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个体化干预对社区老年高血压患者服药遵从行为干预效果的研究-护理学专业论文.docx

个体化干预对社区老年高血压患者服药遵从行为干预效果的研究-护理学专业论文.docx

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个体化干预对社区老年高血压患者服药遵从行为干预效果的研究-护理学专业论文

PAGE PAGE 2 义(P<0.001),而对照组自身服药遵从行为得分干预后较干预前变化不大,差 异无统计学意义(P>0.05)。 (2)试验组高血压老年人经过 12 周服药遵从行为干预,在感受药效、感受医 疗伙伴关系、感受医疗现实感及他人影响因素方面得分均有明显提高,差异均 有统计学意义(P<0.05),而对照组干预前后变化不大,差异无统计学意义(P >0.05)。 (3)随干预时间的推进,对照组在 12 周内血压值变化不大,而试验组的血压 则逐步下降,干预前后血压值比较,差异有统计学意义(P<0.05)。两组老年 高血压患者血压值在经过 12 周后进行比较,差异有统计学意义(P<0.05)。 (4)干预前两组研究对象其服药自我报告均分比较,差异无统计学意义(P> 0.05);干预 12 周后,试验组研究对象服药自我报告均分有明显的提升,自身 前后及与对照组得分比较,差异均有统计学意义(P<0.001)。 结 论 1 个体化服药遵从行为干预是一种切实可行的干预措施,能有效提高社区老年 高血压患者的服药遵从行为。 2 个体化服药遵从行为干预有助于社区老年高血压患者的血压控制在理想范围 之内。 关键词 个体化干预;老年高血压患者;服药遵从行为;社区型研究 Effects of Personalizd Intervention on Medication Adherence behaviors in Elderly Hypertensive Patients among Community ABSTRACT OBJECTIVE To explore the effects of personalizd community intervention on medication adherence behaviors in elderly patients with hypertension so as to provide the reference basis of elevating medication adherence behaviors and improving outcomes of disease in the elderly. METHODS This study used a quasi-experimental study, the method of combined qualitative research with quantitative research. Seventy elderly patients with hypertension were recruited from the community in Hengyang city randomly allocated to the experimental group (n=35) and the control group (n=35) by different community. All of elderly people conformed to the 2004 WHO / ISH standards of hypertension, and the results of taking medication self-report scale was poor (score was 0~2). Fifteen subjects of the experimental group were conducted for the in-depth interview before experiment and 6 topic words were refined from the interview datum according to the essential reasons of being unable the Medication Adherence Behaviors such as physical aging, negative emotion, lack of social support, bad perceived effects, bad health consciousness and lacking knowledge. The individual intervention measures to the subjects of the experimental group were made secundum 6 topic words and implemented for 12 weeks. Meanwhile the subjects of the control group accep

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