摘要
目的探讨基于态势分析法指导的个性化护理在高血压患者中的应用效果。方法选择2019年8月—2022年8月福建中医药大学附属第三人民医院收治的住院高血压患者136例为研究对象,将2019年8月—2020年8月住院高血压患者68例作为对照组,按照组间基本特征具有可比性的原则,选择2021年8月—2022年8月住院高血压患者68例作为观察组。对照组患者采取常规护理,观察组患者在态势分析法指导下进行个性化护理。护理前后采用“中文版服药信念特异性问卷”对两组患者服药信念和服药依从性进行评估,比较两组患者风险事件(跌倒、体位性低血压、便秘、感染、焦虑/抑郁、心脑血管事件、护患纠纷)发生率及非计划性再入院率。结果护理干预前,两组患者服药信念和服药依从性评分比较差异无统计学意义(P>0.05);护理干预后,观察组患者服药信念和服药依从性评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者风险事件发生率为7.35%,无非计划性再入院患者;而对照组风险事件发生率为19.12%,非计划性再入院率为8.82%;两项指标观察组患者均低于对照组,组间比较差异均有统计学意义(P<0.05)。结论基于态势分析法指导的个性化护理可有效提高高血压患者的服药信念和服药依从性,降低风险事件发生率,减少非计划性再入院率,提升护理质量。
Objective To explore the application effect of personalised nursing based on the guidance of posture analysis method in hypertensive patients.Methods 136 cases of inpatient hypertensive patients admitted to the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from August 2019 to August 2022 were selected as the study subjects,and 68 cases of inpatient hypertensive patients from August 2019 to August 2020 were used as the control group,according to the principle that the basic characteristics between groups are comparable,the following were selected 68 cases of hospitalised hypertensive patients from August 2021 to August 2022 as the observation group.The patients in the control group adopted conventional nursing care,and the patients in the observation group underwent personalised nursing care under the guidance of the situational analysis method.The Chinese version of the Medication Belief Specific Questionnaire was used before and after nursing care to assess the beliefs about medication and medication adherence of patients in the two groups,and to compare the incidence of risky events(falls,postural hypotension,constipation,infection,anxiety/depression,cardiovascular and cerebrovascular events,and nurse-patient disputes)and the rate of unplanned readmission between patients in the two groups.Results Before the nursing intervention,there was no statistically significant difference between the two groups in terms of belief in taking medication and medication adherence scores(P>0.05).After the nursing intervention,the belief in taking medication and medication adherence scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The incidence of risky events in the observation group was 7.35%,and there were no unplanned readmissions,while the incidence of risky events in the control group was 19.12%,and the rate of unplanned readmissions was 8.82%;both indexes were lower in the observation group than in the control group,and the differences were statistically significant in the comparison between the groups(P<0.05).Conclusion Personalised nursing care based on situational analysis can effectively improve the beliefs and adherence to medication of hypertensive patients,reduce the incidence of risky events,reduce the rate of unplanned readmission,and improve the quality of nursing care.
作者
魏海芳
郑虔枫
陈兰
林晓璐
林华蕊
WEI Haifang;ZHENG Qianfeng;CHEN Lan;LIN Xiaolu;LIN Huarui(The Third People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350108,China)
出处
《护理实践与研究》
2024年第2期255-260,共6页
Nursing Practice and Research
基金
福建省医药卫生体制改革研究会卫生健康政策创新研究基金资助项目(编号:2020C08)。
