5A护理模式对原发性高血压患者自我管理能力的影响  

Effect of 5A nursing model on self-management ability of patients with primary hypertension

作　　者：孙党红[1] 戴莉[2] 许婷婷[2] 孟洁 朱玲[2] 伏饶 沙朦 吴怡 SUN Danghong;DAI Li;XU Tingting;MENG Jie;ZHU Ling;FU Rao;SHA Meng;WU Yi(Outpatient Department,Northern Jiangsu People′s Hospital in Jiangsu Province,Yangzhou,Jiangsu,225001;Department of Cardiovascular Medicine,Northern Jiangsu People′s Hospital in Jiangsu Province,Yangzhou,Jiangsu,225001;Medical College of Yangzhou University,Yangzhou,Jiangsu,225009)

机构地区：[1]江苏省苏北人民医院门诊部,江苏扬州225001 [2]江苏省苏北人民医院心血管内科,江苏扬州225001 [3]扬州大学医学院,江苏扬州225009

出　　处：《实用临床医药杂志》2022年第19期111-114,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省人兽共患病重点实验室“护馨基金”资助项目(HX2012)。

摘　　要：目的 探讨以交互式多媒体为平台的5A护理模式对原发性高血压患者自我管理能力的影响。方法 选择原发性高血压患者74例为研究对象,采用随机数字表法分为研究组和对照组,每组37例。对照组采用常规健康教育、出院宣教和出院后随访6个月,研究组采用以交互式多媒体为平台的5A护理模式给予患者健康教育、出院宣教和出院后随访6个月。观察并记录2组患者的自我管理能力和血压控制情况。结果 研究组干预后生活自理能力为(135.89±8.38)分,高于对照组的(118.89±9.68)分,差异有统计学意义(P<0.05);6个月后,研究组患者平均收缩压为(139.22±8.25) mmHg,平均舒张压为(84.57±7.10) mmHg,均低于干预前且优于对照组,差异有统计学意义(P<0.05)。结论 以交互式多媒体为平台的5A护理模式能够进一步提高原发性高血压患者的自我管理能力,改善患者血压控制情况。Objective To explore the effect of 5 A nursing model based on interactive multimedia platform on the self-management ability of patients with primary hypertension. Methods A total of 74 patients with primary hypertension were selected and randomly divided into study group and control group, with 37 cases in each group. The control group was conducted with routine health education, discharge education and 6-month follow-up after discharge, while the study group was conducted with health education, discharge education and 6-month follow-up after discharge by 5 A nursing model based on interactive multimedia platform. The self-management ability and blood pressure control in both groups were observed and recorded. Results After the intervention, the score of self-care ability in the study group was(135.89±8.38), which was significantly higher than(118.89±9.68) in the control group(P<0.05). After 6 months, the average systolic blood pressure and diastolic blood pressure in the study group were(139.22±8.25) and(84.57±7.10) mmHg, which were significantly lower than those before the intervention and those in the control group(P<0.05). Conclusion 5 A nursing model based on interactive multimedia platform can further enhance self-management ability and improve blood pressure control of patients with hypertension.

关 键 词：交互式多媒体平台 5A护理模式 高血压 自我管理能力 

分 类 号：R544.1[医药卫生—心血管疾病] R541.3[医药卫生—内科学]