摘   要目的 通过调查某社区高血压患者健康素养现状素及对健康教育的需求，了解高血压患者健康素养水平及对健康教育的偏好，探索提高该社区高血压患者健康素养水平的健康教育形式。方法 采用随机抽样的方法对杭州市钱塘社区168名高血压患者健康素养情况及健康教育需求进行问卷调查，应用描述性统计、单因素方差分析及多元线性回归分析等对结果进行描述和分析。结果 高血压居民健康素养得分为84。81±7。904，具备信息获取能力的有31人，占18。45%；具备交流互动能力的有12人，占7。14%；106人具有较强的改善健康意愿，占总人数的63。10%，66人经济意愿较强，约占39。29%；具备健康素养的居民有17人，占总人数的10。12%。单因素方差分析表明：信息获取能力与年龄、学历、职业状态、家庭月收入有关（P<0。05)；交流互动能力与年龄、学历有关（P<0。05)；改善健康意愿与年龄、学历、婚姻状态有关（P<0。05)；经济支持意愿与职业状态、家庭月收入有关（P<0。05)。多元线性回归分析发现年龄和学历对信息获取能力、交流互动能力、改善健康意愿的影响仍然有统计学意义（P<0。05)。高血压患者最希望得到的健康教育内容为饮食指导、运动指导和生活方式指导；健康教育方式主要为医护人员现场讲解、病友介绍经验。结论 社区高血压居民健康素养水平偏低，年龄和学历是健康素养的主要影响因素；在健康教育方面，可以按照学历的不同，以病友之间交流为主，提高健康小册子、播放有益健康视频、录像、社区公众号的推广等的使用率，多种健康宣教形式相结合，由医护人员现场讲解饮食指导、运动指导和生活方式指导的内容。89087

Abstract：Objective Through investigating the status of health literacy and health education in a community, the health education level of hypertensive patients and the preference for health education were explored to explore the forms of health education to improve the health literacy level of hypertensive patients in the community。 Methods The questionnaire was used to investigate the health literacy and health education needs of 168 hypertensive patients in Qiantang community, Hangzhou。 The descriptive statistics, single factor analysis of variance and multiple linear regression analysis were used to describe and analyze the results。 Results The health literacy score of hypertensive residents was 84。81 ± 7。904, with information access capacity of 31 people, accounting for 18。45%; with interactive capacity of 12 people, accounting for 7。14%; 106 people have a strong desire to improve health, the total number Of the 63。10%, 66 people have a strong economic will, accounting for 39。29%; with health literacy of 17 people, the total number of 10。12%。Univariate analysis of variance showed that the ability of information acquisition was related to age, education, occupational status and household income (P<0。05)。 The interaction ability was related to age and education (P<0。05)。Improve the willingness to health and age, education, marital status (P<0。05), The economic support willingness was related to age, education and marital status (P<0。05)。Multiple linear regression analysis found that age and education had a statistically significant effect on information acquisition, communication, and willingness to improve health (P<0。05)。 Hypertension patients most want to get the contents of health education for the diet guidance, exercise guidance and lifestyle guidance; health education mainly for health care workers on-site to explain the experience of patients introduced。 Conclusion Community health level of low health, age and education are the main factors of health literacy; in health education, according to the different qualifications to exchange between patients mainly,improve the health pamphlet, play healthy video, video, community public number promotion, etc。, a variety of healthy forms of education combined by the medical staff on-site to explain dietary guidance, exercise guidance and lifestyle guidance content源Y于U优I尔O论P文W网wwW.yOueRw.com 原文+QQ75201-8766