元认知干预策略对高血压患者血压控制及自我管理行为的影响
The impact of metacognitive strategy-oriented nursing interventions on blood pressure and self-management of hypertensive patients
周艳英 1陈丽丽 2雒丽3
作者信息
- 1. 中国人民解放军联勤保障部队第908医院干部病房,南昌 330002
- 2. 中国人民解放军联勤保障部队第908医院急诊科,南昌 330002
- 3. 中国人民解放军联勤保障部队第908医院心内科,南昌 330002
- 折叠
摘要
目的 探讨元认知干预策略对高血压患者血压控制及自我管理行为的影响.方法 选取2022年5月-2023年4月笔者所在医院收治的96例高血压患者为研究对象,采用随机数表法将其分为对照组和干预组,各48例.对照组实施常规干预,干预组在常规护理的基础上实施元认知干预策略.比较2组血压水平、自我管理行为及疾病感知.结果 干预3个月后,干预组收缩压、舒张压水平均低于对照组(t=2.778,P=0.007;t=4.667,P＜0.001),自我管理行为得分高于对照组(t=4.667,P＜0.001),疾病感知得分低于对照组(t=6.380,P＜0.001).结论 对高血压患者实施元认知策略干预,可以提高患者的自我管理行为,减轻其疾病感知程度,有助于患者血压水平的控制,值得临床推广应用.
Abstract
Objective To explore the impact of metacognitive strategy-oriented nursing interventions on blood pressure and self-management of hypertensive patients.Methods Totally 96 hypertensive patients admitted to author's hospital between May 2022 and April 2023 were selected and divided into a control group and an intervention group,each of 48,according to a random number table.Both groups received routine intervention,while the intervention group was additionally provided with metacognitive strategy-oriented nursing.Then the blood pressure,self-management and disease perception were compared between the two groups.Results After 3 months of intervention,the systolic and diastolic blood pressure,and disease perception of the intervention group were significantly lower than that of the control group(t=2.778,P=0.007;t=4.667,P＜0.001;t=6.380,P＜0.001),while the self-management was significantly higher than the latter group(t=4.667,P＜0.001).Conclusion Nursing interventions based on metacognitive strategies can lower blood pressure levels and disease perception,but improve the self-management behavior.Such intervention is worth of promotion in the clinical practice.
关键词
高血压/元认知/干预/血压水平/自我管理行为Key words
Hypertension/Metacognitive strategies/Intervention/Blood pressure level/Self-management behavior引用本文复制引用
出版年
2024
NETL
NSTL
万方数据