中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
2期
146-149
,共4页
老年人%高血压%门诊病人%自我效能%服药依从性
老年人%高血壓%門診病人%自我效能%服藥依從性
노년인%고혈압%문진병인%자아효능%복약의종성
Elderly%Hypertension%Outpatient%Self-efficiency%Medication compliance
目的：探讨自我效能干预对门诊老年高血压患者服药依从性的作用，提高患者的服药依从性，有效控制血压。方法将97例门诊老年高血压患者按照随机数字表法分为对照组48例，观察组49例。对照组进行常规高血压知识教育，指导其定期复查。观察组在此基础上实施自我效能干预，提高患者对自我效能的认知，制订个体化自我管理计划，并进行电话随访及短信交流，提高患者的社会支持水平。干预前及干预6个月采用Moriky服药依从性评价量表及坚持用药自我效能量表比较两组患者的服药依从性。结果干预后对照组与观察组服药依从性好者分别为56．2％，81．6％，两组比较差异有统计学意义（χ2＝7．313，P＜0．01）；坚持用药自我效能总分分别为（66．35±7．21），（73．56±7．29）分，观察组高于对照组，差异有统计学意义（t＝7．210，P＜0．01）。结论对门诊老年高血压患者实施自我效能干预可提高其服药依从性。
目的：探討自我效能榦預對門診老年高血壓患者服藥依從性的作用，提高患者的服藥依從性，有效控製血壓。方法將97例門診老年高血壓患者按照隨機數字錶法分為對照組48例，觀察組49例。對照組進行常規高血壓知識教育，指導其定期複查。觀察組在此基礎上實施自我效能榦預，提高患者對自我效能的認知，製訂箇體化自我管理計劃，併進行電話隨訪及短信交流，提高患者的社會支持水平。榦預前及榦預6箇月採用Moriky服藥依從性評價量錶及堅持用藥自我效能量錶比較兩組患者的服藥依從性。結果榦預後對照組與觀察組服藥依從性好者分彆為56．2％，81．6％，兩組比較差異有統計學意義（χ2＝7．313，P＜0．01）；堅持用藥自我效能總分分彆為（66．35±7．21），（73．56±7．29）分，觀察組高于對照組，差異有統計學意義（t＝7．210，P＜0．01）。結論對門診老年高血壓患者實施自我效能榦預可提高其服藥依從性。
목적：탐토자아효능간예대문진노년고혈압환자복약의종성적작용，제고환자적복약의종성，유효공제혈압。방법장97례문진노년고혈압환자안조수궤수자표법분위대조조48례，관찰조49례。대조조진행상규고혈압지식교육，지도기정기복사。관찰조재차기출상실시자아효능간예，제고환자대자아효능적인지，제정개체화자아관리계화，병진행전화수방급단신교류，제고환자적사회지지수평。간예전급간예6개월채용Moriky복약의종성평개량표급견지용약자아효능량표비교량조환자적복약의종성。결과간예후대조조여관찰조복약의종성호자분별위56．2％，81．6％，량조비교차이유통계학의의（χ2＝7．313，P＜0．01）；견지용약자아효능총분분별위（66．35±7．21），（73．56±7．29）분，관찰조고우대조조，차이유통계학의의（t＝7．210，P＜0．01）。결론대문진노년고혈압환자실시자아효능간예가제고기복약의종성。
Objective To investigate the effect of self-efficiency intervention on medication compliance among outpatient elderly with hypertension, in order to improve elderly medication compliance and control their blood pressure effectively.Methods Ninety-seven elderly with hypertension in the Outpatient Department were randomly divided into control group ( 48 cases ) and intervention group ( 49 cases ) .Routine hypertension knowledge was taught and regular review was required in the control group.Besides, patients in the intervention group receivedself-efficiency intervention to improve their self-efficiency knowledge and we draw up individual self-regulation plan, and performed follow-up by telephone or message.Before intervention and 6 months after intervention, Moriky medication compliance questionnaire and self-efficiency scale ( MASES ) were used to compare the difference of medication compliance of the patients in two groups.Results After intervention, the medication compliance in the control group and observation group were 56.2% and 81.6% (χ2 =7.313,P<0.01) and the self-efficacy of adhere to medication in two groups were (66.35 ±7.21) and (73.56 ±7.29) (t=7.210,P<0.01).Conclusions Self-efficiency improves medication compliance of outpatient elderly patients with hypertension.
