基于跨理论模型的干预方案对高血压患者服药依从性的影响

Effect of Transtheoretical Model Based Nursing Intervention on Medication Adherence of Patients with Hypertensive

目的探讨基于跨理论模型(transtheoretical model,TTM)的干预方案对高血压患者服药依从性的影响。方法2013年1-7月,采用目的抽样法选择236例高血压患者,以随机数字表法分为干预组121例、对照组115例。对照组给予心内科常规护理,干预组实施以跨理论模型为依据的干预措施。应用Morisky服药依从性量表(Morisky medication adherence scale,MMAS)分别于干预前及干预后1、3个月对两组患者进行评价。结果干预后1、3个月,干预组患者服药依从性均优于对照组(P<0.05);两组患者干预后3个月的服药依从性均低于干预后1个月(P<0.05)。结论与心内科常规护理干预相比,以跨理论模型为依据制定的干预方案能显著提升高血压患者的服药依从性;但随着出院时间的延长,依从性有所下降。

Objective To evaluate the effect of transtheoretical model based nursing intervention on medi-cation adherence of patients with hypertensive.Methods Totally 236 hypertensive patients were selected and assigned into intervention group （1 2 1 cases）and the control group （1 1 5 cases）.The control group was treated with the cardiology conventional nursing intervention.The intervention group was treated with transtheoretical model based nursing intervention.Evaluated two groups before and after 1 month and 3 months of the intervention by Morisky medication adherence scale to measure the differences.Results After 1 and 3 months of the intervention,the medication adherence of the intervention group was better than which in control group （P 〈0.05 ）.Compared with 1 months after intervention,the medication compliance of the experimental group was declined after 3 months of intervention （P〈0.05）.Conclusion Comparing with the conventional nursing intervention,the method on the basis of transtheoretical model can effectively improve medication adherence of patients with hypertensive,but with the extension of the discharge time,the adherence will relatively declined.