出院后健康教育对癫痫患者服药依从性和康复效果的影响  

The effect of health education on medication compliance and rehabilitation effect of patients with epilepsy after discharge

作　　者：周玉珍[1] 张晓艳[1] 潘沙沙 

机构地区：[1]山东省济宁市精神病防治院神经内科,272051 [2]山东省济宁市精神病防治院精神科,272051

出　　处：《中国实用护理杂志》2017年第30期2321-2326,共6页Chinese Journal of Practical Nursing

摘　　要：目的 探讨出院后健康教育对癫痫患者服药依从性及健康状况的影响.方法 选取2014年1-12月收治的88例癫痫患者为研究对象,1-6月入院的44例纳入对照组;7-12月入院的44例纳入试验组,住院期间,对照组给予常规的健康教育、出院指导,试验组在对照组基础上实施为期12个月的出院后健康教育,于患者入组时、出院时（出院前1日）和出院后1、3、6、12个月对2组患者的健康状况分别进行测评;干预12个月后测评2组患者的服药依从性和临床疗效.结果 干预12个月后,试验组服药依从率97.73%（43/44）,高于对照组的63.64%（28/44）,差异有统计学意义（x2=15.92,P〈0.01）;试验组总有效率84.09%（37/44）,高于对照组的40.91%（18/44）,差异有统计学意义（x2=12.31,P〈0.01）.重复测量方差分析显示：住院期间2组患者的自测健康评分差异无统计学意义（P〉0.05）;出院后1、3、6、12个月2组患者健康状况的处理效应、时间效应、交互效应比较差异均有统计学意义（F=57.50、5.69、8.35,均P〈0.01）.结论 出院后健康教育能够提高癫痫患者的服药依从性、健康状况和临床疗效,促进其康复.Objective To evaluate the effect of health education on the compliance and health status of epileptic patients after discharge. Methods A total of 88 patients with epilepsy were selected and divided into control group （January to June in 2014） and experimental group （July to December in 2014）with 44 patients each.During hospitalization,the patients in control group were given routine health education,discharge guidance,on the basis of the control group,the patients in experimental group were added health education after discharge. The health status were evaluated at the time of admission and discharge（1 days before discharge）and 1,3,6 and 12 months after discharge.The medication compliance and clinical efficacy of the two groups were evaluated at 12 months after discharge. Results The medication compliance at 12 months after discharge was 97.73%（43/44）in experimental group and 63.64% （28/44）in control group,and there was significant difference（x2=15.92,P〈0.01）.The total effective rate was 84.09%（37/44）in experimental group and 40.91%（18/44）in control group,and there was significant difference （x2=12.31, P〈0.01）. Repeated measurement of variance analysis showed that there was no significant difference between two groups of self testing health score during hospitalization （P〉0.05）, there were significant differences in the health status at 1, 3, 6, 12 months after discharge between two groups, treatment effect, time effect, interaction effect （F =57.50, 5.69, 8.35, P〈0.01）. Conclusions Health education after discharge can improve the medication compliance, health status and clinical efficacy of patients with epilepsy and promote their rehabilitation.

关 键 词：癫痫 药物治疗依从性 健康教育 干预性研究 

分 类 号：R473.74[医药卫生—护理学]