个体化延续护理干预对动脉粥样硬化患者服药依从性的影响  

Effects of individual and continuous nursing intervention in improving medication compliance of atherosclerosis patients

作　　者：王瑞[1] 由天辉[1] 黄竹航[2] 赵新华[2] 

机构地区：[1]广东药学院护理学院,广州510310 [2]广东药学院公共卫生学院,广州510310

出　　处：《国际医药卫生导报》2014年第13期1856-1860,共5页International Medicine and Health Guidance News

基　　金：广东省科技计划项目（2009B030801314）;广东省医学科研基金（A2012306）

摘　　要：目的 探讨个体化延续护理对动脉粥样硬化患者服药依从性及粥样斑块形成主要危险因素的控制效果,为今后制定卫生政策提供参考依据.方法 方便抽取广州市三家医院神经内科病房经彩超确诊有颈动脉斑块形成的中老年患者217例并随机分组,分别给予传统的护理干预和个体化延续护理干预,4个月后比较两组患者服药依从性及相关化验检查指标.结果 试验组和对照组的服药依从性得分分别为（2.2±0.4）、（2.1±0.5）.干预后,试验组的服药依从性得分明显高于对照组（P=0.007）;试验组的SBP、DBP、GLU及SCr均较干预前下降（P＜0.05）,而对照组干预前后比较差异无统计学意义.结论 个体化延续护理干预能有效提高患者的服药依从性,从而有效控制高血压、高血脂等危险因素.Objective To discuss the effects of individual and continuous nursing intervention to the medication compliance and the main risk factors of patients with atherosclerosis,in order to provide theoretic basis for health policy.Methods From April 2011 to July 2011,a questionnaire survey was conducted among 217 patients,which were from three hospitals of Guangzhou and with carotid atherosclerosis plaque in cardiovascular and cerebro vascular disease by the examination of color Doppler ultrasound.And then they were randwomly divided into experimental and control groups,separately given traditional nursing intervention and individual and continuous nursing intervention.Four months later,we compared the medication compliance changes and biochemical indicator changes of the two groups.Results The medication compliance scores of experimental group and control group were （2.2 ± 0.4） and （2.1 ± 0.5） respectively.After intervention,the medication compliance scores of experimental group apparendy were higher than those of control groups （P=0.007）; and the differences among the index for systolic blood pressure,diastolic blood pressure,fasting blood glucose and serum creatinine in experimental group were statistically significant （P ＜ 0.05）,while there were no differences in control groups （P ＞ 0.05）.Conclusion Individual and continuous nursing intervention was more effective than traditional group in improving medication compliance of Atherosclerosis patients,thus to control the main risk factors,such as hypertensive and hyperliipoidemia.

关 键 词：延续性护理干预 动脉粥样硬化 服药依从性 

分 类 号：R473.5[医药卫生—护理学]