药物自我处置训练对肺移植患者出院后服药依从性的影响  

Impact of medication self-management module on medication compliance of patients out of the hospital after lung transplantation

作　　者：黄云娟[1] 王芳[1] 曹晓东[1] 黄琴红[1] 朱雪芬[1] 闵群惠[1] 陈静瑜[1] 

机构地区：[1]南京医科大学附属无锡市人民医院护理部,214023

出　　处：《中华现代护理杂志》2014年第34期4301-4303,共3页Chinese Journal of Modern Nursing

基　　金：基金项目：无锡市医院管理中心医学技术重大扶持项目（YGZF1109）

摘　　要：目的：探讨药物自我处置训练对肺移植患者服药依从性的影响。方法将48例肺移植患者随机分为试验组和对照组，每组24例。两组均接受常规护理干预，试验组在此基础上接受药物自我处置训练，比较两组干预效果。结果术后12个月时，试验组患者服药依从性为87．50％，对照组为79．17％，两组比较差异有统计学意义（χ2＝8．641，P＜0．05）；试验组血药浓度为（10．78±2．61） ng／L，6 min步行试验为（324．15±23．91）m，均高于对照组的（8．64±2．03）ng／L，（291．58±20．84）m，差异有统计学意义（t值分别为8．143，7．852；P＜0．05）。结论药物自我处置训练使患者掌握了服药的技术并养成了习惯，提高了服药依从性，适于临床推广应用。Objective To explore the impact of medication self-management module on medication compliance of patients after lung transplantation.Methods Totals of 48 patients were divided into experimental＆amp;nbsp;group （ n=24 ） and control group （ n =24 ） .The control group received conventional treatment and nursing care.The experimental group received medication self-management module on the basis of conventional treatment and nursing care.Results Compared the two groups after 12 months, medication compliance of experimental group was 87.50%, and that of control group was 79.17%, significant difference was found between two groups （χ2 =8.641,P〈0.05）.Blood drug concentration and 6MWT of experimental group was （10.78 ± 2.61）ng/L and （324.15 ±23.91） m,respectively, higher than that in control group （8.64 ±2.03） ng/L and （291.58 ±20.84） m, and the differences between the two groups were statistically significant （ t=8.143,7.852, respectively;P〈0.05）.Conclusions Medication self-management module can solve the patient’ s medication problem and improve the compliance of lung transplant patients,so it is suitable for clinical application.

关 键 词：肺移植 药物自我处置程式训练 患者 服药依从性 

分 类 号：R473.6[医药卫生—护理学]