基于知信行模式的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  

Effect of nursing intervention based on the pattern of knowledge, belief and action on anxiety and treatment compliance of elderly diabetic patients with hypertension

作　　者：张军[1] 王斌[2] 黄莹[2] 刘威娜[2] ZHANG jun;WANG Bin;HUANG Ying;LIU Wei-na(Department of Geriatric Center,the Fourth People's Hospital of Shenyang,Shenyang 110031,Liaoning,CHINA;Department of Endocrine,the Fourth People's Hospital of Shenyang,Shenyang 110031,Liaoning,CHINA)

机构地区：[1]沈阳市第四人民医院老年医学中心,辽宁沈阳110031 [2]沈阳市第四人民医院内分泌科,辽宁沈阳110031

出　　处：《海南医学》2020年第5期677-680,共4页Hainan Medical Journal

摘　　要：目的探讨基于知信行模式的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。方法选择2018年4月至2019年7月在沈阳市第四人民医院治疗的老年糖尿病合并高血压患者146例,按随机数表法分为对照组与观察组,每组73例。对照组采用常规护理,观察组采用基于知信行模式的护理干预。采用抑郁自评量表(SDS)与焦虑自评量表(SAS)评估患者护理前后的焦虑情绪;采用Morisky服药依从性量表评估患者的治疗依从性;采取WHO生活质量简表(WHOQOL-BREF)评估患者的生活质量;采用医院用护理满意度调查表评价患者的护理满意度。结果两组患者护理前的焦虑评分与抑郁评分比较差异均无统计学意义(P>0.05);观察组患者护理后抑郁程度与焦虑程度评分分别为(42.82±3.88)分与(43.15±4.08)分,明显低于对照组的(48.52±4.58)分与(49.21±4.31)分,差异均有统计学意义(P<0.05);观察组患者的治疗依从性为95.89%,明显高于对照组的84.93%,差异有统计学意义(P<0.05);两组患者护理前的心理维度、生理维度、环境维度、社会维度评分比较差异均无统计学意义(P>0.05);护理后观察组患者的心理维度、生理维度、环境维度、社会维度评分明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的护理满意度评分(9.55±1.57)分,明显高于对照组的(7.93±1.25)分,差异有统计学意义(P<0.05)。结论基于知信行模式的护理干预能改善老年糖尿病合并高血压患者的焦虑、抑郁等不良情绪,提高治疗依从性,改善患者生活质量。Objective To explore the effect of nursing intervention based on the pattern of knowledge, belief and action on anxiety and treatment compliance in elderly patients with diabetes and hypertension. Methods A total of146 elderly patients with diabetes and hypertension were treated in the Fourth People’s Hospital of Shenyang from April2018 to July 2019. They were divided into control group and observation group according to the random number table,with 73 patients in each group. The control group was given routine nursing care, and the observation group was given nursing intervention based on the pattern of knowledge, belief and action. Self-rating depression scale(SDS) and self-rating anxiety scale(SAS) were used to assess the anxiety of patients before and after nursing. Morisky medication compliance scale was used to evaluate patients’ treatment compliance. WHO Quality of Life-BREF(WHOQOL-BREF) was used to evaluate the quality of life of patients. The nursing satisfaction questionnaire was used to evaluate the patient’s nursing satisfaction. Results There was no significant difference in the anxiety score and depression score between the two groups of patients before nursing(P>0.05);the depression and anxiety scores of the observation group after nursing were(42.82±3.88) points and(43.15±4.08) points, significantly lower than(48.52±4.58) points and(49.21±4.31) points in control group(P<0.05). The compliance of the patients in the observation group was 95.89%, which was significantly higher than 84.93% in the control group(P<0.05). There were no significant differences in the scores of the psychological, physiological, environmental, and social dimensions between the two groups of patients before nursing(P>0.05);the scores of psychological,physiological, environmental, and social dimensions in the observation group after nursing were significantly higher than those in the control group(P<0.05). The nursing satisfaction score of patients in the observation group was(9.55±1.57) points, significantly highe

关 键 词：老年 糖尿病 高血压 知信行护理模式 焦虑情绪 依从性 生活质量 

分 类 号：R473.5[医药卫生—护理学]