KAP模式联合奥瑞姆自理理论对高血压老年患者遵医行为及生活质量影响.docVIP

KAP模式联合奥瑞姆自理理论对高血压老年患者遵医行为及生活质量影响 　　【摘要】 目的 探讨知-信-行（KAP）模式联合奥瑞姆自理理论对高血压老年患者遵医行为及生活质量的影响。方法 115例高血压老年患者， 根据入院顺序分为观察组（58例）与对照组（57例）。对照?M实施常规护理干预， 观察组在对照组基础上实施KAP模式联合奥瑞姆自理理论的护理干预。观察比较两组患者的遵医行为及生活质量评价量表（SF-36）评分。结果 观察组健康知识掌握情况、健康行为习惯、谨遵医嘱用药、定期检查评分均高于对照组， 差异具有统计学意义（P0.05）；干预后两组患者SF-36评分均高于干预前， 且观察组（71.21±11.24）分高于对照组（65.07±10.43）分， 差异具有统计学意义（P0.05）。结论 给予高血压老年患者KAP模式联合奥瑞姆自理理论的护理干预， 可有效提高患者遵医行为， 促进生活质量改善。 　　【关键词】 知-信-行模式；奥瑞姆自理理论； 高血压老年患者；遵医行为；生活质量 　　DOI：10.14163/j.cnki.11-5547/r.2018.14.097 　　Effect of KAP mode and Orem self-care theory on medical compliance and quality of life of hypertensive elderly patients YIN Li-li， WANG Xia. Yantai Laiyang Central Hospital， Yantai 265200， China 　　【Abstract】 Objective To discuss the effect of knowledge， attitude， practice （KAP） mode combined with Orem self-care theory on Medical compliance and quality of life of hypertensive elderly patients. Methods A total of 115 hypertensive elderly patients were divided by admission order into observation group （58 cases） and control group （57 cases）. The control group received conventional nursing intervention， and the observation group received KAP mode and Orem self-care theory on the basis of the control group. Observation and comparison were made on medical compliance and quality of life （SF-36） score between the two groups. Results The observation group had higher mastery of health knowledge， health habits， compliance with the doctor’s advice， regular examination score than the control group， and their difference was statistically significant （P0.05）. After intervention， both groups had higher SF-36 score than before intervention， and the observation group had higher score as （71.21±11.24） points than （65.07±10.43） points in the control group. Their difference was statistically significant （P0.05）. Conclusion Combination of KAP mode and Orem self-care theory for hypertensive elderly patients can effectively improve medical compliance and promote the improvement of quality of life. 　　【