自我效能干预对老年高血粘度患者血流变学及血脂的影响

摘要

Obstractive To investigate the influence of self-efficacy intervention on hemorheology and blood lipid in elderly patients with high blood viscosity.Methods 80 elderly patients with high blood viscosity hospitalized at our department were selected as study objects and were randomly divided into an experimental group and a control group,40 for each group.The control group received routine nursing care,including basic nursing,diet nursing,drug therapy,exercise therapy,discharge guidance,etc.;in addition,the experimental group got self-efficacy intervention.The general self-efficacy scale was used to evaluate the self-efficacy in both group before and after the intervention.The hemorheology and changes of blood lipid test indexes were compared between these two groups.The effects were evaluated.Results Before the intervention,the self-efficacy score was (2.17±0.36) in the experimental group and was (2.22±0.39) in the control group,with no statistical difference(P＞0.05).After intervention,the self-efficacy score was (3.69±0.30) in the experimental group and was (2.37±0.44)in the control group (P＜ 0.01).Before the intervention,there were no statistical differences in hemorrheologyand blood lipid test indicators between these two groups (P＞0.05).After the intervention,the hemorrheology andblood lipid test indicators were significantly lower in the experimental group than in the control group (P＜0.01).Conclusions Self-efficacy intervention can help the elderly patients with high blood viscosity increase self-efficacy,establish a good way of life,strengthen self management ability,effectively reduce blood viscosity and blood lipid levels,promote the whole body blood circulation,and reduce stroke risk.%目的 探讨自我效能干预对老年高血粘度患者血流变学及血脂的影响.方法 选择在本院心内科住院的老年高血粘度患者80例为研究对象,随机分为实验组和对照组,各40例.对照组:只予常规护理,包括基础护理、饮食护理、药物治疗、运动疗法、出院指导等措施.实验组:在对照组的护理基础上给予自我效能干预.干预前后采用一般自我效能感量表对两组患者进行自我效能评分,比较两组患者血流变学及血脂检测指标变化,并评价其效果.结果 干预前,实验组和对照组自我效能得分分别为(2.17±0.36)分和(2.22±0.39)分,差异无统计学意义(P＞0.05);干预后,实验组和对照组患者自我效能得分分别为(3.69±0.30)分和(2.37 ± 0.44)分,实验组自我效能得分明显高于对照组(P＜0.01).干预前,两组血流变学及血脂各项检测指标情况比较,差异均无统计学意义(P＞0.05);干预后,实验组血流变学及血脂检测指标明显低于对照组(P＜0.01).结论 自我效能干预能帮助老年高血粘度患者提高自我效能,建立良好的生活方式,增强自我管理能力,有效降低血液粘稠度和血脂水平,促进全身血液循环,减少脑卒中发生几率.