基于知信行模式下的护理干预在社区高血压中的应用效果

Application effect of nursing intervention based on knowledge,belief and practice model in community hypertension

目的探索基于知信行模式下的护理干预在社区高血压中的应用效果。方法将社区卫生服务中心2021年1月-2022年1月期间收治并建档的高血压患者105例作为研究对象,随机分为观察组(n=53例)和对照组(n=52例)。对照组接受常规社区高血压护理,观察组在此基础上增加基于知信行模式的护理干预。每月随访1次,12个月后比较两组血压控制效果、知识掌握情况及治疗依从性。结果血压控制达标率观察组为94.34%,对照组为46.15%,观察组明显高于对照组,差异有统计学意义(P<0.05)。干预后两组治疗依从性的烟酒嗜好管理行为、不良服药行为、生活管理行为、遵医服药行为评分均较干预前明显升高,且观察组均高于对照组(均P<0.05)。干预后两组知识掌握情况的遵医嘱服药、生活方式、高血压的基本常识、高血压危险因素评分均较干预前明显升高,且观察组均高于对照组(均P<0.05)。结论社区高血压患者接受知信行模式下的护理干预可更好地提高知识掌握情况、治疗依从性及血压控制效果。

Objective To explore the application effect of nursing intervention based on knowledge,belief and practice model in community hypertension.Methods One hundred and five patients with hypertension admitted and filed by the community health service center from January 2021 to January 2022 were randomly divided into the observation group(n=53 cases)and the control group(n=52 cases).The control group received routine community hypertension care,and the observation group added nursing intervention based on knowledge,belief and practice model.The blood pressure control effect,knowledge mastery and treatment compliance of the two groups were compared after 12 months.Results The rate of blood pressure control reaching the standard was 94.34% in the observation group and 46.15% in the control group.The difference was statistically significant(P<0.05).After the intervention,the scores of smoking and alcohol addiction management behavior,adverse drug taking behavior,life management behavior,and drug compliance behavior of the two groups were significantly higher than those before the intervention,and the observation group was higher than the control group(all P<0.05).After the intervention,the scores of knowledge mastery,medication,lifestyle,basic knowledge of hypertension,and risk factors of hypertension in the two groups were significantly higher than those before the intervention,and the observation group was higher than the control group(all P<0.05).Conclusion Community hypertension patients receiving nursing intervention under the mode of knowledge,belief and practice can better improve their knowledge mastery,treatment compliance and blood pressure control effect.