LEARNS宣教模式联合八段锦干预对老年高血压伴衰弱患者的影响  

The Impact of LEARNS Education Model Combined with Baduanjin Intervention on Elderly Hypertensive Patients with Frailty

作　　者：王志平 杜彩凤 WANG Zhiping;DU Caifeng(Department of Geriatrics,Kaifeng Central Hospital,Kaifeng Henan 475000,China;Department of Burns,Plastic Surgery and Wound Repair,Kaifeng Central Hospital,Kaifeng Henan 475000,China)

机构地区：[1]开封市中心医院老年病科,河南开封475000 [2]开封市中心医院烧伤整形与创面修复外科,河南开封475000

出　　处：《临床研究》2024年第8期167-169,共3页Clinical Research

摘　　要：目的探讨以患者意愿导向的LEARNS宣教模式联合八段锦干预对老年高血压伴衰弱患者健康认知、心理状态和步速的影响。方法选取2020年6月至2022年6月开封市中心医院收治的96名老年高血压伴衰弱患者,采用随机数表法将其分为对照组和联合组,每组各48例。对照组患者采用常规基础护理方法进行干预,联合组在对照组基础上采用以患者意愿导向的LEARNS宣教模式联合八段锦干预,两组均持续干预3个月。干预前后,比较两组患者健康认知水平,汉密尔顿抑郁量表(HAMD)评分和汉密尔顿焦虑量表(HAMA)评分,比较对照组和联合组患者6 m平均步速水平和握力水平。结果干预后两组患者的患者病因、护理方法、治疗措施等疾病认知度评分均升高,且联合组患者评分高于对照组,差异具有统计学意义(P<0.05);干预后,两组患者HAMA评分和HAMD评分均明显降低,且联合组患者低于对照组,差异具有统计学意义(P<0.05);干预后两组患者的6 m平均步速水平和握力水平均升高,且联合组患者6 m平均步速水平和握力水平均高于对照组,差异具有统计学意义(P<0.05)。结论以患者意愿导向的LEARNS宣教模式联合八段锦干预能提高患者健康认知,减少患者焦虑和抑郁情绪,提高患者步速。Objective To explore the impact of patient-oriented LEARNS education model combined with Baduanjin intervention on the health cognition,psychological status,and walking speed of elderly hypertensive patients with frailty.Methods 96 elderly hypertensive patients with frailty admitted to Kaifeng Central Hospital from June 2020 to June 2022 were selected and divided into control group and combined group by random number table method,with 48 cases in each group.The control group was intervened with routine basic nursing methods,and the combined group was intervened with patient-oriented LEARNS education model combined with Baduanjin on the basis of the control group,and both groups were continuously intervened for 3 months.Before and after intervention,the health cognition level,Hamilton Depression Scale(HAMD)score,and Hamilton Anxiety Scale(HAMA)score of the two groups were compared,and the 6m average walking speed level and grip strength level of the control group and combined group were compared.Results After intervention,the disease cognition scores of the patients’etiology,nursing methods,and treatment measures in both groups increased,and the scores of the combined group were higher than those of the control group,with statistically significant differences(P<0.05).After intervention,the HAMA scores and HAMD scores of both groups significantly decreased,and the scores of the combined group were lower than those of the control group,with statistically significant differences(P<0.05).After intervention,the 6m average walking speed level and grip strength level of both groups increased,and the 6m average walking speed level and grip strength level of the combined group were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion The patientoriented LEARNS education model combined with Baduanjin intervention can improve patients’health cognition,reduce patients’anxiety and depression,and improve patients’walking speed.

关 键 词：以患者意愿导向的LEARNS宣教模式 八段锦 老年高血压伴衰弱 健康认知 心理状态 步速 

分 类 号：R473[医药卫生—护理学]