收集。以描述性統計、t 檢定進行統計分析，研究結果如下：研究對象以女性居多，年齡介於40 至58 歲之間，實驗組平均年齡49.73±5.593 歲，對照組為47.70±5.464 歲。二組在高血壓認知、運動行為自我效能、自我照顧行為後測得分上達顯著差異（p＜.05），且實驗組得分高於對照組。由以上結果得知，運用圖像及示範所指做的衛教內容，其衛教成效優於傳統衛教單張，因此多媒體的衛教方式是一項值得推廣的衛教措施，可以作為護理指導的參考。
關鍵字：MP4、高血壓、衛教、健康行為
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Using MP4 in Hypertension Education for Middle Age to
Elderly Population
Mann-Chian Wu 1 Zu-Chun Lin 2*
1 Lecturer, Tzu Chi College of Technology; Doctoral Student, Tzu Chi University
2＊Associate Professor, Tzu Chi College of Technology
Abstract
This study compared hypertension knowledge, self-efficacy in exercise and diet, and self-care behavior in middle-aged population with two types of health education methods: MP4 player versus brochure. An experimental pre-test and post-test design was used. Participants were randomly assigned to either experimental (n = 40) or comparison groups (n = 40). The experimental group was arranged to use MP4 players for hypertension education, and then received questionnaires at pre and post of intervention covering the topics of hypertension knowledge, self-efficacy in exercise and diet, and self-care behaviors. The comparison group was given an educational brochure and received the same pre and post of intervention questionnaires.Results: The experimental group scored significantly higher than the comparison group in hypertension knowledge (p=.000), self-efficacy for exercise (p=.015), and self-care behaviors (p=.019) at post test. The MP4 player group showed better outcomes
in hypertension knowledge and health behavior obedience.
Keywords：MP4 Players, Hypertension, Education, Health Behavior
