自我管理教育对精神科门诊患者服药依从性的影响  

Influence by self-management education on medication compliance of outpatients in department of psychiatry

作　　者：殷郁 

机构地区：[1]常州市金坛区第二人民医院,213200

出　　处：《中国实用医药》2017年第12期158-160,共3页China Practical Medicine

摘　　要：目的探讨自我管理教育对精神科门诊患者服药依从性的影响。方法 116例门诊患者(出院后复诊)中需长期坚持服药的精神病患者,按自愿参加原则编号单复数随机分为对照组和实验组,每组58例。对照组仅行门诊常规护理,实验组在对照组基础上再采取集中授课和个别指导的方式进行有针对性的个体化自我护理教育干预,比较干预1年后两组患者的服药依从性、药物管理形式、门诊按时复诊率以及对护理工作的满意度。结果干预1年后,实验组患者服药依从性和药物管理形式均明显优于对照组,差异有统计学意义(P<0.05)。实验组患者疾病知识掌握程度明显优于对照组,差异具有统计学意义(P<0.05)。实验组按时复诊为93.1%,满意度为96.6%,均明显优于对照组的75.9%、82.8%,差异有统计学意义(P<0.05)。结论对门诊长期服用精神药物患者持续开展自我管理干预有助于强化所患疾病的相关知识,提高精神病患者的服药依从性,按时门诊复诊,从而达到促进疾病恢复,有效预防复发,提高护理工作的经济效益和社会效益。Objective To investigate influence by self-management education on medication compliance of outpatients in department of psychiatry. Methods A total of 116 psychosis outpatients （in reexamination after discharge） with long-term medication need were divided by voluntary participation into control group and experimental group, with 58 cases in each group. The control group received conventional outpatient nursing alone, and the experimental group received additional targeted self-nursing education intervention through collective instruction and individual guidance to nursing in the control group. Comparison was made on medication compliance, drug management pattern, timely outpatient reexamination rate, and nursing satisfaction degree between the two groups after 1 year of intervention. Results After 1 year of intervention, the experimental group had obviously better medication compliance and drug management pattern than the control group, and their difference had statistical significance （P〈0.05）. The experimental group had better disease knowledge mastery degree than the control group, and the difference had statistical significance （P〈0.05）. The experimental group had timely outpatient reexamination rate as 93.1% and nursing satisfaction degree as 96.6%, which were all better than 75.9% and 82.8% in the control group, and their difference had statistical significance （P〈0.05）. Conclusion Continuous implement of self-management intervention can enhance disease-related knowledge, improve medication compliance in psychosis patients. With timely outpatientreexamination, this method can accelerate disease rehabilitation, effectively prevent recurrence and improve economic and social benefit of nursing work.

关 键 词：自我管理教育 精神科 门诊 服药依从性 

分 类 号：R473.74[医药卫生—护理学]