基于动机行为转化的护理在高血压患者中的应用效果

Application effects of motivational behavior transformation-based nursing on patients with hypertension

目的:探讨基于动机行为转化的护理在高血压患者中的应用效果。方法:选取116例高血压患者为研究对象,按照随机数字表法分为观察组与对照组各58例。对照组应用常规护理,观察组应用基于动机行为转化的护理。比较两组护理前后血压[收缩压(SBP)、舒张压(DBP)]水平、简明健康状况调查问卷(SF-36)评分、护理满意度及依从性。结果:护理后,观察组SBP、DBP水平均低于对照组,差异有统计学意义(P<0.05);观察组SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为94.83%(55/58),高于对照组的82.76%(48/58),差异有统计学意义(P<0.05);观察组用药、饮食、运动、血糖监测的依从性均显著高于对照组,差异有统计学意义(P<0.05)。结论:基于动机行为转化的护理用于高血压患者中可有效控制患者血压水平,提高其生命质量、护理满意度及在服药、饮食、运动、血压监测方面的依从性。

Objective: To explore application effects of motivational behavior transformation-based nursing on patients with hypertension.Methods: 116 hypertensive patients were selected as the research objects and were divided into observation group and control group according to the random number table method, 58 cases in each. The control group was given routine nursing, while the observation group used the motivational behavior transformation-based nursing. The levels of blood pressure [systolic blood pressure(SBP), diastolic blood pressure(DBP)], the short form health status questionnaire(SF-36) score, the nursing satisfaction and the compliance were compared between the two groups before and after the nursing. Results: After the nursing, the levels of SBP and DBP in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The scores of all dimensions of SF-36 in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). The nursing satisfaction of the observation group was 94.83%(55/58), which was higher than the control group of 82.76%(48/58), and the difference was statistically significant(P<0.05). Further, the compliance of medication,diet, exercise and blood glucose monitoring in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusions: The motivational behavior transformation-based nursing can effectively control the blood pressure in the hypertensive patients and improve their quality of life, nursing satisfaction, and compliance in medication, diet, exercise, and blood pressure monitoring.