“互联网+”在初诊高血压患者知行信干预中的应用价值  

The Application Value of“Internet+”in the Intervention of Knowledge,Practice and Belief in newly diagnosed Hypertension Patients

作　　者：杨俊娜[1] 赵亚男[1] YANG Junna;ZHAO Yanan(Department of general Medicine,Kaiyuan hospital,the First Affiliated Hospital of Henan University of science and technology,Luoyang Henan 471000,China)

机构地区：[1]河南科技大学第一附属医院开元院区全科医学科,河南洛阳471000

出　　处：《临床研究》2022年第9期146-149,共4页Clinical Research

摘　　要：目的观察“互联网+”在初诊高血压患者知行信干预中的应用价值。方法采用随机数字表法将2018年7月至2020年6月在河南科技大学第一附属医院开元院区就诊的初诊高血压患者108例分为对照组和观察组,各54例。对照组给予常规护理,观察组给予“互联网+”管理干预,均干预6个月。观察患者干预前后自我护理能力量表(ESCA)、焦虑自评量表(SAS)、一般自我效能感量表(GSES)、服药信念量表(BMQ)评分变化,并比较两组患者干预前后血压控制良好率。结果观察组干预后自我护理责任感、自我概念、健康知识及ESCA总分高于对照组,差异有统计学意义(P<0.05);观察组干预后GSES评分高于对照组,SAS评分低于对照组,差异有统计学意义(P<0.05);观察组干预后服药必要性、服药顾虑及BMQ总分高于对照组,差异有统计学意义(P<0.05);观察组血压控制良好率85.19%(46/54),高于对照组的68.52%(37/54),差异有统计学意义(P<0.05)。结论采用“互联网+”对初诊高血压患者进行知行信干预,能提高自我护理能力、治疗依从性和高血压控制率,并能改善其负性情绪。Objective To observe the application value of“Internet+”in the knowledge,practice and faith intervention of newly diagnosed hypertension patients.Methods A total of 108 newly diagnosed hypertensive patients in Kaiyuan Hospital of the First Affiliated Hospital of Henan University of science and technology from July 2018 to June 2020 were divided into control group and observation group by random number table method,with 54 cases each.The control group was given routine nursing,and the observation group was given"Internet+"management intervention,all of which were intervened for 6 months.The scores of self-care ability scale(ESCA),self-rating anxiety scale(SAS),general self-efficacy scale(GSES)and medication belief scale(BMQ)were observed before and after the intervention,and the good rate of blood pressure control was compared between the two groups before and after the intervention.Results After intervention,the total scores of self-care responsibility,selfconcept,health knowledge and ESCA in the observation group were higher than those in the control group(P<0.05);After the intervention,the GSES score of the observation group was higher than that of the control group,and the SAS score was lower than that of the control group(P<0.05);After the intervention,the necessity of taking medicine,the anxiety of taking medicine and the total score of BMQ in the observation group were higher than those in the control group(P<0.05);The good rate of blood pressure control in the observation group was 85.19%(46/54),which was higher than that in the control group 68.52%(37/54),the difference was statistically significant(P<0.05).Conclusion Using"Internet+"to conduct knowledge,practice and faith intervention for newly diagnosed hypertension patients can improve the self-care ability,treatment compliance and hypertension control rate,and improve their negative emotions.

关 键 词：互联网+ 初诊高血压 知行信 自护能力 依从性 

分 类 号：R47[医药卫生—护理学]