CAJ | 학술논문

目的：运用保护动机理论，促进社区老年高血压患者建立健康行为，控制高血压，提高患者生活质量。方法采用随机数字表法将144名社区老年高血压患者随机分为两组。研究组在接受基于老年高血压保护动机理论的综合护理干预，对照组接受常规干预。采用生理指标、健康行为、自制老年高血压保护动机问卷进行评价。结果干预前两组患者各生理指标、健康行为得分及保护动机各维度得分比较差异均无统计学意义（P＞0．05）；干预6个月后，研究组收缩压为（136．85±15．32）mmHg，舒张压（80．78±10．54）mmHg，胆固醇（4．49±0．83）mmol/L，服药依从性得分为（7．69±0．76）分，自我效能得分为（18．03±1．75）分，易感性得分为（18．32±3．04）分；对照组分别为（139．28±13．44） mmHg、（89．25±8．78）mmHg、（5．33±0．91）mmol/L、（7．24±1．04）分、（16．82±1．97）分、（16．56±4．22）分，两组比较差异均有统计学意义（t值分别为1．35，5．17，4．98，3．36，3．69，2．11；P＜0．05）；两组患者干预6个月后腹围、血压测量频次、定期复诊率、自测血压情况、自备血压计情况及保护动机问卷中严重性、内外部奖励维度得分比较差异均有统计学意义（P＜0．05）。结论基于保护动机理论的综合护理干预能有效地促进社区老年高血压患者形成保护动机，建立健康行为，控制高血压，提高患者生活质量。
목적：운용보호동궤이론，촉진사구노년고혈압환자건립건강행위，공제고혈압，제고환자생활질량。방법채용수궤수자표법장144명사구노년고혈압환자수궤분위량조。연구조재접수기우노년고혈압보호동궤이론적종합호리간예，대조조접수상규간예。채용생리지표、건강행위、자제노년고혈압보호동궤문권진행평개。결과간예전량조환자각생리지표、건강행위득분급보호동궤각유도득분비교차이균무통계학의의（P＞0．05）；간예6개월후，연구조수축압위（136．85±15．32）mmHg，서장압（80．78±10．54）mmHg，담고순（4．49±0．83）mmol/L，복약의종성득분위（7．69±0．76）분，자아효능득분위（18．03±1．75）분，역감성득분위（18．32±3．04）분；대조조분별위（139．28±13．44） mmHg、（89．25±8．78）mmHg、（5．33±0．91）mmol/L、（7．24±1．04）분、（16．82±1．97）분、（16．56±4．22）분，량조비교차이균유통계학의의（t치분별위1．35，5．17，4．98，3．36，3．69，2．11；P＜0．05）；량조환자간예6개월후복위、혈압측량빈차、정기복진솔、자측혈압정황、자비혈압계정황급보호동궤문권중엄중성、내외부장려유도득분비교차이균유통계학의의（P＜0．05）。결론기우보호동궤이론적종합호리간예능유효지촉진사구노년고혈압환자형성보호동궤，건립건강행위，공제고혈압，제고환자생활질량。
Objective To apply the nursing intervention based on the protection motivation theory in community elderly patients with hypertension , in order to establish a health behavior and to control bloodpressure and enhance better quality of life .Methods Using the random number table method , 144 elderly patients with hypertension were randomly divided into control group and intervention group .The intervention group received comprehensive nursing intervention based on protection motivation theory .The physiological index, health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension were compared between the control group and the intervention group .Results Before the intervention , the physiological index , health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension between groups had no significant difference (P>0.05).For the intervention group after 6-month-intervention, the systolic blood pressure was( 136.85 ±15.32 ) mmHg, the diastolic blood pressure was (80.78 ±10.54) mmHg, the cholesterol level was (4.49 ±0.83) mmol/L, the score of self-efficacy was (18.03 ±1.75) and the score of susceptibility was (18.32 ±3.04).Those values and scores in the control group were (139.28 ±13.44)mmHg, (89.25 ±8.78) mmHg, (5.33 ±0.91) mmol/L, (7.24 ±1.04), (16.82 ±1.97) and (16.56 ±4.22).The differences between groups were statistically significant (t=1.35, 5.17, 4.98, 3.36, 3.69, 2.11, respectively;P <0.05 ).After 6 months of comprehensive nursing intervention , the physiological index , health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension were statistically significant ( P <0.05).Conclusions Comprehensive nursing intervention based on protection motivation theory can promote the health behavior of community elderly hypertensive patients and can effectively control high blood pressure and improve patients ’ quality of life.