循证护理为基础的临床路径引导药学服务模式在住院患者长期服药护理中的应用  

Application of evidence-based nursing based clinical pathway-guided pharmacy service model in long-term medication nursing of inpatients

作　　者：连娟琦[1] 郑霞[1] 耿盛男[1] 陈代娣[1] 闫莎莎[1] Lian Juanqi;Zheng Xia;Geng Shengnan;Chen Daidi;Yan Shasha(The First Affiliated Hospital of Henan University,Kaifeng 475001,Henan,China)

机构地区：[1]河南大学第一附属医院,河南开封475000

出　　处：《临床心身疾病杂志》2022年第4期135-138,共4页Journal of Clinical Psychosomatic Diseases

基　　金：河南省基础与前沿技术研究计划项目(编号1403124)。

摘　　要：目的探讨以循证护理为基础的临床路径引导药学服务模式在住院患者长期服药护理中的应用效果。方法将在内科住院的125例患者按随机数字表法分为观察组63例和对照组62例。对照组给予常规护理干预,观察组给予以循证护理为基础的临床路径引导药学服务模式。比较两组服药依从性、患者满意度,以及干预前后生活质量量表、焦虑自评量表、抑郁自评量表评分。结果观察组服药依从率显著高于对照组(P<0.01)。干预后两组生活质量量表评分显著高于干预前(P<0.01),观察组显著高于对照组(P<0.01)。干预后两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。观察组宣教满意率、态度满意率及技能满意率均显著高于对照组(P<0.01)。结论以循证护理为基础的临床路径引导药学服务模式在住院患者长期服药护理中的应用价值较高,可有效改善患者负性情绪,提高其生活质量、遵医服药依从性及患者满意度。Objective To explore the application effect of evidence-based nursing based clinical pathway-guided pharmacy service model in long-term medication nursing of inpatients.Methods A total of 125 patients hospitalized in the internal medicine department were divided into observation group(n=62)and control group(n=63)according to random number table method.The control group was given routine nursing intervention,and the observation group was given evidence-based nursing based clinical pathway-guided pharmacy service model.The medication compliance,satisfaction of patients,short form-36 health survey questionnaire(SF-36),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores before and after the intervention were compared between the two groups.Results The medication compliance rate of the observation group was significantly higher than that of the control group(P<0.01).After the intervention,the SF-36 scores of the two groups were significantly higher than those before the intervention(P<0.01),and the observation group was significantly higher than the control group(P<0.01).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).The education satisfaction rate,attitude satisfaction rate and skill satisfaction rate in the observation group were significantly higher than those in the control group(P<0.01).Conclusions The evidence-based nursing based clinical pathway-guided pharmacy service model has a high application value in long-term medication nursing of inpatients,which can effectively improve their negative emotions,quality of life,compliance with medication and satisfaction of patients.

关 键 词：循证护理 临床路径 药学服务 服药依从性 情绪 生活质量 

分 类 号：R473.5[医药卫生—护理学]