Application of comprehensive nursing intervention based on protection motivation theory in community elderly patients with hypertension

Abstract

Objective To apply the nursing intervention based on the protection motivation theory in community elderly patients with hypertension , in order to establish a health behavior and to control bloodpressure and enhance better quality of life .Methods Using the random number table method , 144 elderly patients with hypertension were randomly divided into control group and intervention group .The intervention group received comprehensive nursing intervention based on protection motivation theory .The physiological index, health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension were compared between the control group and the intervention group .Results Before the intervention , the physiological index , health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension between groups had no significant difference （P〉0.05）.For the intervention group after 6-month-intervention, the systolic blood pressure was（ 136.85 ±15.32 ） mmHg, the diastolic blood pressure was （80.78 ±10.54） mmHg, the cholesterol level was （4.49 ±0.83） mmol/L, the score of self-efficacy was （18.03 ±1.75） and the score of susceptibility was （18.32 ±3.04）.Those values and scores in the control group were （139.28 ±13.44）mmHg, （89.25 ±8.78） mmHg, （5.33 ±0.91） mmol/L, （7.24 ±1.04）, （16.82 ±1.97） and （16.56 ±4.22）.The differences between groups were statistically significant （t=1.35, 5.17, 4.98, 3.36, 3.69, 2.11, respectively;P 〈0.05 ）.After 6 months of comprehensive nursing intervention , the physiological index , health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension were statistically significant （ P 〈0.05）.Conclusions Comprehensive nursing intervention based on protection motivation theory can promote the health behavior of community elderly hypertensive patients and can effectively control high blood pressure and improve patients ’ quality of life. Key words: Elderly; Hypertension; Community nursing; Protection motivation theory; Comprehensive nursing intervention