首页|知信行模式护理干预对老年糖尿病合并高血压患者焦虑情绪及治疗依从性的影响研究

知信行模式护理干预对老年糖尿病合并高血压患者焦虑情绪及治疗依从性的影响研究

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目的 探讨应用知信行模式护理干预对老年糖尿病合并高血压患者焦虑情绪、治疗依从性的价值.方法 选取2021 年2 月至2022 年4 月本社区卫生服务中心管理的老年糖尿病合并高血压患者100 例为研究对象,按照随机数字表法分成观察组50 例和对照组50 例.两组均应用对症治疗干预方法,对照组在此基础上应用常规护理干预措施,观察组则是在常规护理基础上增加知信行模式护理干预措施.对比两组干预前与干预后1 周、2 周、4 周的焦虑情绪(SAS)评分变化,对比两组患者的治疗依从性情况,对比两组干预前及干预3 个月生活质量评分(SF-36)变化情况.结果 两组患者干预后1 周、2 周、4 周的SAS评分比干预前评分降低,而观察组患者在干预后的不同时间SAS评分低于对照组(P<0.05);饮食方式、遵医用药、运动锻炼、生活作息的依从占比,观察组分别为94.00%、98.00%、90.00%、84.00%,对照组分别为80.00%、84.00%、74.00%、60.00%,观察组高于对照组(P<0.05);在干预3 个月的SF-36 个维度评分比干预前提高,观察组评分高于对照组(P<0.05).结论 应用知信行模式护理干预老年糖尿病合并高血压,可以有效控制患者焦虑情绪,提高患者的治疗依从性及生活质量,值得推广.
The value of the application of knowledge,belief and practice model in nursing intervention on anxiety and treatment com-pliance of elderly patients with diabetes and hypertension
Objective To explore the value of the application of knowledge,belief and practice model(KAP model)in nursing intervention on anxiety and treatment compliance of elderly patients with diabetes and hypertension.Methods Selected in February 2021 to April 2022 management of senile diabetic hypertension patients 100 cases as the research object,according to random num-ber table method,divided into observation group(n =50),the control group(n =50).Two groups are symptomatic treatment inter-vention method,the control group of routine nursing intervention measures,on the basis of the observation group is on the basis of conventional nursing increase KAP model of nursing intervention measures.one week,2 weeks and 4 weeks after comparing the two groups before intervention,intervention of anxiety(SAS)score changes,compared two groups of treatment adherence for patients,compared the two groups before intervention and intervention for 3 months the quality of life score(SF-36)changes.Results Two groups of patients after the intervention one week,2 weeks and 4 weeks of SAS scores than lower scores before intervention,while the observation group in the different time after intervention in patients with SAS score lower than the control group(P<0.05);Diet,exercise,life work and rest,according to medical drug compliance proportion,observation group were 94.00%,98.00%,90.00%,84.00%,the control group were 80.00%,84.00%,74.00%,60.00%,the observation group is higher than the control group(P<0.05);Within 3 months of intervention of SF-36 dimension score higher than that of before intervention,observation group score higher than the control group(P<0.05).Conclusion Nursing intervention of elderly diabetes hypertension KAP model,can effec-tively control the anxiety patients,to improve the therapeutic compliance of patients and the quality of life,is worth promoting.

elderlydiabeteshypertensionKAP modelnursing interventionanxietytreatment compliance

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天津市滨海新区胡家园街社区卫生服务中心 300454

老年 糖尿病 高血压 知信行 护理干预 焦虑情绪 治疗依从性

2022年度天津市滨海新区卫生健康委科技项目

2022BWKJ001

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(1)
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