目的 探究基于知信行理论(KAP)下跟踪延续护理在高血压合并冠心病患者中的应用效果。方法 选取2020年1月~2022年1月就诊本院的105例高血压合并冠心病患者,以入院顺序不同分为2组,对照组52例、观察组各53例。对照组给予常规护理干预,观察组在前者基础上,给予KAP指导下的跟踪延续护理。对比2组依从性、血压水平、抑郁自评量表(SDS)、健康促进生活方式量表(HPLP)、匹兹堡睡眠质量量表(PSQI)、生活质量综合评定问卷-74(GQOL-74)评分。结果 干预后观察组舒张压、收缩压均低于对照组(P＜0.05)；观察组总依从性96.23%(51/53)高于对照组76.92%(40/52)(P＜0.05)；干预后观察组SDS低于对照组,HPLP高于对照组(P＜0.05)；与对照组干预后相比,观察组GQOL-74较高,PSQI较低(P＜0.05)。结论 基于KAP下跟踪延续护理可增强高血压合并冠心病患者依从性,缓解睡眠障碍,改善心理状态,提高生活质量,促进患者养成健康行为,有助于维持患者血压等病情稳定。

Objective To investigate the effectiveness of follow-up continuity of care based on the Knowing, Believing, Acting (KAP) theory in patients with hypertension combined with coronary heart disease.Methods One hundred and five patients with hypertension combined with coronary artery disease who visited our hospital from January 2020 to January 2022 were selected and divided into 2 groups according to different order of admission: 52 cases in the control group and 53 cases in each of the observation groups. The control group was given conventional nursing interventions, and the observation group was given KAP-guided follow-up continuation care on the basis of the former. The compliance, blood pressure level, depression self-rating scale (SDS), health promotion lifestyle scale (HPLP), Pittsburgh Sleep Quality Inventory (PSQI), and General Quality of Life Questionnaire-74 (GQOL-74) scores were compared between the 2 groups.Results After the intervention, diastolic and systolic blood pressure were lower in the observation group than in the control group (P < 0.05); total compliance was 96.23% (51/53) higher in the observation group than in the control group (76.92% (40/52) (P < 0.05); SDS was lower and HPLP was higher in the observation group than in the control group after the intervention (P < 0.05); compared with the control group after the intervention, GQOL-74 was higher and PSQI was lower in the observation group compared with the control group after intervention (P < 0.05).Conclusion Follow-up extended care based on KAP can enhance the compliance of patients with hypertension combined with coronary heart disease, alleviate sleep disorders, improve psychological status, improve quality of life, promote patients to develop healthy behaviors, and help maintain the stability of patients" blood pressure and other conditions.