Donabedian质量管理对老年动脉硬化闭塞症合并高血压患者的护理效果  

Nursing efficacy of Donabedian quality management on aged patients with ASO complicated hypertension

作　　者：努力古·吾甫[1] 黄杰[1] 吴志英[1] NULIGU Wufu;HUANG Jie;WU Zhi-ying(Department of Vascular Surgery,First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang Uygur Autonomous Region,830054,China)

机构地区：[1]新疆医科大学第一附属医院血管外科,新疆乌鲁木齐830054

出　　处：《心血管康复医学杂志》2022年第6期680-684,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：新疆医科大学人文社会科学基金项目(2016XYFG54)。

摘　　要：目的:研究Donabedian质量管理对老年动脉硬化闭塞症(ASO)合并高血压患者的护理效果。方法:我院的150例老年ASO合并高血压患者被随机均分为常规护理组和质量管理组(接受以Donabedian质量为核心的管理模式),两组均干预3个月。比较两组治疗依从性、不良事件发生率、护理满意度、干预前后自我效能量表(GSES)及世界卫生组织生存质量测定量表简表(WHOQOL-BRIEF)评分,分析依从性评分、GSES评分及WHOQOL-BRIEF评分间的相关性。结果:与常规护理组比较,干预后,质量管理组服药依从性[(1.55±0.62)分比(2.41±0.57)分]、生活习惯依从性[(1.53±0.56)分比(2.36±0.56)分]、坚持运动依从性[(1.47±0.62)分比(2.51±0.58)分]及自我监护依从性[(1.69±0.592)分比(2.24±0.59)分]评分,GSES评分[(38.19±5.01)分比(43.24±5.43)分],WHOQOL-BRIEF各维度得分均显著升高(P均=0.001)。质量管理组不良事件发生率(5.33%比16.00%)显著低于常规护理组,护理满意度(92.00%比78.67%)显著高于常规护理组,P<0.05或<0.01。Pearson相关性分析显示,GSES评分、WHOQOL-BRIEF评分与依从性评分均呈显著正相关(r=0.811、0.798,P均=0.001),GSES评分与WHOQOL-BRIEF评分呈显著正相关(r=0.768,P=0.001)。结论:以Donabedian质量为核心的管理可以显著改善老年ASO合并高血压患者治疗依从性、自我管理效能、护理满意度及生活质量,降低不良事件发生率。Objective:To study nursing efficacy of Donabedian quality management on aged patients with atherosclerosis obliterans(ASO)complicated hypertension.Methods:A total of 150 aged ASO patients with hypertension treated in our hospital were randomly and equally divided into routine nursing group and quality management group(received quality management based on Donabedian quality theory).Both groups were intervened for three months.Treatment compliance,incidence rate of adverse events,nursing satisfaction,scores of general self-efficacy scale(GSES)and World Health Organization Quality of Life-BRIEF(WHOQOL-BRIEF)before and after intervention were compared between two groups.Correlation among scores of compliance,GSES and WHOQOL-BRIEF was analyzed.Results:Compared with routine nursing group after intervention,there were significant rise in scores of medication compliance[(1.55±0.62)scores vs.(2.41±0.57)scores],living habits compliance[(1.53±0.56)scores vs.(2.36±0.56)scores],adherence to exercise compliance[(1.47±0.62)scores vs.(2.51±0.58)scores],self-care compliance[(1.69±0.59)scores vs.(2.24±0.59)scores],GSES score[(38.19±5.01)scores vs.(43.24±5.43)scores]and all dimension scores of WHOQOL-BREF in quality management group(P=0.001 all).Incidence rate of adverse events(5.33%vs.16.00%)was significantly lower,and nursing satisfaction(92.00%vs.78.67%)was significantly higher in quality management group than those in routine nursing group,P<0.05 or<0.01.Pearson correlation analysis indicated that scores of GSES and WHOQOL-BRIEF were significant positively correlated with compliance score(r=0.811,0.798,P=0.001 both),and GSES score was significantly positively correlated with WHOQOL-BRIEF score(r=0.768,P=0.001).Conclusion:Nursing management based on Donabedian quality theory can significantly improve treatment compliance,self-management efficacy,nursing satisfaction and quality of life,and reduce incidence rate of adverse events in aged ASO patients with hypertension.

关 键 词：高血压 动脉粥样硬化 护理 

分 类 号：R544.109[医药卫生—心血管疾病]