基于TTM的延续性护理在中青年原发性高血压患者中的应用观察

Application of Continuing Care Based on the TTM in Young and Middle-Aged Patients with Essential Hypertension

目的分析基于行为分阶段转变理论模型(TTM)的延续性护理在中青年原发性高血压(EH)患者中的应用效果。方法选取郑州人民医院中青年EH患者94例(2019年5月至2020年4月),使用随机数字表法分组。对照组47例给予常规护理,观察组47例接受基于TTM的延续性护理。比较两组健康行为、自我效能、干预前后舒张压(DBP)、收缩压(SBP)、生活质量综合评定问卷-74(GQOL-74)评分及护理满意度。结果观察组按时服药、饮食控制、规律运动、定期复查率较对照组高,差异有统计学意义(P<0.05);干预后两组DBP、SBP均明显改善,差异有统计学意义(P<0.05),但组间对比,差异无统计学意义(P>0.05),干预后观察组GQOL-74、自我效能评分高于对照组,差异有统计学意义(P<0.05);观察组护理满意度97.87%(46/47)显著高于对照组80.85%(38/47),差异有统计学意义(P<0.05)。结论应用基于TTM的延续性护理有利于改善中青年EH患者健康行为,提升自我效能感,提高血压控制效果,改善生活质量。

Objective To analyze the application effect of continuous nursing based on the theoretical model(TTM)in young and middle-aged patients with essential hypertension(EH).Methods A total of 94 young and middle-aged EH patients treated in Zhengzhou People's Hospital from May 2019 to April 2020 were selected and grouped by random number table,with 47 cases in each group.Patients in the control group were given usual care,and patients in the observation group received continuous nursing based on TTM.The health behavior,self-efficacy,diastolic blood pressure(DBP),systolic blood pressure(SBP),comprehensive quality of life assessment questionnaire-74(GQOL-74)scores and satisfaction with care were compared between two groups.Results The rate of timely medication,diet control,regular exercise and regular review of the observation group were higher than those of the control group,with statistical significance(P<0.05);After the intervention,DBP and SBP in both groups improved significantly(P<0.05);however,the difference was not significant between two groups(P>0.05);After the intervention,the scores of GQOL-74 and self-efficacy in the observation group were higher than those in the control group(P<0.05);The nursing satisfaction of the observation group was 97.87%(46/47),significantly higher than the control group of 80.85%(38/47)(P<0.05).Conclusion The application of TTM is beneficial to improve health behavior,self-efficacy,blood pressure control and quality of life in young and young EH patients.