基于质性自我管理指导方案对高血压患者自我管理行为、血压的影响

摘要/Abstract

摘要： 目的观察高血压患者自我护理干预现状,分析基于质性自我管理指导方案对其自我管理行为、血压影响。方法 46例研究对象均为2019年1月至2023年1月期间在本院接受治疗的高血压患者,采用随机数表法将患者分为两组,每组30例患者,对照组治疗期间接受常规护理管理,研究组治疗期间联合基于质性自我管理指导方案干预,分析患者自我管理行为、血压情况、日常生活能力及预后情况。结果干预后研究组自我管理行为评分高于对照组（P<0.05）;干预后研究组收缩压、舒张压水平低于对照组（P<0.05）;干预后研究组Barthel指数高于对照组（P<0.05）。结论高血压患者接受基于质性自我管理指导方案干预,利于增强患者自我管理行为,控制血压稳定,促进其日常生活能力提高,该模式在临床上应加大推广应用力度。

关键词: 质性自我管理指导方案, 高血压患者, 自我管理行为, 血压, 影响

Abstract: Objective To investigate the current status of self-nursing intervention in patients with hypertension and the effect of qualitative self-management guiding regimen on self-management behavior and blood pressure. Methods A total of 46 patients with hypertension who were treated in our hospital from January 2019 to January 2023 were enrolled as subjects, and they were divided into experimental group and control group using a random number table, with 30 patients in each group. The patients in the control group received routine nursing management, while those in the experimental group received intervention with the qualitative self-management guiding regimen in addition to the management in the control group. The patients were analyzed in terms of self-management behavior, blood pressure, activities of daily living, and prognosis. Results After intervention, compared with the control group, the experimental group had a significantly higher self-management behavior score (P<0.05), significantly lower systolic pressure and diastolic pressure (P<0.05), and a significantly higher Barthel Index (P<0.05). Conclusion For patients with hypertension, the qualitative self-management guiding regimen can enhance their self-management behavior, control blood pressure stability, and promote the improvement in activities of daily living, and therefore, it holds promise for clinical application.

Key words: Qualitative self-management guiding regimen, Hypertensive patient, Self-management behavior, Blood pressure, Effect

蔡萍. 基于质性自我管理指导方案对高血压患者自我管理行为、血压的影响[J]. 心血管病防治知识, 2024, 14(14): 76-79.

CAI Ping. Effect of qualitative self-management guiding regimen on self-management behavior and blood pressure in patients with hypertension[J]. Prevention and Treatment of Cardiovascular Disease, 2024, 14(14): 76-79.

参考文献

[1] 张洁玲,杜清妹,汤彩芬.社区护理干预对老年高血压患者自我管理能力的改善效果[J].中国医药指南,2023,21(17):45-48.
[2] 张庆娜,汪苗,徐冬菊,等.“移动互联网+”导向的达标管理模式在老年高血压患者中的应用[J].护理实践与研究,2023,20(11):1594-1599.
[3] 樊志媛,刘飞,裴颖丽,等.基于健康管理网络平台的院外延续性健康管理在高血压合并2型糖尿病患者中的应用[J].齐鲁护理杂志,2023,29(11):116-119.
[4] 林钦. 健康管理服务对高血压患者血压控制及影响因素分析[J].中国城乡企业卫生,2023,38(5):110-112.
[5] 张伟,沈晓青,朱丽丽,等.高血压患者健康信息素养与自我管理能力的典型相关关系研究[J].实用心脑肺血管病杂志,2023,31(5):101-105.
[6] Iván Cavero-Redondo, Saz-Lara A,Irene Sequí-Dominguez,et al.Comparative effect of eHealth interventions on hypertension management-related outcomes: A network meta-analysis[J].International Journal of Nursing Studies, 2021,10(20):115-120
[7] 张梦,张文艳,刘于.以家庭为中心的赋权模式干预对低收入高血压病人自我管理的效果研究[J].全科护理,2023,21(8):1096-1099.
[8] 郑晓春. 社区高血压慢病管理模式对老年高血压患者血压波动的影响效果评价[J].中国医药指南,2023,21(10):90-92.
[9] 林庆. 全科医生指导下高血压自我管理效果评价[J].人人健康,2020(12):47-48.
[10] Jeyanesan D, Balachandrakumar V K, Hogan B.Guideline review: transjugular intrahepatic portosystemic stent-shunt in the management of portal hypertension-a BSG guideline[J].Frontline gastroenterology, 2022,13(6):531-534.
[11] 董岩,冯姗姗,徐岩,任蒨.自我管理指导对高血压的控制效果及心理状态的影响[J].中国健康心理学杂志,2019,27(4):562-565.
[12] 杨敏,张艳.基于行为转变理论的护理干预结合Anycheck健康管理模式对高血压脑出血术后患者自我管理能力、应对方式、康复情况的影响[J].临床医学研究与实践,2023,8(10):122-124.
[13] 徐群. 社区高血压自我管理模式对高血压患者健康状况及血压控制的影响[J].贵州医药,2020,44(2):251-253.
[14] 毕瑞瑾,姚剑南.Swanson理论指导的健康教育对老年高血压患者自我管理能力的影响[J].临床医学工程,2022,29(12):1733-1734.
[15] Perez-Benzo, Grace M.Muellers, KimberlyChen, ShiqiLiu, et al.Wisnivesky, Juan P.Federman, Alex D.Identifying Behavioral Phenotypes in Chronic Illness: Self-Management of COPD and Comorbid Hypertension[J].Patient education and counseling, 2021, 104(3):224-227.