知信行模式护理在老年糖尿病合并高血压患者护理中的应用效果  

Application Effect of Knowledge-Attitude-Practice Mode Nursing in Elderly Patients with Diabetes Mellitus and Hypertension

作　　者：吴月芳 Wu Yuefang(Hezuo City Tongqin Sub-district Community Health Service Center,Gannan Tibetan Autonomous Prefecture 747000,Gansu Province,China)

机构地区：[1]甘南藏族自治州合作市通钦街道社区卫生服务中心,甘肃甘南藏族自治州747000

出　　处：《中国社区医师》2024年第19期130-132,共3页Chinese Community Doctors

摘　　要：目的:探究知信行模式护理在老年糖尿病合并高血压患者护理中的应用效果。方法:选取2022年3月—2023年3月合作市通钦街道社区卫生服务中心收治的老年糖尿病合并高血压患者122例作为研究对象,以随机数字表法分为对照组和观察组,每组61例。对照组采用常规护理,观察组在对照组基础上采用知信行模式护理。比较两组依从性、血糖水平、血压水平。结果:护理前,两组Morisky用药依从性问卷(MMAS-8)评分比较,差异无统计学意义(P>0.05);护理后,两组MMAS-8评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理前,两组空腹血糖(FPG)、餐后2 h血糖(2 hPBG)、收缩压(SBP)、舒张压(DBP)水平比较,差异无统计学意义(P>0.05);护理后,两组FPG、2 hPBG、SBP、DBP水平低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:知信行模式护理在老年糖尿病合并高血压患者护理中的应用效果显著,可以提高患者依从性,降低其血糖、血压水平。Objective:To explore the application effect of knowledge-attitude-practice mode nursing in elderly patients with diabetes mellitus and hypertension.Methods:From March 2022 to March 2023,a total of 122 elderly patients with diabetes mellitus and hypertension who were admitted to Hezuo City Tongqin Sub-district Community Health Service Center were selected as the study subjects.The patients were divided into the control group and the observation group by random number table method,with 61 cases in each group.The control group adopted routine nursing,and the observation group adopted knowledge-attitudepractice mode nursing.The compliance,blood glucose level and blood pressure level were compared between the two groups.Results:Before nursing,there was no significant difference in the score of 8-Item Morisky Medication Adherence Scale(MMAS-8)between the two groups(P>0.05).After nursing,the MMAS-8 score in the two groups was higher than that before nursing,and the score in the observation group was higher than that in the control group,with a statistically significant difference(P<0.05).Before nursing,there was no significant difference in fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPBG),systolic blood pressure(SBP)and diastolic blood pressure(DBP)between the two groups(P>0.05).After nursing,the levels of FPG,2 hPBG,SBP and DBP in the two groups were lower than those before nursing,and the levels in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion:The application of knowledge-attitude-practice mode nursing has a significant effect in elderly patients with diabetes mellitus and hypertension,and can improve the compliance of patients,and reduce their levels of blood glucose and blood pressure.

关 键 词：高血压 血糖 知信行模式 老年 糖尿病 血压 

分 类 号：R473.5[医药卫生—护理学]