基于动机行为转化结合代谢当量的康复护理对老年高血压患者血压水平及生活质量的影响

Effect of rehabilitation nursing based on motivational behavior transformation and metabolic equivalent of task on blood pressure level and quality of life of elderly patients with hypertension

目的探讨基于动机行为转化结合代谢当量的康复护理在老年高血压患者中的应用效果。方法选择该院2020年6月至2022年3月收治的126例老年高血压患者,按随机数字表法分为两组。观察组(63例)实施基于动机行为转化结合代谢当量的康复护理,对照组(63例)实施常规护理,两组均持续随访6个月。对比分析两组血压水平、生活质量、疾病知识知晓率、服药依从性及护理满意度。结果观察组护理后收缩压、舒张压水平分别为(129.28±9.60)、(82.89±7.12)mm Hg(1 mm Hg=0.133 kPa),均低于对照组的(140.43±10.22)、(90.22±7.60)mm Hg,差异均有统计学意义(P<0.05);观察组护理后生活质量综合评定问卷(GQOLI-74)中的心理、躯体、社会功能及物质生活维度评分分别为(72.78±6.21)、(71.79±6.22)、(74.79±6.85)、(74.76±6.70)分,均高于对照组的[(64.68±5.71)、(62.69±5.77)、(65.68±6.37)、(64.68±6.31)分],差异均有统计学意义(P<0.05);观察组疾病知识知晓率[96.83%(61/63)]高于对照组[84.13%(53/63)],差异有统计学意义(P<0.05);观察组用药依从性[96.83%(61/63)]高于对照组[85.71%(54/63)],差异有统计学意义(P<0.05);观察组护理满意度[96.83%(61/63)]高于对照组[87.30%(55/63)],差异有统计学意义(P<0.05)。结论基于动机行为转化结合代谢当量的康复护理在老年高血压患者中具有较好的应用效果,有利于提高其疾病知识知晓率、服药依从性,改善患者的血压水平,提升其生活质量及护理满意度。

Objective To explore the effect of rehabilitation nursing based on motivational behavior transformation and metabolic equivalent of task in elderly patients with hypertension.Methods A total of 126 elderly hypertensive patients admitted to our hospital from June 2020 to March 2022 were randomly divided into two groups using the random number table method.The observation group(63 cases)received rehabilitation nursing based on motivational behavior transformation combined with metabolic equivalent of task,and the control group(63 cases)received routine nursing.Both groups were followed up for six months.The blood pressure levels,quality of life,disease knowledge awareness rate,medication compliance,and nursing satisfaction between the two groups were compared.Results The levels of systolic and diastolic blood pressure in the observation group after nursing were(129.28±9.60)mm Hg and(82.89±7.12)mm Hg(1 mm Hg=0.133 kPa),respectively,lower than those in the control group(140.43±10.22)mm Hg and(90.22±7.60)mm Hg,with statistical significance(P<0.05).The scores of psychological,physical,social function,and material life dimensions in the Generic Quality of Life Inventory 74(GQOLI-74)comprehensive evaluation questionnaire for quality of life after nursing in the observation group were(72.78±6.21),(71.79±6.22),(74.79±6.85)points,and(74.76±6.70)points,respectively,which were higher than those in the control group(64.68±5.71),(62.69±5.77),(65.68±6.37),and(64.68±6.31)points,with statistical significance(P<0.05).The awareness rate of disease knowledge in the observation group[96.83%(61/63)]was higher than that in the control group[84.13%(53/63)],with a statistically significant difference(P<0.05);The medication compliance of the observation group[96.83%(61/63)]was higher than that of the control group[85.71%(54/63)],and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group[96.83%(61/63)]was higher than that of the control group[87.30%(55/63)],and the difference was statistically significant(P<0.05).Conclusion The rehabilitation nursing based on motivational behavior transformation combined with metabolic equivalent of task has a good application effect in elderly patients with hypertension,which is conducive to improving their awareness of disease knowledge,medication compliance,improving blood pressure level,improving quality of life,and patient satisfaction with nursing.