本文選題：高血壓　切入點(diǎn)：依從行為　出處：《中國中醫(yī)科學(xué)院》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：高血壓是我國最常見的慢性疾病,也是心腦血管疾病最主要的危險因素,其主要并發(fā)癥腦卒中、心肌梗死、心力衰竭及慢性腎臟病致殘、致死率高。截止2010年,我國約有2億高血壓患者,但高血壓控制情況不理想。研究顯示,在高血壓疾病的長期治療中患者對其服藥和對醫(yī)生多種非藥物治療建議的依從性,對其診治計劃能否執(zhí)行起到關(guān)鍵作用。因此,本研究通過延續(xù)護(hù)理模式與中醫(yī)護(hù)理健康教育的聯(lián)合干預(yù),影響出院后高血壓患者依從行為,達(dá)到提高患者依從行為水平和促進(jìn)血壓值達(dá)標(biāo)的目的。目的:本研究旨在考察延續(xù)護(hù)理模式聯(lián)合中醫(yī)護(hù)理健康教育的干預(yù)效果,評價出院后高血壓患者依從行為水平、高血壓控制率及血壓控制水平。方法:本研究為類實(shí)驗(yàn)性研究。選擇符合納入/排除標(biāo)準(zhǔn)的高血壓出院患者100例,分為干預(yù)組和對照組,98例研究對象完成研究全過程。干預(yù)組和對照組均于出院當(dāng)日通過健康宣教的方式,接受中醫(yī)護(hù)理健康教育干預(yù),對照組除此以外不作任何特殊干預(yù),干預(yù)組在此基礎(chǔ)上接受延續(xù)護(hù)理干預(yù)。干預(yù)期為12周。干預(yù)組和對照組均于干預(yù)前、干預(yù)12周后完成高血壓患者依從行為量表評價;于干預(yù)前、干預(yù)8周后、干預(yù)12周后完成血壓數(shù)值收集。數(shù)據(jù)采用SPSS17.0統(tǒng)計軟件進(jìn)行分析,P值0.05認(rèn)為有統(tǒng)計學(xué)意義。結(jié)果:(1)依從行為:干預(yù)后,干預(yù)組依從行為總分為20.00±3.81,總體水平屬于高水平;對照組總分為28.90±4.03,屬于中等水平,兩組依從行為總分比較差異有統(tǒng)計學(xué)意義(t=-11.225,P=0.000)。干預(yù)組,干預(yù)前依從行為總分為25.96±3.74,總體水平屬于中等水平;干預(yù)后為20.00±3.81,屬于高水平,干預(yù)前、后依從行為總分比較差異有統(tǒng)計學(xué)意義(t=7.896,P=0.000)。對照組干預(yù)前、后依從行為總分比較差異無統(tǒng)計學(xué)意義(P0.05)。(2)高血壓控制率:干預(yù)組,干預(yù)前為54%,干預(yù)8周后為80%,干預(yù)12周后為94%;對照組,干預(yù)前為60%,干預(yù)8周后仍為60%,干預(yù)12周后為56%。(3)血壓控制水平:按正常血壓、正常高值血壓、高血壓分布統(tǒng)計,干預(yù)組,干預(yù)前依次為14%、40%、46%,干預(yù)8周后為14%、78%、8%,干預(yù)12周后為18%、76%、60%;對照組,干預(yù)前依次為8%、52%、40%,干預(yù)8周后為4%、56%、40%,干預(yù)12周后為8%、48%、44%。結(jié)論:(1)聯(lián)合干預(yù)可以提高出院后高血壓患者依從行為總體水平。(2)聯(lián)合干預(yù)對促進(jìn)出院后高血壓患者血壓值達(dá)標(biāo)是有效的。
[Abstract]:Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases. Its main complications are stroke, myocardial infarction, heart failure and chronic kidney disease. There are about 200 million patients with hypertension in China, but the situation of hypertension control is not satisfactory. Therefore, through the combined intervention of continuous nursing mode and health education of traditional Chinese medicine, the compliance behavior of hypertension patients after discharge was affected by the combined intervention of continuous nursing mode and health education of traditional Chinese medicine, which played a key role in whether the diagnosis and treatment plan could be carried out. Objective: to study the intervention effect of continuous nursing model combined with traditional Chinese medicine nursing health education to evaluate the compliance behavior level of patients with hypertension after discharge from hospital. Methods: this study was an experimental study. 100 patients with hypertension who met the criteria of inclusion / exclusion were selected. The intervention group and control group were divided into two groups: the intervention group and the control group received the health education intervention of traditional Chinese medicine by means of health education on the day of discharge, and the control group did not make any special intervention. The intervention group received continuous nursing intervention on this basis. The dry expectation was 12 weeks. Both the intervention group and the control group completed the evaluation of compliance behavior scale for hypertensive patients before intervention and 12 weeks after intervention, and 8 weeks after intervention before intervention. After 12 weeks of intervention, the blood pressure value was collected. The data were analyzed by SPSS17.0 statistical software (P < 0. 05). Results: after intervention, the total score of compliance behavior was 20.00 鹵3.81, and the overall level was high. The total score of the control group was 28.90 鹵4.03, which belonged to the medium level, and the difference between the two groups was statistically significant. In the intervention group, the total score of compliance before intervention was 25.96 鹵3.74, the overall level was moderate, and after intervention it was 20.00 鹵3.81, which belonged to the high level. There was significant difference in the total score of post-compliance behavior between the two groups. Before intervention, there was no significant difference in the total score of post-compliance behavior between the control group and the control group (P 0.05).) the hypertension control rate in the intervention group was 54 before intervention, 80 after 8 weeks, and 94 after 12 weeks; in the control group, there was no significant difference in the total score before and after intervention. It was 60 before intervention, 60 after 8 weeks of intervention, and 56 after 12 weeks of intervention.) the control level of blood pressure was as follows: normal blood pressure, normal high blood pressure, distribution of hypertension. The intervention group was 144404046,4646 before intervention; after 8 weeks of intervention, it was 140.78; after 12 weeks of intervention, it was 1876,7660; in the control group, it was 1876,6060 after 12 weeks of intervention; in the control group, Before the intervention, it was 8 + 522 + 40. After 8 weeks of intervention, it was 4. 56 and 40. After 12 weeks of intervention, it was 8. 48 and 44. Conclusion the combined intervention can improve the overall level of compliance behavior of the discharged hypertensive patients. 2) the combined intervention is effective in promoting the blood pressure of the discharged hypertension patients.
【學(xué)位授予單位】：中國中醫(yī)科學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.5

【參考文獻(xiàn)】

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本文編號：1622394