跨理论模型在中青年高血压患者饮食护理干预中的应用评价.docVIP

精品论文 参考文献 跨理论模型在中青年高血压患者饮食护理干预中的应用评价 邵静 王丽姿 曹雪群 [摘 要]目的 探讨跨理论模型(TTM)用于中青年高血压患者饮食护理干预中的效果。方法 将128例中青年高血压患者按照干预方式不同随机分为干预组和对照组。干预组：66例患者，接受TTM的饮食干预；对照组：62例患者，接受常规饮食指导。对比两组行为变化、饮食习惯、血压、体重指数（BMI）、满意度。结果 干预后1个月、2个月干预组患者饮食改变情况皆好于对照组（皆Plt;0.05）；干预后3个月两组随访结果比较差异更显著（P=0.0001）。干预组患者干预后1个月、2个月、3个月高盐食物摄入频次明显少于对照组，两组差异有显著统计学意义（皆P lt;0.001）。干预组患者干预后1个月、2个月、3个月高脂食物摄入频次明显少于对照组，两组差异有显著统计学意义（皆P lt;0.001）。干预组患者收缩压、舒张压明显低于对照组，差异有统计学意义（皆P lt;0.05）。干预组满意度明显高于对照组，差异有统计学意义（P=0.0202）。结论 对中青年高血压患者的饮食干预中采取TTM，可以促进患者健康饮食习惯的建立，减少患者对高脂高盐食物的摄入量，进而将血压控制在平稳的范围，同时还可以提高患者满意度。 [关键词] 高血压 跨理论模型 护理 饮食干预 效果 DOI:10.3760/cma.j.issn.1672-7088.2014.15.9 作者单位：510282，广东广州，南方医科大学珠江医院 [作者简介]邵静（1982—），女，研究方向：心血管疾病护理。 The Application of Transtheoretical Model in the Diet Nursing Intervention of Young and Middle-aged Patients with Hypertension Shao Jing, Wang Lizi, Cao Xuequn Abstract: Objective To study the effect of transtheoretical model in the diet nursing intervention of young and middle-aged patients with hypertension. Methods 128 patients were randomly divided into the intervention group and control group according to various means of intervention. The 66 patients in the intervention group underwent transtheoretical model (TTM) diet intervention; The 62 patients in the control group underwent regular diet guidance. Behavior change, eating habits, blood pressure, body mass index (BMI) and degree of satisfaction in the two groups were compared. Results 1 month, 2 months after intervention, dietary changes of patients in the intervention group were better than the control group (all P lt; 0.05); After the intervention of 3 months, follow-up results between the two groups were more significant (P = 0.0001). The high salt food in-taking frequency among the patients of intervention group after 1 month, 2 months and 3 months of intervention was significantly less than the control group, and the differences between the two groups had a significant statistical significance (P lt; 0.001). High fat