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生活方式改变计划对接受血管成形术的高血压患者的知识、态度和行为的影响:一项随机对照临床试验。

Effects of a Lifestyle Modification Program on Knowledge, Attitude and Practice of Hypertensive Patients with Angioplasty: A Randomized Controlled Clinical Trial.

作者信息

Jafari Fahimeh, Shahriari Mohsen, Sabouhi Fakhri, Khosravi Farsani Alireza, Eghbali Babadi Maryam

机构信息

Critical Care Unit, Issa ben Maryam Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2016 Oct;4(4):286-296.

PMID:27713892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5045973/
Abstract

BACKGROUND

Lack of knowledge, attitude and practice are some of the barriers of having a healthy lifestyle and controlling high blood pressure. This study aimed to determine the effectiveness of a lifestyle modification program on knowledge, attitude and practice of hypertensive patients with angioplasty.

METHODS

This study was a randomized controlled clinical trial conducted from November to April 2014 on 60 hypertensive patients with angioplasty in Shahid Chamran hospital of Isfahan, Iran. The samples were randomly assigned to two equal groups. Data collection was performed in three stages by a researcher-made questionnaire. The intervention plan was 6 education sessions and then follow up were done by phone call. The gathered data were analyzed via SPSS (V.20), using t-test, Chi-square, repeated measurement, and post hoc LSD test and ANOVA statistics.

RESULTS

The mean score of knowledge, attitude and practice in the experimental group immediately after the intervention was 77.8±7.2, 88.3±6.4 and 86.2±6.5, respectively and one month after the intervention was 80.8±7.4, 91.1±3.5 and 92.5±2.2, respectively. But in the control group, the mean score of knowledge, attitude and practice immediately after the intervention (34.90±11.23, 61.11±6.28, and 38.64±7.15) and one month after the intervention was (38.64±7.15, 59.56±6.31 and 37.27±7.26.

CONCLUSION

Lifestyle modification program can be effective in promoting the knowledge, attitude and practice of hypertensive patients with angioplasty. Nurses can use this program in their care provision programs for these patients. IRCT2015062420912N3.

摘要

背景

知识、态度和行为的欠缺是保持健康生活方式和控制高血压的一些障碍。本研究旨在确定生活方式改善计划对接受血管成形术的高血压患者的知识、态度和行为的有效性。

方法

本研究是一项随机对照临床试验,于2014年11月至4月在伊朗伊斯法罕的沙希德·查姆兰医院对60例接受血管成形术的高血压患者进行。样本被随机分为两组。数据收集分三个阶段通过研究者编制的问卷进行。干预计划包括6次教育课程,然后通过电话进行随访。收集到的数据通过SPSS(版本20)进行分析,使用t检验、卡方检验、重复测量、事后LSD检验和方差分析统计。

结果

干预后即刻,实验组的知识、态度和行为平均得分分别为77.8±7.2、88.3±6.4和86.2±6.5,干预后1个月分别为80.8±7.4、91.1±3.5和92.5±2.2。但在对照组中,干预后即刻的知识、态度和行为平均得分(34.90±11.23、61.11±6.28和38.64±7.15)以及干预后1个月的得分分别为(38.64±7.15、59.56±6.31和37.27±7.26)。

结论

生活方式改善计划可有效提高接受血管成形术的高血压患者的知识、态度和行为。护士可在为这些患者提供护理的计划中使用该计划。IRCT2015062420912N3。

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