摘要
目的:观察跨理论模型(TTM)联合家庭参与式延续性护理对慢性心衰(CHF)伴高血压患者血压控制、心理弹性及生活质量的影响。方法:选取2019年1月—2021年1月驻马店市中心医院收治的92例CHF伴高血压患者作为研究对象,采用随机数表法分为对照组和观察组,每组各46例。对照组接受常规护理,在对照组基础上给予观察组TTM联合家庭参与式延续性护理干预。对比两组患者护理干预前后收缩压(SBP)、舒张压(DBP)及心理弹性量表(CD-RISC)、明尼苏达心力衰竭生活质量问卷(MLHFQ)评分。结果:护理干预后,观察组SBP、DBP水平及MLHFQ评分较对照组低,差异有统计学意义(t=2.558、5.109、7.958,P<0.05);观察组CD-RISC评分较对照组高,差异有统计学意义(t=6.779,P<0.05)。结论:TTM联合家庭参与式延续性护理可有效改善CHF伴高血压患者血压水平、心理弹性及生活质量。
Objective:To observe the effects of the transtheoretical model(TTM)combined with family participatory continuity of care on blood pressure control,psychological resilience and quality of life in patients with chronic heart failure(CHF)with hyper-tension.Methods:92 patients with CHF with hypertension admitted to the hospital from January 2019 to January 2021 were selected as study subjects and were divided into control group and observation group using the random number table method,with 46 cases in each group.The control group received conventional care,and the observation group was given TTM combined with family par-ticipatory continuity of care intervention on the basis of the control group.The systolic blood pressure(SBP),diastolic blood pres-sure(DBP)and Connor-Davidson resilience scale(CD-RISC)and Minnesota living with heart failure questionnaire(MLHFQ)scores before and after the nursing intervention were compared between the two groups.Results:After nursing intervention,SBP and DBP levels and MLHFQ scores were lower in the observation group than in the control group,with statistically significant dif-ferences(t=2.558,5.109,7.958,P<0.05).The CD-RISC score was higher in the observation group than in the control group,and the difference was statistically significant(t=6.779,P<0.05).Conclusion:TTM combined with family participatory continuity of care is effective in improving blood pressure levels,psychological resilience,and quality of life in patients with CHF with hypertension.
作者
张开新
王瑞琪
Zhang Kaixin;Wang Ruiqi(The Third Department of Cardiovascular Medicine,Zhumadian Central Hospital,Zhumadian,Henan,463000,China)
出处
《黑龙江医学》
2023年第19期2406-2408,共3页
Heilongjiang Medical Journal
关键词
慢性心衰
高血压
跨理论模型
家庭参与
延续性护理
心理弹性
生活质量
Chronic heart failure
Hypertension
Transtheoretical model
Family involvement
Continuity of care
Psychological resilience
Quality of life
