自我效能增强干预应用于高血压患者的效果研究  

Effect of applying self-efficacy intervention to hypertensive patients

作　　者：周静[1] 杨青敏[1] 林文[1] 杨玲娣[1] 华祎[1] 

机构地区：[1]复旦大学附属上海市第五人民医院,上海200240

出　　处：《上海护理》2009年第3期17-20,共4页Shanghai Nursing

基　　金：上海市闵行区自然科学研究课题(2007MH029)

摘　　要：目的探讨自我效能理论应用在高血压患者中的作用和效果。方法采用随机、对照的临床试验设计,将2007年10月—2008年1月在心内科住院的高血压患者80例随机分为实验组40例和对照组40例。对照组采用药物治疗和常规护理措施;实验组采用药物治疗和增强自我效能的护理干预方法。比较两组患者干预前后自我效能的差异,不同年龄患者干预前后自我效能的差异和不同性别患者干预前后自我效能的差异。结果两组患者干预前后自我效能比较差异有统计学意义(P<0.01);不同年龄患者干预前后自我效能的比较差异有统计学意义(P<0.01);不同性别患者干预前后自我效能的比较差异无统计学意义(P>0.01)。结论增强高血压患者的自我效能,可提高患者处理解决问题、完成目标和应付事情的自信心,促进高血压患者自觉做好疾病的自我管理,有利于高血压患者控制病情,提高生活质量。Objective To study the application of self-efficacy theory in hypertensive patients, it＇s way of intervention and result. Methods Eighty inpatients with hypertension from Oct. 2007 to Jan. 2008 were equally divided into the study group and control group randomly. Self-efficacy intervention together with drug therapy were applied in the study group. Control group received routine nursing care and drug therapy. The difference of nursing effects between the two groups and the intervention effects among patients with various ages or different gender were compared. Results The self-efficacy testing scores in the study group were significant higher than that of the control group （P 〈0.01）. The intervention in different aged patients, were also statistically significant（P 〈0.01）. There was no significant difference be-tween different gender. Conclusion Self-efficacy intervention can effectively improve life quality of hypertensive patients. Increasing the self-efficacy of hypertensive patients may promote their self-manage-ment ability and improve health behavior.

关 键 词：高血压 自我效能 自我管理 

分 类 号：R473.5[医药卫生—护理学]