一病一品模式对高血压患者疾病不确定感及焦虑抑郁情绪的影响

The effect of"one disease,one product"project on disease uncertainty,anxiety and depression in patients with hypertension

目的探讨一病一品模式对高血压患者疾病不确定感及焦虑抑郁情绪的影响。方法将100例高血压患者按照随机数字表法分为研究组与对照组,各50例。两组均给予常规护理,研究组在此基础上给予一病一品模式干预,观察4周。干预前及干预4周末采用疾病不确定感量表评定两组疾病不确定感,焦虑自评量表及抑郁自评量表评定两组焦虑及抑郁情绪,自拟高血压自我管理行为量表评定两组自我管理行为,生命质量测定量表评定两组生活质量,比较两组护理满意度。结果干预4周末两组疾病不确定感量表总分及各维度分、焦虑自评量表、抑郁自评量表评分均显著低于干预前(P<0.01),研究组显著低于对照组(P<0.01)。干预4周末两组高血压自我管理行为量表各维度评分及生命质量测定量表各维度评分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。研究组护理总满意率显著高于对照组(P<0.05)。结论一病一品模式可显著减轻高血压患者的疾病不确定感,改善焦虑抑郁情绪,强化自我管理行为,提高生活质量,护理满意度较高。

Objective To explore the effect of"one disease,one product"project on disease uncertainty,anxiety and depression in patients with hypertension.Methods A total of 100 patients with hypertension were divided into study group and control group according to random number table method,with 50 cases in each group.The control group was given routine nursing,while the study group was given"one disease,one product"intervention on the basis of the control group for 4 weeks.Before and at the end of the 4th week of the intervention,Mishel uncertainty in illness scale(MUIS)was used to evaluate the uncertainty of the disease in the two groups,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the anxiety and depression in the two groups,the self-made hypertension self-management behavior scale was used to evaluate the self-management behavior of the two groups,and the functional assessment of cancer therapy(FACT)was used to evaluate the quality of life of the two groups.The nursing satisfaction of the two groups was compared.Results After 4 weeks of intervention,the total score and each dimension score of MUIS,SAS score and SDS score in the two groups were significantly lower than those before intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).After 4 weeks of intervention,each dimension scores of the self-made hypertension self-management behavior scale and FACT were significantly higher than those before intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The total nursing satisfaction rate in the study group was significantly higher than that in the control group(P<0.05).Conclusions The application of"one disease,one product"project in hypertensive patients can significantly reduce disease uncertainty,improve anxiety and depression,strengthen self management behavior,improve quality of life,and have higher satisfaction with nursing work.