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社区老年高血压患者自我效能增强干预的研究
引用本文:谢少飞,李华萍,宁晓东,林婕,郑翠红.社区老年高血压患者自我效能增强干预的研究[J].中国护理管理,2013,13(5):24-28.
作者姓名:谢少飞  李华萍  宁晓东  林婕  郑翠红
作者单位:1. 南京军区福州总医院护理部,350003
2. 福建省级机关医院护理部
3. 荆门市第一人民医院肿瘤二科
4. 福州市华大街道社区卫生服务中心
基金项目:福建省医学创新课题(项目编号:2007-CXB-6)
摘    要:目的:探讨自我效能增强干预对社区老年高血压患者血压控制及治疗依从性的影响。方法:以年龄、性别及病程为配对条件,将92例入组高血压患者分配至干预组和对照组(每组各46人),干预组给予自我效能增强干预,对照组给予常规性社区护理干预,共干预6个月。结果:在干预结束时、干预结束后1个月、干预结束后3个月,两组患者血压控制及治疗依从性差异均具有统计学意义(P<0.05)。结论:自我效能增强干预可提高高血压患者的治疗依从性,促进血压控制,同时具有较强的可操作性及实用性,值得在社区护理中推广应用。

关 键 词:高血压  自我效能  治疗依从性

Effect of enhanced self-efficacy intervention on compliance of hypertensives in community
Institution:XIE Shao-fei, LI Hua-ping, NING Xiao-dong, et al.(Fujian Governmental Hospital, Fuzhou, 350003 China)
Abstract:Objective: To evaluate the effects of enhanced self-efficacy intervention on the control of blood pressure and compliance with treatment in hypertensives. Methods:A total of 96 patients with hypertension were recruited and randomly assigned to routine commuity care condition and enhanced self-efficacy intervention for six months matched on age, gender and disease duration of hypertension. Results:After six months intervention, one month and three months after the end of the intervention, the patients' blood pressure and compliance were significantly different between the two groups (P〈0.05). self-efficacy intervention can enhance the compliance, promote the control of blood pressure. It is proved to be feasible and practical, which is worth to be spread in community nursing.
Keywords:hypertension  self-efficacy  compliance
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