人性化护理对高血压老年患者行为依从性与自我效能感、血压及并发症的影响  

Impact of humanized nursing on behavioral compliance, self-efficacy, blood pressure, and complications among elderly patients with hypertension

作　　者：周鹤 Zhou He(Department of CCC,the Central Hospital of Liaoyang City,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院CCU病房,辽宁辽阳111000

出　　处：《华北理工大学学报（医学版）》2024年第2期145-149,共5页Journal of North China University of Science and Technology：Health Sciences Edition

摘　　要：目的 探讨人性化护理对高血压老年患者护理过程中行为依从性与自我效能感、血压、并发症及护理满意度的影响。方法 选取辽阳市中心医院于2021年1月~2022年12月收治的856例高血压老年患者,按照随机数字表法将其分为对照组和观察组,每组各428例。其中对照组实施基本干预,观察组在基本干预的基础上实施基于知-信-行理念的人性化护理。比较两组患者的血压水平、行为依从性评分、自我效能感评分、并发症发生率及护理满意度情况。结果 两组患者年龄、病程等一般资料比较,差异无统计学意义(P>0.05)。与对照组比较,观察组干预24周后的血压水平显著低于对照组(P<0.05),行为依从性评分和自我效能感评分高于对照组(P<0.05),心肌酐异常、脑卒中等并发症的发生率显著低于对照组,护理满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论 人性化护理可提升高血压老年患者的行为依从性、自我效能感,并维持其血压水平,降低并发症,值得使用推广。Objective To explore the impact of humanized nursing on behavioral compliance,self-efficacy,blood pressure,complications,and nursing satisfaction among elderly patients with hypertension during the nursing process.Methods A total of 856 elderly patients with hypertension admitted to the Central Hospital of Liaoyang City from January 2021 to December 2022 were selected and divided into a control group and an observation group using a random number table method,with 428 patients in each group.The control group received basic intervention,while the observation group implemented humanized nursing based on the knowledge-belief-practice concept on the basis of basic intervention.The blood pressure levels,behavioral compliance scores,self-efficacy scores,complication rates,and nursing satisfaction were compared between the two groups.Results There were no statistically significant differences in general information such as age and duration of disease between the two groups(P>0.05).Compared with the control group,the blood pressure levels in the observation group were significantly lower after 24 weeks of intervention(P<0.05),with higher behavioral compliance scores and self-efficacy scores(P<0.05).The incidence of complications such as abnormal creatinine and stroke was significantly lower in the observation group,and nursing satisfaction was significantly higher than that in the control group,with statistically significant differences(P<0.05).Conclusion Humanized nursing can improve behavioral compliance and self-efficacy among elderly patients with hypertension,maintain their blood pressure levels,and reduce complications,making it worthy of promotion.

关 键 词：人性化护理 高血压 并发症 护理满意度 

分 类 号：R473.5[医药卫生—护理学]