知信行模式护理干预对高血压患者生活质量及护理投诉率的影响

陈晓晟

【摘 要】目的：探讨高血压患者经知信行模式护理干预后对护理投诉和生活质量影响。方法：选取本院2018年1月至2020年12月收治的高血压患者作为研究对象，共100例，采用统计学软件SAS进行随机分组，各50例。对照组行基础护理，观察组行知信行模式护理。比较两组患者经不同方式护理后生活质量及护理投诉率变化情况。结果：干预后观察组情绪功能、躯体功能、角色功能评分高于对照组，总护理投诉率低于对照组，差异有统计学意义（P<0.05）。干预前两组遵医用药、运动锻炼、合理饮食、情绪控制以及合理作息评分对比差异无统计学意义（P>0.05）；干预后观察组遵医用药、运动锻炼、合理饮食、情绪控制以及合理作息评分高于对照组，差异有统计学意义（P<0.05）。结论：高血压患者经知信行模式护理干预后，能够降低护理投诉率，提升患者个人生活质量以及对自身疾病认知程度。

【关键词】高血压；知信行模式；护理投诉；生活质量

Effect of knowledge， belief and practice model nursing intervention on quality of life and nursing complaint rate of patients with hypertension

CHEN Xiaosheng

Mudan District Hospital of traditional Chinese medicine， Heze， Shandong 274000， China

【Abstract】Objective： To explore the effect of knowledge， belief and practice model nursing intervention on nursing complaints and quality of life in patients with hypertension. Methods： 100 patients with hypertension treated in our hospital from January 2018 to December 2020 were selected as the research objects. They were randomly divided into 50 cases by statistical software SAS. The control group received basic nursing， and the observation group received knowledge， belief and practice nursing. The changes of quality of life and nursing complaint rate were compared between the two groups. Results：After the intervention， the scores of emotional function， physical function and role function in the observation group were higher than those in the control group， and the total nursing complaint rate was lower than that in the control group（P<0.05）.Before the intervention， there was no significant difference between the two groups in terms of medication compliance， exercise， reasonable diet， emotional control and reasonable work and rest score（P>0.05）； After the intervention， the scores of medical compliance， exercise， reasonable diet， emotional control and reasonable work and rest in the observation group were significantly higher than those in the control group（P<0.05）. Conclusion：After the nursing intervention of knowledge， belief and practice model in patients with hypertension， it can reduce the nursing complaint rate and improve the personal quality of life of patientsandthecognition of their own diseases..

【Key？Words】Hypertension； Knowledge；Belief and practice mode； Nursing complaints； Quality of life

引發肾脏疾病和心血管疾病发生主要危险因素便是高血压，据有关研究人员指出，国内老年群体中出现高血压疾病发病率最高可至49%左右，大部分高血压疾病患者对于自身疾病认知欠缺，导致后期治疗受到影响[1]。因此，只有通过掌握健康信念以及创建积极态度，才能获得有益健康[2]。目前，较为成熟健康促进行为改变模式是知信行模式。鉴于此，本研究探讨高血压患者经知信行模式护理干预后对护理投诉和生活质量影响，结果如下。

1.1 一般资料