以知信行教育为核心的护理模式在高血压合并动脉粥样硬化患者中的应用效果  

Effect of Nursing Model with Knowledge and Belief Education in Patients with Hypertension and Atherosclerosis

作　　者：黎秀菊 黄娉欢 /LI Xiuju;HUANG Pinghuan(Haifeng County Pengpai Memorial Hospital,Haifeng 516400,China)

机构地区：[1]海丰县彭湃纪念医院,广东海丰516400

出　　处：《中外医学研究》2020年第12期88-90,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究以知信行教育为核心的护理模式应用于高血压合并动脉粥样硬化(atherosclerosis,AS)患者的效果。方法:选择2018年1月-2019年1月于笔者所在医院进行治疗的高血压合并AS患者100例,通过随机数字表法分为观察组49例,对照组51例。对照组采用常规护理,观察组在对照组基础上联合以知信行教育为核心的护理模式,比较两组干预后血压、血压变异性(BPV)、颈动脉超声指标、自护能力、治疗依从性和护理满意度。结果:干预后观察组血压及血压变异性均优于对照组,颈动脉斑块面积和颈动脉内膜中层厚度均低于对照组,差异均有统计学意义(P<0.05)。干预后两组ESCA评分比较差异无统计学意义(P>0.05),观察组MMAS-8评分、护理满意度均高于对照组,差异均有统计学意义(P<0.05)。结论:以知信行教育为核心的护理模式能够改善高血压合并AS患者BPV及颈动脉粥样硬化程度,增强治疗依从性,提高护理满意度,值得临床推广。Objective:To explore the effect of nursing model with knowledge and belief education in patients with hypertension and atherosclerosis(AS).Method:From January 2018 to January 2019,100 patients with hypertension and AS who were treated in our hospital were selected,and were divided into the observation group(49 cases)and the control group(51 cases).The routine nursing was used in the control group,and the nursing model with knowledge and belief education was used in the observation group on the basis of the control group.The blood pressure,blood pressure variability(BPV),carotid ultrasound,self-care ability,treatment compliance and nursing satisfaction of two groups were compared.Result:After intervention,the blood pressure and blood pressure variability in the observation group were better than those in the control group,and the area of carotid plaque and carotid intima-media thickness were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in ESCA scores between the two groups after intervention(P>0.05),and the MMAS-8 scores and nursing satisfaction in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The nursing model with knowledge and belief education can improve the BPV and carotid atherosclerosis in patients with hypertension complicated with AS,enhance treatment compliance and improve nursing satisfaction,which is worthy of clinical promotion.

关 键 词：知信行教育 护理模式 高血压 动脉粥样硬化 血压变异性 

分 类 号：R473.5[医药卫生—护理学]