CAJ | 학술논문

目的：探讨基于跨理论模型(transtheoretical model,TTM)的干预方案对高血压患者服药依从性的影响.方法2013年1－7月,采用目的抽样法选择236例高血压患者,以随机数字表法分为干预组121例、对照组115例.对照组给予心内科常规护理,干预组实施以跨理论模型为依据的干预措施.应用 Morisky 服药依从性量表(Morisky medication adherence scale,MMAS)分别于干预前及干预后1、3个月对两组患者进行评价.结果干预后1、3个月,干预组患者服药依从性均优于对照组(P＜0．05)；两组患者干预后3个月的服药依从性均低于干预后1个月(P＜0．05).结论与心内科常规护理干预相比,以跨理论模型为依据制定的干预方案能显著提升高血压患者的服药依从性；但随着出院时间的延长,依从性有所下降.
목적：탐토기우과이론모형(transtheoretical model,TTM)적간예방안대고혈압환자복약의종성적영향.방법2013년1－7월,채용목적추양법선택236례고혈압환자,이수궤수자표법분위간예조121례、대조조115례.대조조급여심내과상규호리,간예조실시이과이론모형위의거적간예조시.응용 Morisky 복약의종성량표(Morisky medication adherence scale,MMAS)분별우간예전급간예후1、3개월대량조환자진행평개.결과간예후1、3개월,간예조환자복약의종성균우우대조조(P＜0．05)；량조환자간예후3개월적복약의종성균저우간예후1개월(P＜0．05).결론여심내과상규호리간예상비,이과이론모형위의거제정적간예방안능현저제승고혈압환자적복약의종성；단수착출원시간적연장,의종성유소하강.
Objective To evaluate the effect of transtheoretical model based nursing intervention on medi-cation adherence of patients with hypertensive.Methods Totally 236 hypertensive patients were selected and assigned into intervention group (1 2 1 cases)and the control group (1 1 5 cases).The control group was treated with the cardiology conventional nursing intervention.The intervention group was treated with transtheoretical model based nursing intervention.Evaluated two groups before and after 1 month and 3 months of the intervention by Morisky medication adherence scale to measure the differences.Results After 1 and 3 months of the intervention,the medication adherence of the intervention group was better than which in control group (P <0.05 ).Compared with 1 months after intervention,the medication compliance of the experimental group was declined after 3 months of intervention (P<0.05).Conclusion Comparing with the conventional nursing intervention,the method on the basis of transtheoretical model can effectively improve medication adherence of patients with hypertensive,but with the extension of the discharge time,the adherence will relatively declined.