Impact of knowledge-attitude-practice model on self-care and cognition of disease in elderly patients with hypertension

Abstract

Objective To explore the impacts of knowledge-attitude-practice (KAP) model for elderly patients with hypertension. Methods From February 2014 to February 2016, 180 hypertension patients admitted in Elderly Cardiovascular Department was selected as the research object, and according to random number table, they were divided into the observation group and the control group on average. The patients in the control group received routine nursing care, while the patients in the observation group were cared by KAP model based on routine nursing. Before and 6 months after intervention, the self-nursing ability measurement scale (ESCA) and self-designed hypertension disease cognitive scale were used to investigate the nursing ability and cognitive level of disease in two groups. Results After the intervention, the self-concept, self-protection responsibility, self-care skills, health knowledge level and self-nursing ability score in the observation group were significantly higher than those of the control group, and the difference was statistically significant (P<0.05) . After the intervention, the scores of knowledge in the observation group were significantly higher than that of the control group in reasonable diet, work and rest, exercise, emotional control (P<0.05) . Conclusions The KAP can effectively improve the nursing ability, treatment adherence and disease cognitive level of the hypertension patients. Key words: Hypertension; Knowledge-attitude-practice model; Self-protection ability; Disease cogniton