综合性护理干预对代谢综合征患者服药依从性、睡眠质量及生活质量的影响  

Effect of comprehensive nursing intervention on medication compliance,quality of sleep and quality of life of patients with metabolic syndrome

作　　者：翟英芬[1] 徐小燕[2] 陈红艳[1] 

机构地区：[1]华北电力大学医院内科,北京102206 [2]中日友好医院呼吸内科,北京100029

出　　处：《中国医药导报》2015年第32期142-145,149,共5页China Medical Herald

基　　金：华北电力大学中央高校基本科研专项资金项目(2015QN26)

摘　　要：目的探讨综合性护理干预对代谢综合征患者服药依从性、睡眠质量及生活质量的影响。方法选择2013年1月~2014年1月华北电力大学医院收治的60例代谢综合征患者作为研究对象,采用随机数字法将其分为干预组和对照组,每组各30例。对照组行常规对症护理,干预组实施系统的综合性护理干预,包括心理干预、饮食干预、运动干预、药物干预及健康教育。比较两组入院时、出院时的主动服药依从率、睡眠质量良好比率以及躯体功能、心理功能、社会功能、物质功能等各项生活质量评分。结果干预组出院时的主动服药依从率较入院时显著提高（60.0%比30.0%,P〈0.05）,且显著高于对照组（60.0%比40.0%,P〈0.05）。干预组出院时的睡眠质量良好比率较入院时显著提高（80.0%比30.0%,P〈0.05）,且显著高于对照组,差异有统计学意义（80.0%比40.0%,P〈0.05）。干预组出院时的躯体功能、心理功能、社会功能、物质功能各项评分均较入院时显著提高（均P〈0.05）。两组出院时的躯体功能、心理功能、社会功能、物质功能各项评分比较,差异均有统计学意义（均P〈0.05）。结论综合性护理干预有利于提高代谢综合征患者服药依从性,改善睡眠质量,从而提高患者的生活质量,促进疾病的康复。Objective To investigate the effect of comprehensive nursing intervention on medication compliance, quality of sleep and quality of life of patients with metabolic syndrome. Methods Sixty cases of patients with metabolic syndrome admitted to Hospital of North China Electric Power University from January 2013 to January 2014 were selected as research objects, and they were divided into intervention group and control group according to the random number table, with 30 cases in each group. The control group received routine symptomatic nursing, the intervention group took systematic comprehensive nursing intervention, including psychological intervention, dietary intervention, exercise intervention, drug intervention and health education. The compliance rate of active medication, the ratio of good sleep quality and all scores of quality of life including physical function, psychological function, social function and material function on admission and discharge in the two groups were compared. Results The compliance rate of active medication at discharge in the intervention group was significantly improved compared with hospital admission（60.0% vs30.0%, P〈0.05）, which was also significantly higher than that of control group（60.0% vs 40.0%, P〈0.05）. The ratio of good sleep quality at discharge in the intervention group was significantly higher than that at the time of admission（80.0% vs 30.0%, P〈0.05）, which was also significantly higher than that of control group, the difference was statistically significant（80.0% vs 40.0%, P〈0.05）. The scores of physical function, psychological function, social function and material function at discharge in the intervention group was significantly improved compared with hospital admission（all P〈0.05）. The scores of physical function, psychological function, social function and material function at discharge between the two groups had statistically significant differences（all P〈0.05）. Conclusion Comprehensive nursing intervention is helpful to enha

关 键 词：代谢综合征 综合性护理 依从性 睡眠质量 生活质量 

分 类 号：R589[医药卫生—内分泌]