文献类型：期刊文献

英文题名：The effect of a family-centered empowerment model with traditional Chinese medicine health education on self-management in community-dwelling older adult hypertensive patients with a chance health locus of control

作者：Li, Fang[1];Li, Mengwei[1];Guo, Shaofan[2];Cao, Yuzhong[3];Zhang, Qingjin[4];Cheng, Tengteng[1];Li, Yingying[1]

第一作者：李芳

通信作者：Li, F[1]

机构：[1]Gansu Univ Chinese Med, Coll Nursing, Lanzhou, Gansu, Peoples R China;[2]Shenzhen Hosp Integrated Tradit Chinese & Western, Dept Endocrinol, Shenzhen, Guangdong, Peoples R China;[3]Gansu Prov Cent Hosp, Gansu Prov Matern & Child Care Hosp, Lanzhou, Gansu, Peoples R China;[4]Gansu Univ Chinese Med, Dept Crit Care Med, Affiliated Hosp, Lanzhou, Gansu, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Coll Nursing, Lanzhou, Gansu, Peoples R China.|[10735]甘肃中医药大学;

年份：2026

卷号：14

外文期刊名：FRONTIERS IN PUBLIC HEALTH

收录：;Scopus(收录号：2-s2.0-105047318514);WOS:【SSCI(收录号:WOS:001848753700001)，SCI-EXPANDED(收录号:WOS:001848753700001)】；

基金：The author(s) declared that financial support was received for this work and/or its publication. This research was supported by 'Higher Education of Gansu province' (No. 2026B-117).

语种：英文

外文关键词：aged; family-centered empowerment; health education; HTN; patient education; self-management

摘要：Background Despite much evidence showing the effectiveness of structured self-management education for patients with hypertension (HTN), poor blood pressure control remains a challenge among chance health locus of control (CHLC) older adults with HTN. Objective We explored the effect of a health education intervention based on the Family-Centered Empowerment Model (FCEM) on the self-management of opportunistic older adults with HTN in Lanzhou, China. Methods We conducted a 2-armed, randomized controlled trial using a multistage sampling method in China, Lanzhou, from May 2023 to January 2024. A total of 60 patients were randomly assigned to receive either community nurse-led HTN education based on the FCEM or general community HTN education. Blood pressure, Body Mass Index (BMI), and multidimensional health locus of control (MHLC) Scale Scores, and HTN self-management scores were compared at baseline and at 3 and 6 months after the intervention. Results Analyses were conducted on the 58 patients completing follow-up. In the experimental group, the systolic blood pressure (SBP) (t = -3.325, P = 0.002), diastolic blood pressure (DBP) (t = -5.110, P < 0.001), and the Chance control dimension of MHLC Scale scores (t = -4.781, P < 0.05) decreased; the scores on internal control dimensions (t = 8.493, P < 0.001) and self-management scores (t = 4.406, P < 0.001)improved compared with the control group at 6 months postintervention. There was a decrease in patients' BMI (t = -1.207, P = 0.232), but the difference was not statistically significant. Conclusions This study found that education based on the FCEM was associated with greater improvements in HTN self-management and blood pressure control compared with general health education among CHLC older adults with HTN.Clinical trial registration https://www.chictr.org.cn/showproj.html?proj=194623, identifier: ChiCTR2300070940.