Health Management Model Construction and Effect Evaluation of Hypertension Patients Based on Disease-related Health Literacy

Huzhou Normal University

Status: Unknown

Conditions: Hypertension; Health Literacy

Treatments: Behavioral: Health education tools combined with health literacy intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04327102

HuzhouNormalU

Details and patient eligibility

About

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.

Full 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

Enrollment: 140 estimated patients

Sex: All

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria：

• Age ≥ 16 years old and has lived in Huzhou for nearly half a year;
• The Chinese version of the hypertension health literacy scale was used to evaluate the health literacy of those with a total score of less than 32 + the critical group;
• In line with the diagnostic criteria for essential hypertension set out in China's hypertension prevention and control guidelines in 2018, systolic blood pressure ≥ 140mmHg, and / or diastolic blood pressure ≥ 90mmHg;
• In the last half year, the living condition is stable, and there is no major stress event (such as the death of relatives, etc.);
• Volunteer to participate in the study, and sign the informed consent of research willingness.

Inclusion Criteria：

• All kinds of secondary hypertension patients;
• Major stress events occurred during the study period;
• Have serious mental disorder or serious cognitive function defect;
• Patients with severe acute and chronic physical diseases；
• Cardiovascular risk factors: low risk or high risk.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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140 participants in 2 patient groups

Experimental : intervention group

Experimental group

Description:

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.

Treatment:

Behavioral: Health education tools combined with health literacy intervention

No intervention:The control group

No Intervention group

Description:

No intervention except conventional care were performed for the control group