基于移动管理系统的延续性护理对老年高血压病患者知信行的影响

Effects of continuing nursing based on mobility management system on knowledge-attitude-practice in elderly hypertension patients

目的探讨基于移动管理系统的延续性护理对老年高血压病患者知信行的影响。方法采用便利抽样法，选取2014年3月一2016年9月在商丘市第一人民医院就诊的92例老年高血压病患者为研究对象，将其随机分为观察组与对照组，各46例。在患者出院后半年内，对照组采取传统延续性护理干预，观察组在此基础上采取基于移动管理系统的延续性护理。比较两组干预前后健康知识水平、高血压病治疗态度与信念、行为依从性，并评估干预后两组心血管疾病风险。结果干预前两组健康知识、高血压病治疗态度与信念、行为依从性得分差异均无统计学意义（P〉0．05）。干预6个月后，观察组健康知识评分、服药治疗态度与信念、治疗性生活方式态度与信念评分均高于对照组，差异有统计学意义（P〈0．01），态度、责任、吸烟、意向、药物治疗、生活方式评分均低于对照组，差异均有统计学意义（P〈0．01）。干预6个月后，观察组患者心血管疾病风险低于对照组，差异有统计学意义（P〈0．05）。结论基于移动管理系统的延续性护理可提高老年高血压病患者疾病相关知识水平，高血压病治疗态度、信念及行为依从性，还可降低患者心血管疾病风险，具有较好的临床应用价值。

Objective To explore the effects of continuing nursing based on mobility management system on knowledge-attitude-practice in elderly hypertension patients. Methods From March 2014 to September 2016, 92 elderly hypertension patients treated in First People＇s Hospital of Sbangqiu were selectd by convenience sampling as subjects. All of the patients were randomly divided into observation group and control group, 46 cases in each group. Leaving hospital within half a year, patients of control group accepted traditionally continuing nursing. On this basis, patients of observation group were treated with continuing nursing based on mobility management system. The health knowledge, attitudes, beliefs and behavior compliance of hypertension therapy were compared before and after intervention and the risk of angiocardiopathy disease was assessed after intervention of patients in two groups. Results There was no significant difference in health knowledge, attitudes, beliefs and behavior compliance of hypertension therapy between two groups before intervention （P 〉 0.05）. Six months after intervention, the scores of health knowledge, attitudes and beliefs of drug therapy, attitudes and beliefs of therapeutic lifestyles of observation group were higher than those of control group with significant differences （P 〈 0.01）; the scores of attitudes, responsibility, smoking, intention, medication, lifestyles of observation group were significantly lower than those of control group （P 〈 0.01）. Six months after intervention, the risk of cardiovascular disease of patients in observation group was lower than that in control group with a significant difference （P 〈 0.05）. Conclusions Continuing nursing based on mobility management system can improve the disease-related knowledge, attitudes, beliefs and behavior compliance of hypertension therapy in elderly hypertension patients and can reduce the risk of cardiovascular disease. It has a good clinical application value.