计划行为理论指导下的认知干预在高血压三级患者中的应用  

Application of cognitive intervention guided by the theory of planned behavior in patients with grade 3 hypertension

作　　者：朱云 刘芳 郭艳娟[1] 肖月[1] 赵德友[1] 杨慧亮 ZHU Yun;LIU Fang;GUO Yanjuan(Department of Internal Medicine,Daxing Hospital of Capital University of Medical Sciences,Beijing 102600,China)

机构地区：[1]首都医科大学大兴医院内科,北京市102600 [2]首都医科大学大兴医院NCU,北京市102600

出　　处：《河北医药》2024年第3期463-466,共4页Hebei Medical Journal

基　　金：北京大兴区人民医院科技项目(编号:4202012320)。

摘　　要：目的探讨计划行为理论指导下的认知干预在高血压三级患者中的应用效果。方法采用便利抽样法选择2021年9月至2022年12月诊治的高血压3级患者116例,随机数字表法分为对照组和观察组,每组58例。对照组接受常规认知干预,观察组接受计划行为理论指导下的认知干预。比较2组血压控制达标情况、高血压治疗态度与信念、自我管理能力。结果干预3个月时,观察组收缩压下降值、舒张压下降值和血压控制达标率均高于对照组,差异有统计学意义(P<0.05)。2组高血压治疗态度与信念各维度及总分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。2组自我管理能力各维度及总分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论计划行为理论指导下的认知干预可有效加强高血压3级患者的治疗态度和信念及自我管理能力,进而有效控制血压水平、达标率更高。Objective To explore the effect of cognitive intervention guided by the theory of planned behavior in patients with grade 3 hypertension.Methods A total of 116 patients with grade 3 hypertension diagnosed and treated from September 2021 to December 2022 were selected as the research subjects using the convenience sampling method.They were randomly divided into the control group(routine cognitive intervention)and observation group(cognitive intervention guided by the theory of planned behavior),with 58 patients in each group.The blood pressure control compliance,hypertension treatment attitude and belief,and self-management ability were compared between the two groups.Results After 3 months of intervention,patients in the observation group had significantly larger decreases in the systolic and diastolic blood pressure,and higher compliance rate of blood pressure control(P<0.05).After the intervention,the scores of each dimension and the total score of the attitude and belief towards hypertension treatment in both groups were significantly higher than those before intervention,which were significantly higher in the observation group than those of the control group(P<0.05).The score of each dimension and total scores of the self-management ability in both groups were significantly higher than those before intervention,which were significantly higher in the observation group than those of the control group(P<0.05).Conclusion Cognitive intervention guided by the theory of planned behavior can effectively strengthen the treatment attitude,belief and self-management ability of patients with grade 3 hypertension,thus effectively controlling the blood pressure,and achieving a higher compliance rate.

关 键 词：高血压 认知干预 计划行为理论 血压控制 

分 类 号：R473.5[医药卫生—护理学]