CAJ | 학술논문

目的：探讨自我效能护理干预对高血压性鼻出血患者自我效能及再出血率的影响。方法：将70例高血压性鼻出血患者随机分为对照组和实验组各35例，对照组在常规止血、药物治疗的同时给予责任制整体常规护理，实验组在此基础上给予自我效能增强的护理干预，干预时间均为6个月，比较两组自我效能、血压控制及再出血率的情况。结果：干预后实验组自我效能高于对照组，平均血压及再出血率低于对照组，差异均有统计学意义（P ＜0.05）。结论：对高血压性鼻出血患者在实施止血及药物治疗基础上进行自我效能增强护理干预，有助于提高其自我效能，控制血压水平，降低再出血率。
목적：탐토자아효능호리간예대고혈압성비출혈환자자아효능급재출혈솔적영향。방법：장70례고혈압성비출혈환자수궤분위대조조화실험조각35례，대조조재상규지혈、약물치료적동시급여책임제정체상규호리，실험조재차기출상급여자아효능증강적호리간예，간예시간균위6개월，비교량조자아효능、혈압공제급재출혈솔적정황。결과：간예후실험조자아효능고우대조조，평균혈압급재출혈솔저우대조조，차이균유통계학의의（P ＜0.05）。결론：대고혈압성비출혈환자재실시지혈급약물치료기출상진행자아효능증강호리간예，유조우제고기자아효능，공제혈압수평，강저재출혈솔。
Objective:To discuss the effect of nursing intervention on self - efficacy and relapse of epistaxis in hypertensive patients. Methods:70 hypertensive patients with epistaxis were randomly divided into the control group and the experimental group(35 cases in each group). The patients in the control group were given holistic nursing care while they received conventional hemostasis and medication;the patients in the experimental group were provided nursing intervention on enhancement of self - efficacy. The intervention lasted 6 months, and then the self - efficacy,the control of blood pressure and the re - bleeding rate were compared between the two groups. Results:The self - efficacy of the patients in the experimental group is better than the control group after the intervention,the average blood pressure and re - bleeding rate of the patients was lower in the experimental group than the control group,the differences between the two groups were statistically significant(P < 0. 05). Conclusion:The nursing intervention on the self - efficacy of the patients based on hemostasis and drug treatment is helpful to control blood pressure and reduce the re - bleeding rate.