护理干预对高血压性鼻出血患者自我效能及再出血的影响  

Effect of nursing intervention on self-efficacy and relapse of epistaxis in hypertensive patients

作　　者：张桂华[1] 金蕾[1] 李桂珠[1] 

机构地区：[1]江苏大学附属医院,江苏镇江212001

出　　处：《齐鲁护理杂志》2015年第9期25-27,共3页Journal of Qilu Nursing

摘　　要：目的:探讨自我效能护理干预对高血压性鼻出血患者自我效能及再出血率的影响。方法:将70例高血压性鼻出血患者随机分为对照组和实验组各35例,对照组在常规止血、药物治疗的同时给予责任制整体常规护理,实验组在此基础上给予自我效能增强的护理干预,干预时间均为6个月,比较两组自我效能、血压控制及再出血率的情况。结果:干预后实验组自我效能高于对照组,平均血压及再出血率低于对照组,差异均有统计学意义(P<0.05)。结论:对高血压性鼻出血患者在实施止血及药物治疗基础上进行自我效能增强护理干预,有助于提高其自我效能,控制血压水平,降低再出血率。Objective：To discuss the effect of nursing intervention on self - efficacy and relapse of epistaxis in hypertensive patients. Methods：70 hypertensive patients with epistaxis were randomly divided into the control group and the experimental group（35 cases in each group）. The patients in the control group were given holistic nursing care while they received conventional hemostasis and medication;the patients in the experimental group were provided nursing intervention on enhancement of self - efficacy. The intervention lasted 6 months, and then the self - efficacy,the control of blood pressure and the re - bleeding rate were compared between the two groups. Results：The self - efficacy of the patients in the experimental group is better than the control group after the intervention,the average blood pressure and re - bleeding rate of the patients was lower in the experimental group than the control group,the differences between the two groups were statistically significant（P 〈 0. 05）. Conclusion：The nursing intervention on the self - efficacy of the patients based on hemostasis and drug treatment is helpful to control blood pressure and reduce the re - bleeding rate.

关 键 词：高血压 鼻出血 自我效能 护理干预 

分 类 号：R473.5[医药卫生—护理学]