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目的：探究以家庭为中心的健康教育对高血压社区患者自我效能的影响。方法以随机数字表法将134例2014.4-2015.4于本中心确诊为高血压的社区患者平均分为A、B两组，A组使用常规健康宣教方式对其进行高血压相关健康教育指导。B组在A组基础上使用以家庭为中心的健康教育方式进行健康宣教。对比两组患者自我效能的变化情况。结果健康教育前两组患者自我效能差异较小，P＞0.05；健康教育后，B组自我效能评分（34.67±3.24）分高于A组（29.81±2.67）分，差异均较大，P＜0.05。结论为更好地对高血压患者血压进行有效控制，可对患者实施以社区为基础、以家庭为中心的健康教育。“,”Objective:To observe the effect of family centered health education on hypertension patients’self efficacy in community.Method: 134 hypertension patients treated in our center during Apr 2014 to Apr 2014 were selected and they were divided into A B groups according to the random number table method.A group used routine health education methods to carry out hypertension related health education guidance. Based on that, B group used family centered health education mode to carry out health education. The changes of self efficacy were compared between the two groups.Result: Before treatment, self efficacy difference is small(P>0.05); After treatment, the score of B group was (34.67±3.24) which was higher than A group(29.81±2.67), and the efficacy difference is great(P<0.05).Conclusion:In order to control the blood pressure of the hypertension patients, treatment based on community and centered in family can be implemented.