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KTH干预模式对门诊老年高血压患者自我效能及治疗依从性的影响

Effect of KTH intervention mode on self-efficacy and treatment compliance in elderly hypertensive patients in outpatient department
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摘要 探讨KTH干预模式对门诊老年高血压患者自我效能及治疗依从性的影响。方法将500例老年高血压患者按就诊时间顺序分为观察组与对照组各250例。两组均给予常规护理干预,观察组在此基础上给予KTH干预模式,观察3个月。比较干预前后两组自护能力量表、自我效能感量表、健康行为量表评分,比较两组治疗依从率及血压水平变化情况。结果干预后两组自我护理能力测定量表、一般自我效能感量表、健康促进生活方式量表Ⅱ评分及治疗依从率均显著高于干预前(P<0.01),观察组显著高于对照组(P<0.01)。干预后两组收缩压及舒张压水平均较干预前显著降低(P<0.01),观察组较对照组降低更显著(P<0.01)。结论KTH干预可显著提高门诊老年高血压患者的自护能力、自我效能感及治疗依从性,有助于控制血压水平。 Objective To explore the effect of KTH intervention mode on self-efficacy and treatment compliance in elderly hypertensive patients in outpatient department.Methods 500 elderly patients with high blood pressure were selected and divided into the observation group and the control group,250 cases in each group.Routine nursing intervention was given to both groups,and the observation group was given KTH intervention mode on this basis for 3 months.The self-care ability scale,self-efficacy scale and health behavior scale scores of the two groups before and after the intervention were compared.The treat-ment compliance rate and blood pressure level of the two groups were compared.Results After the intervention,the self-care ability measurement scale,the general self-efficacy scale,the health promotion lifestyle scaleⅡscores and the treatment compliance rates of the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.01).After the intervention,the systolic blood pressure and diastolic blood pressure of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).Conclusion KTH intervention for elderly patients with hypertension in outpatient department can significantly improve patients'self-care ability,self-efficacy and treatment compliance,and help to control blood pressure levels.
作者 赵岭 陈昕 马梦冉 Zhao Ling;Chen Xin;Ma Mengran(Henan Province Hospital of TCM,Zhengzhou 450002,Henan,China)
机构地区 河南省中医院
出处 《临床心身疾病杂志》 CAS 2019年第1期87-90,共4页 Journal of Clinical Psychosomatic Diseases
关键词 高血压 KTH干预 自我效能 治疗依从性 自我护理能力测定量表 一般自我效能感量表 健康促进生活方式量表Ⅱ Hypertension KTH intervention self-efficacy treatment compliance self-capre ability measurement scale general self-efficacy scale health-promoting lifestyle profile Ⅱ
作者简介 赵岭,女,46岁,汉族,大专,主管护师。研究方向:临床护理。
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