摘要
目的分析基于行为动机法的康复护理对老年高血压伴冠心病患者遵医行为和自护能力的影响.方法选取2021年2月—2023年1月上海市金山区众仁老年护理医院收治的100例老年高血压合并冠心病患者为研究对象,随机将其分为对照组及观察组,每组50例.对照组采用常规护理,观察组在此基础上采用基于行为动机法的康复护理.应用高血压患者行为依从性量表(CHPS)对比两组遵医行为,应用冠心病自我管理量表(CSMS)对比两组自护能力,同时比较两组患者的舒张压(DBP)、收缩压(SBP)等血压指标及心肌梗死、心律失常、心力衰竭等心血管事件发生率.结果护理后,观察组的CHPS中意向、生活态度、责任、吸烟、生活方式、药物治疗评分分别为(7.55±1.23)分、(5.56±1.27)分、(3.55±1.01)分、(1.33±0.51)分、(6.70±1.42)分、(1.46±0.54)分,均低于对照组的(8.25±1.15)分、(6.28±1.13)分、(4.11±0.62)分、(1.63±0.52)分、(7.56±1.67)分、(1.85±0.69)分,组间差异有统计学意义(P<0.05).护理后,观察组的CSMS中疾病医学管理、日常生活管理、情绪管理评分分别为(55.98±3.45)分、(29.46±1.17)分、(14.02±0.75)分,均高于对照组的(52.70±5.85)分、(27.96±2.14)分、(12.98±1.41)分,组间差异有统计学意义(P<0.05).护理后,观察组的SBP、DBP水平均低于对照组,组间差异有统计学意义(P<0.05).观察组的心血管事件发生率为2.00%,低于对照组的16.00%,差异有统计学意义(P<0.05).结论行为动机法的康复护理应用于老年高血压合并冠心病患者中,可改善其遵医行为及自护能力,降低其血压水平及心血管事件发生率,临床效果显著.
Objective To analyze the effect of rehabilitation nursing based on behavioral motivation method on compliance behavior and self-care ability of elderly patients with hypertension and coronary heart disease.Methods 100 elderly patients with hypertension combined with coronary heart disease admitted to Shanghai Jinshan District Zhongren Elderly Nursing Hospital from February 2021 to January 2023 were selected as the study objects and randomly divided into a control group and an observation group,with 50 cases in each group.The control group received routine nursing,and the observation group received rehabilitation nursing based on behavioral motivation method.The compliance of Hypertensive Patients Scale(CHPS)was used to compare the compliance behavior between two groups,the Coronary Self-Management Scale(CSMS)was used to compare the self-care ability of the two groups,the blood pressure indexes such as Diastolic Blood Pressure(DBP)and Systolic Blood Pressure(SBP)and the incidence of cardiovascular events such as myocardial infarction,arrhythmia and heart rate failure were compared between the two groups.Results After nursing,the CHPS scores of intention,attitude towards life,responsibility,smoking,lifestyle and medication in the observation group were(7.55±1.23)points,(5.56±1.27)points,(3.55±1.01)points,(1.33±0.51)points,(6.70±1.42)points and(1.46±0.54)points,respectively,which were lower than(8.25±1.15)points,(6.28±1.13)points,(4.11±0.62)points,(1.63±0.52)points,(7.56±1.67)points,(1.85±0.69)points in the control group,and the differences between the two groups were statistically significant(P<0.05).After nursing,the CSMS scores of disease management,daily life management and emotion management in the observation group were(55.98±3.45)points,(29.46±1.17)points and(14.02±0.75)points,respectively,which were higher than(52.70±5.85)points,(27.96±2.14)points and(12.98±1.41)points in the control group,and the differences between the two groups were statistically significant(P<0.05).After nursing,the levels of SBP and DBP in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of cardiovascular events in the observation group was 2.00%,which was lower than 16.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of behavioral motivation method in rehabilitation nursing of elderly patients with hypertension combined with coronary heart disease can improve their compliance behavior and self-care ability,reduce their blood pressure level and the incidence of cardiovascular events,with significant clinical effects.
作者
张玲
徐晨
ZHANG Ling;XU Chen(Department of Cardiology and Cerebrovascular,Shanghai Jinshan District Zhongren Elderly Nursing Hospital,Shanghai,201500,China)
出处
《反射疗法与康复医学》
2024年第3期129-132,136,共5页
Reflexology And Rehabilitation Medicine
关键词
老年高血压
冠心病
行为动机法
康复护理
遵医行为
自护能力
Elderly hypertension
Coronary heart disease
Behavioral motivation method
Rehabilitation nursing
Medical compliance behavior
Self-Care ability
作者简介
张玲(1991-),女,上海人,本科,护师,研究方向:内科疾病护理;通信作者:徐晨(1990-),女,上海人,本科,护师,研究方向:内科疾病护理,邮箱:331648694@qq.com。
