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Impact of Evidence-Based Nursing Based on the Diffusion of Innovations Theory on Self-Care Ability and Blood Pressure Control in Hypertensive Patients
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Author: Qinqin Li
Abstract: Objective: To explore the practical application effects of an evidence-based nursing model constructed based on the diffusion of innovations theory on self-care and blood pressure control in hypertensive patients. Methods: A total of 64 hypertensive patients who visited our hospital from July 2024 to September 2025 were enrolled and randomly assigned to two groups, with 32 cases in each group. The routine group received standard hypertension care, while the intervention group received evidence-based nursing intervention guided by the diffusion of innovations theory in addition to routine care. Patients' self-care ability, compliance improvement, and blood pressure control were observed. Results: After the intervention, the intervention group scored higher on all dimensions of the ESCA scale and the total CHPS score compared to the routine group, while their SBP and DBP levels were lower than those in the routine group (P<0.05). Conclusion: Introducing evidence-based nursing based on the diffusion of innovations theory into the care of hypertensive patients can effectively improve patients' self-care abilities, enhance treatment compliance, and thereby promote better blood pressure control.
Keywords: Hypertension; Evidence-Based Nursing; Diffusion of Innovations Theory; Self-Care Ability
References:
[1] 汪姜涛,杜瑀,朱玲,等.成年人脂质蓄积指数与高血压发病的相关性:一项前瞻性队列研究[J].中国全科医学,2025,28(12):1433-1438.
[2] 王志军,张士博,刘杰,等.高血压患者三酰甘油葡萄糖体质量指数与夜间高血压的相关性分析[J].中国全科医学,2025,28(18):2212-2221.
[3] 余孜孜,刘杜丽,李熙敏,等.农村高血压患病和自我管理现状及影响因素研究[J].中国全科医学,2025,28(25):3137-3143.
[4] 谷明宇,秦廷廷,乔昆,等.中国基层高血压管理模式的网状Meta分析[J].中国全科医学,2025,28(10):1265-1272.
[5] 张敬颖,张凤佩,涂惠,等.临床情境评估量表的汉化及在高血压患者服药管理循证实践中的初步应用[J].中华护理杂志,2025,60(10):1230-1237.
[6] 王静,郭素艳,周静,等.COX健康行为互动模式对老年原发性高血压患者的影响[J].齐鲁护理杂志,2022,28(1):26-28.
[7] 陈静纯,赖思宏,李旭,等.高血压患者感知服务质量及其行为依从性的关系研究——以医生信任为中介[J].中国卫生事业管理,2023,40(7):547-551.
[8] 杨敏,张晓霞,何佑成,等.知信行护理模式对老年原发性高血压患者血压、情绪状态及自我管理能力的影响[J].国际精神病学杂志,2025,52(3):996-999.
[9] 李莹莹.以创新扩散理论为指导的循证护理在血管性痴呆患者中的应用[J].国际护理学杂志,2025,44(3):439-444.
[10] 霍丽敏,李丽芳,王慧娟,等.创新扩散理论下规范化干预对老年急性缺血性脑卒中患者情绪及自我效能的影响[J].国际老年医学杂志,2025,46(3):342-346.
[11] 宋金玉,霍红秋,孙丽明,等.创新扩散理论结合多学科协作在重症肺炎合并心力衰竭患者中的应用[J].实用临床医药杂志,2025,29(6):34-38.
[12] 刘峥,程晶,许红凤.以创新扩散理论为指导的精细化管理在联合瓣膜病变患者围术期护理中的应用效果[J].实用心脑肺血管病杂志,2024,32(12):124-128.
[13] 罗秋湖,王自秀.正念训练联合记忆刷新训练对肺癌化疗患者癌因性疲乏及焦虑的影响[J].护理学杂志,2024,39(9):6-9.