摘要
目的:探讨信息—动机—行为技巧(IMB)模型的认知行为干预在H型高血压患者的应用效果。方法:选取2019年12月—2020年12月南阳市第三人民医院收治的113例H型高血压患者作为研究对象,按照患者意愿及护理方案不同分为两组。对照组患者56例予以常规护理,IMB组患者57例予以IMB模型的认知行为干预。比较两组患者干预前后自我管理水平[高血压患者自我管理行为测评工具(HP-SMBRS)评分]、焦虑状态[广泛焦虑性量表(GAD-7)评分]、护理知识掌握度、服药依从情况及干预总满意情况。结果:干预后IMB组患者HP-SMBRS评分高于对照组患者,GAD-7评分低于对照组患者,差异有统计学意义(t=2.846、6.959,P<0.05)。IMB组患者护理知识掌握度为92.98%(53/57),高于对照组患者的78.57%(44/56),差异有统计学意义(χ^(2)=4.827,P<0.05)。IMB组患者服药依从性为96.49%(55/57),高于对照组患者的85.71%(48/56),差异有统计学意义(χ^(2)=4.067,P<0.05)。IMB组患者干预总满意率为94.74%(54/57),高于对照组患者的82.14%(46/56),差异有统计学意义(χ^(2)=4.401,P<0.05)。结论:基于IMB模型的认知行为干预能提升H型高血压患者的自我管理水平,缓解其焦虑状态,同时还能增强患者认知。
Objective:To investigate the effectiveness of the information-motivation-behavioral skills(IMB)model of cognitive-behavioral intervention in patients with H hypertension.Methods:113 patients with H-type hypertension admitted to the hospital from December 2019 to December 2020 were selected as study subjects and divided into two groups according to the patients’wishes and different care plans.57 patients in the IMB group were given the cognitive behavioral intervention of the IMB model,and 56 patients in the control group were given conventional care.The level of self-management(Hypertensive Patient Self-Management Behavior Rating Tool[HP-SMBRS]),anxiety status(Generalized Anxiety Disorder Scale[GAD-7]),knowledge of care,medication compliance and total satisfaction with the intervention were compared before and after the intervention in both groups.Results:The IMB group had higher HP-SMBRS scores and lower GAD-7 scores than the control group after the intervention,with statistically significant differences(t=2.846,6.959,P<0.05).The nursing knowledge mastery in the IMB group was 92.98%(53/57),which was higher than the control group’s 78.57%(44/56),and the difference was statistically significant(χ^(2)=4.827,P<0.05).The medication adherence in the IMB group was 96.49%(55/57),which was higher than 85.71%(48/56)in the control group,with a statistically significant difference(χ^(2)=4.067,P<0.05).The overall satisfaction rate of the intervention was94.74%(54/57)in the IMB group,which was higher than 82.14%(46/56)in the control group,with a statistically significant difference(χ^(2)=4.401,P<0.05).Conclusion:Cognitive-behavioral interventions based on the IMB model can enhance self-management and alleviate the anxiety state of patients with H hypertension,while also enhancing their cognition.
作者
闫双双
YAN Shuang-shuang(Department of Cardiovascular Medicine,Nanyang Third People’s Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2022年第24期3054-3056,共3页
Heilongjiang Medical Journal
关键词
认知行为干预
H型高血压
信息—动机—行为技巧模型
自我管理
Cognitive-behavioral intervention
H hypertension
Information-motivation-behavioral skills model
Self-management
