摘要目的 探讨知信行模式对老年高血压患者自护能力及疾病认知水平的影响.方法 2014年2月—2016年2月选取老年心脏科收治的180例高血压患者为研究对象,根据随机数字表将患者分为观察组及对照组各90例,对照组患者实施常规性护理,观察组患者以知信行模式为基础实施护理干预,分别于干预前及干预后6个月应用自护能力测定量表(ESCA)及自行设计的高血压疾病认知量表对两组患者自护能力及疾病认知水平进行问卷调查.结果 干预后观察组自我概念、自护责任感、自护技能、健康知识水平及自护能力评分显著高于对照组,差异有统计学意义(P<0.05).干预后观察组合理饮食、合理作息、运动锻炼、情绪控制、遵医用药等知识评分显著高于对照组,差异有统计学意义(P<0.05).结论 知信行模式可以有效提高高血压患者自护能力、治疗依从性及疾病认知水平.

abstractsObjective To explore the impacts of knowledge-attitude-practice (KAP) model for elderly patients with hypertension.Methods From February 2014 to February 2016, 180 hypertension patients admitted in Elderly Cardiovascular Department was selected as the research object, and according to random number table, they were divided into the observation group and the control group on average. The patients in the control group received routine nursing care, while the patients in the observation group were cared by KAP model based on routine nursing. Before and 6 months after intervention, the self-nursing ability measurement scale (ESCA) and self-designed hypertension disease cognitive scale were used to investigate the nursing ability and cognitive level of disease in two groups.Results After the intervention, the self-concept, self-protection responsibility, self-care skills, health knowledge level and self-nursing ability score in the observation group were significantly higher than those of the control group, and the difference was statistically significant (P<0.05). After the intervention, the scores of knowledge in the observation group were significantly higher than that of the control group in reasonable diet, work and rest, exercise, emotional control (P<0.05).Conclusions The KAP can effectively improve the nursing ability,treatment adherence and disease cognitive level of the hypertension patients.