分段式强化用药教育法在PCI术后患者中的应用  

Application of phased intensive medication education on patients with percutaneous coronary intervention

作　　者：王冰冰 冯舒爽 郑奇贤 魏睿宏[3] Wang Bingbing;Feng Shushuang;Zheng Qixian;Wei Ruihong(Nursing School,Shantou University Medical College,Shantou 515041,China;Cardiac Care Unit,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515000,China;Nursing Department,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515000,China)

机构地区：[1]汕头大学医学院护理系,515041 [2]汕头大学医学院第二附属医院CCU,汕头515000 [3]汕头大学医学院第二附属医院护理部,汕头515000

出　　处：《中华现代护理杂志》2019年第24期3151-3156,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨分段式强化用药教育法在PCI术后患者中的应用效果。方法采用便利抽样法,选取2017年10月-2018年2月在汕头大学医学院第二附属医院心内科首次行PCI术且成功者60例为研究对象,随机分为试验组(n=30)和对照组(n=30)。试验组采用分段式强化用药教育法进行教育,对照组进行常规用药教育,在患者出院后进行随访,采集患者药物素养、服药依从性、运动耐量等7个指标进行比较。结果两组患者药物素养得分干预前差异无统计学意义(P>0.05),出院当天、出院1个月和3个月时,试验组均高于对照组,差异有统计学意义(P<0.01)。两组患者的服药依从性得分干预前差异无统计学意义(P>0.05),出院2周、1个月和3个月时,试验组均高于对照组,差异有统计学意义(P<0.01)。两组患者的运动耐量在干预前、出院时及出院1个月差异均无统计学意义(P>0.05),出院3个月时试验组高于对照组,差异有统计学意义(P<0.01)。试验组心率、收缩压降低的程度均较对照组大,差异有统计学意义(P<0.05)。试验组出院1个月药物不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论分段式强化用药教育法可有效提升患者的药物素养、服药依从性及用药的安全性和有效性,值得推广。Objective To evaluate the application effect of phased intensive medication education(PIME)on patients after percutaneous coronary intervention(PCI).Methods By convenience sampling method,60 patients who underwent PCI for the first time in Department of Cardiology,Second Affiliated Hospital of Shantou University Medical College from October 2017 to February 2018 were selected and randomly divided into experimental group(n=30)and control group(n=30).The experimental group was educated by PIME,while the control group received conventional medication education.The patients were followed up after discharge.Seven indicators,including medication literacy,medication compliance and exercise tolerance and so on were collected and compared.Results There was no significant difference in the scores of medication literacy between the two groups before intervention(P>0.05).On the day of discharge,1 month and 3 months after discharge,the scores of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.01).There was no significant difference in the scores of compliance between the two groups before intervention(P>0.05).At 2 weeks,1 month and 3 months after discharge,the scores in the experimental group were higher than those in the control group with statistical differences(P<0.01).There was no significant difference in exercise tolerance between the two groups before intervention,at discharge and 1 month after discharge(P>0.05).The experimental group was higher than the control group at 3 months after discharge with a statistical difference(P<0.01).The decrease of heart rate and systolic blood pressure in the experimental group was greater than that in the control group(P<0.05).One month after discharge,the incidence of adverse medication reactions in the experimental group was lower than that in the control group and the difference was statistically significant(P<0.05).Conclusions PIME can effectively improve patients'medication literacy,medication adherence,sa

关 键 词：分段式教学法 艾宾浩斯记忆法 用药教育 PCI 

分 类 号：R47[医药卫生—护理学]