基于CICARE沟通模式的耳穴埋豆联合八段锦运动在老年原发性高血压患者中的应用OA
Application of auricular point pressing beans combined with Baduanjin exercise based on the CICARE communication model in elderly patients with essential hypertension
目的 研究基于接触-介绍-沟通-询问-回答-离开(CICARE)沟通模式的耳穴埋豆联合八段锦运动在老年原发性高血压患者中的护理效果.方法 以 2023 年 3 月至 2024 年 2 月厦门大学附属第一医院思明院区收治的140 例老年原发性高血压患者作为研究对象,遵循随机数字表法,将入组病例均分为观察组与对照组,每组各纳入70 例.对照组予以常规康复诊疗及护理,观察组则实施基于CICARE沟通模式的耳穴埋豆联合八段锦运动.测量患者血压、血脂,采用自我效能评价量表评估患者的自我管理能力,统计并记录患者出院时的护理满意度.结果 与护理前相比,在出院时及出院后 2 周的两个时间点,2 组患者的收缩压和舒张压、总胆固醇、甘油三酯及低密度脂蛋白胆固醇水平均下降,高密度脂蛋白胆固醇水平和自我管理能力评分均明显上升(P均<0.05);进一步组间比较显示,观察组以上指标与对照组相比均更佳(P均<0.05).观察组的护理满意度与对照组相比更高(P<0.05).结论 基于CICARE沟通模式的耳穴埋豆联合八段锦运动在老年原发性高血压患者中的护理效果良好,不仅能有效控制患者血压、血脂水平,还能提升其自我管理能力,最终提升患者满意度.
Objective To investigate the application effect of auricular point pressing beans combined with Baduanjin exercise under the CICARE(Connect-Introduce-Communicate-Ask-Respond-Exit)communication model in the nursing of elderly patients with essential hypertension.Methods A total of 140 elderly patients with essential hypertension admitted to the Siming Branch of the First affiliated Hospital of Xiamen University from March 2023 to February 2024 were selected as the study subjects.According to the random number table method,they were equally divided into an observation group and a control group,with 70 patients in each group.The control group received routine rehabilitation diagnosis,treatment,and nursing interventions,while the observation group received auricular point pressing beans and Baduanjin exercise based on the CICARE communication model.The blood pressure and blood lipid of the patients were measured.The self-management ability of the patients was evaluated by using the self-efficacy evaluation scale.The nursing satisfaction of the patients at discharge was statistically recorded.Results Compared with before nursing,at the two time points of discharge and 2 weeks after discharge,the systolic and diastolic blood pressure,total cholesterol,triglycerides,and low-density lipoprotein cholesterol levels of the two groups all decreased,while the high-density lipoprotein cholesterol level and self-management ability score significantly increased(P<0.05);further comparison between the groups showed that the above indicators in the observation group were better than those in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The application of auricular point pressing beans combined with Baduanjin exercise under the CICARE communication model has a good effect in the nursing of elderly patients with essential hypertension.It can not only effectively control blood pressure and blood lipid levels,but also improve patients'self-management ability,ultimately enhancing patient satisfaction.
王见芳;郭秋香;唐红梅
厦门大学附属第一医院思明院区,福建 厦门,361001厦门大学附属第一医院思明院区,福建 厦门,361001厦门大学附属第一医院思明院区,福建 厦门,361001
医药卫生
原发性高血压CICARE标准化沟通方法耳穴埋豆八段锦护理满意度
essential hypertensionCICARE standardized communication methodauricular point pressing beansBaduanjinnursing satisfaction
《中西医结合护理（中英文）》 2026 (7)
73-78,6
评论