摘要
目的探讨计划行为理论下的追踪护理模式对高脂血症患者血脂水平及自我管理的影响。方法选取2022年1—12月郑州大学第一附属医院94例高脂血症患者,采用随机抽签法分为对照组(47例)、试验组(47例),对照组接受常规护理,试验组在此基础上实施计划行为理论下的追踪护理模式。比较两组疾病知识掌握情况、用药依从性[服药依从性量表(MMAS-8)]及干预前后血脂水平[胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]、健康信念[健康信念模型量表(CHBMS)]、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)]、心理状态[正性与负性情绪量表(PANAS)]、生活质量[世界卫生组织生活质量测定量表简表(WHOQOL-BREF)]。结果试验组疾病知识掌握率(95.74%)高于对照组(80.85%)(P<0.05);试验组用药依从率(100.00%)高于对照组(85.11%)(P<0.05);干预6个月后试验组TC、TG、LDL-C、HDL-C水平优于对照组(P<0.05);试验组干预6个月后CHBMS、AHSMSRS、HPLP-Ⅱ、WHOQOL-BREF评分均高于对照组(P<0.05);与对照组比较,干预6个月后试验组PANAS-正性评分较高,PANAS-负性评分较低(P<0.05)。结论计划行为理论下的追踪护理模式可提升高脂血症患者自我管理能力,提高其用药依从性,改善其血脂水平,提高生活质量水平。
Objective To explore the effect of follow-up nursing model under the theory of planned behavior on blood lipid level and self-management in patients with hyperlipidemia.Methods A total of 94 patients with hyperlipidemia in the First Affiliated Hospital of Zhengzhou University from January to December 2022 were selected and divided into control group(47 cases)and experimental group(47 cases)by random drawing method.The control group was given routine nursing,and the experimental group was implemented the tracking nursing mode under the theory of planned behavior on this basis.Disease knowledge,medication compliance(MMAS-8)and blood lipid levels[cholesterol(TC),triglycerides(TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C)],health beliefs[health belief model scale(CHBMS)],self-management ability[adult health self-management ability scale(AHSMSRS)],health behavior[health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)],mental state[positive and negative affect schedule(PANAS)]and quality of life[The World Health Organization’s quality of life questionnaire-brief version(WHOQOL-BREF)]before and after intervention were compared between the two groups.Results The mastery rate of disease knowledge in the experimental group(95.74%)was higher than that in the control group(80.85%)(P<0.05).After 6 months of intervention,the changes of TC,TG,LDL-C and HDL-C in the experimental group were greater than those in the control group(P<0.05).After 6 months of intervention,the scores of CHBMS,AHSMSRS,HPLP-Ⅱand WHOQOL-BREF in the experimental group were higher than those in the control group(P<0.05).Compared with the control group,the experimental group had higher positive PANAS score and lower negative PANAS score after 6 months of intervention(P<0.05).Conclusion The follow-up nursing model under the theory of planned behavior can improve the self-management ability of patients with hyperlipidemia,improve their medication compliance,improve their blood lipid level,and improve their quality of life.
作者
蔡巧珍
李丽莎
高倩
王盼盼
张洁
梁春利
常维花
CAI Qiaozhen;LI Lisha;GAO Qian;WANG Panpan;ZHANG Jie;LIANG Chuni;CHANG Weihua(Department of Cardiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450052,China)
出处
《河南医学研究》
CAS
2024年第2期363-367,共5页
Henan Medical Research
基金
河南省科技攻关项目(232102311023)。
关键词
计划行为理论
追踪护理模式
高脂血症
血脂水平
自我管理
planned behavior theory
tracking nursing patterns
hyperlipidemia
blood lipid level
self-management
