基于知-信-行护理干预模式在高血压合并脑卒中患者应用效果分析  

Application Effect Analysis of Knowledge Attitude Practice Nursing Intervention Model in Patients with Hypertension and Stroke

作　　者：王瑾悦 陈婕琳 冷爱华 张慧[1] 杨娟娟[1] 张淑艳[1] WANG Jinyue;CHEN Jielin;LENG Aihua;ZHANG Hui;YANG Juanjuan;ZHANG Shuyan(Traditional Chinese Medicine Department,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui,233000)

机构地区：[1]蚌埠医学院第一附属医院中医科,安徽蚌埠233000

出　　处：《智慧健康》2023年第8期241-245,共5页Smart Healthcare

摘　　要：目的 探讨基于知-信-行的护理干预模式在高血压合并脑卒中患者的应用效果。方法 选取蚌埠医学院第一附属医院老年病科因高血压合并脑卒中住院治疗的88例患者作为研究对象,随机分为观察组与对照组。其中,对照组仅应用常规护理方式,观察组使用知-信-行护理干预方式。本研究采用状态焦虑问卷调查表(S-AI)、特质焦虑问卷调查表(T-AI)、中文测试版Mishel疾病不确定感量表(MUIS)以及中文版患者积极度量表(PAM),搜集两组患者的相关数据并比较干预前后10d患者的焦虑状态、不确定感数值及对治疗的积极度数值。结果 采用本研究所提知-信-行护理干预模式后患者S-AI、T-AI、MUIS数值均显著低于对照组,PAM数值显著高于对照组,除此之外,观察组住院时间小于对照组,治疗费用小于对照组,护理满意度高于对照组,且三者P<0.05,差异具有统计学意义。结论 基于知-信-行的护理干预模式在高血压合并脑卒中患者应用后,能明显缓解患者焦虑状态,减轻对疾病的不确定感,提高对疾病诊治的积极性,缩短住院时间、减少费用、护理满意度高。Objective To explore the application effect of the nursing intervention model based on knowledge,attitude and practice in patients with hypertension complicated with stroke.Methods Eighty-eight patients who were hospitalized for hypertension combined with stroke in the geriatric department of the First Affiliated Hospital of Bengbu Medical College were selected as study subjects and randomly divided into observation group and control group.Among them,the control group only applied the conventional nursing care method,while the observation group used the know-trustact nursing intervention method.The State Anxiety Inventory(S-AI),the Trait Anxiety Inventory(TAI),the Chinese version of the Mishel Uncertainty Inventory(MUIS)and the Chinese version of the Patient Activation Measure(PAM)were used to collect data from both groups and to compare the anxiety status,uncertainty values and positivity towards treatment values of the patients before and after 10d of the intervention.Results In addition to this,it should be noted that the length of stay in the observation group was less than that of the control group,the cost of treatment was less than that of the control group,and the satisfaction with care was higher than that of the control group,and all three P-values were less than 0.05,with statistically significant difference.Conclusion After the application of the nursing intervention model based on knowledge,attitude and practice in patients with hypertension and stroke,it can significantly relieve the anxiety state of patients,reduce the uncertainty of the disease,improve the enthusiasm of disease diagnosis and treatment,shorten the length of hospital stay,reduce costs,and have high nursing satisfaction.

关 键 词：知-信-行护理模式 状态焦虑量表 特质焦虑量表 疾病不确定感量表 

分 类 号：R473[医药卫生—护理学]