【摘要】 目的 探讨知信行（Krone Access Point, KAP）护理模式对老年糖尿病合并高血压患者负面情绪及自我管理行为的长期影响。方法 选取深圳市中医院于2022年3月—2023年3月收治的110例老年糖尿病合并高血压患者为研究对象，按照分层随机法分为常规组（行常规护理）与KAP组（行KAP护理），各55例。比较两组负面情绪与自我管理行为评分。结果 干预前，两组焦虑、抑郁评分比较，差异无统计学意义（P均>0.05）；干预3、6个月后，KAP组焦虑、抑郁评分均低于常规组，差异有统计学意义（P均<0.05）。干预前，两组在病情监测、饮食、情绪、运动、用药等方面的管理行为评分比较，差异无统计学意义（P均>0.05）；干预6个月后，KAP组各方面的管理行为评分均高于常规组，差异有统计学意义（P均<0.05）。结论 将KAP护理模式应用于老年糖尿病合并高血压患者，有助于缓解其负面情绪，规范其自我管理行为。更多还原

【Abstract】 Objective To explore the long-term effects of krone access point(KAP) nursing mode on negative emotions and self-management behavior in elderly patients with diabetes mellitus and hypertension. Methods one hundred and ten elderly patients with diabetes mellitus combined with hypertension admitted to Shenzhen Hospital of Traditional Chinese Medicine from March 2022 to March 2023 were selected as the study objects, and they were divided into the conventional group(performing conventional nursing care) and the KAP group(performing KAP nursing care)according to the stratified randomization method, 55 cases in each group. The negative emotions and self-management behaviors scores between the two groups were compared. Results Before the intervention, there was no statistically significant difference between the anxiety and depression scores of the two groups(both P>0.05); after 3 and 6 months of intervention, the anxiety and depression scores of the KAP group were lower than those of the conventional group, and the differences were statistically significant(all P<0.05). Before intervention, there was no statistically significant difference between the two groups when comparing the scores of management behaviors in terms of condition monitoring,diet, emotion, exercise, and medication(all P>0.05); after 6 months of intervention, the scores of management behaviors in all aspects of the KAP group were higher than those of the conventional group, and the differences were statistically significant(all P<0.05). Conclusion Applying KAP nursing model to elderly patients with diabetes combined with hypertension can help alleviate their negative emotions and regulate their self-management behavior.更多还原