认知和行为护理干预对心内科患者服药依从性的干预意义  

Significance of Intervention of Cognitive and Behavioral Nursing Intervention on Medication Compliance of Patients in Cardiology

作　　者：李红 LI Hong(Department of the Second Cardiology,Chaoyang Central Hospital,Chaoyang 122000,China)

机构地区：[1]朝阳市中心医院心内二科,辽宁朝阳122000

出　　处：《中国医药指南》2022年第29期171-173,共3页Guide of China Medicine

摘　　要：目的研究认知和行为护理干预对心内科患者服药依从性的干预价值。方法选取2018年2月至2020年2月于本院心内科进行治疗的100例患者作为观察对象,选用随机分配法对患者进行分组,分为两组,组别名称为观察组(n=50)及对照组(n=50),观察组实施认知和行为护理干预,对照组实施常规护理干预,利用焦虑自评量表(SAS)、抑郁自评量表(SDS)判定患者的情绪,生活质量表(SF-36)对患者的不良反应、生理健康、心理健康、躯体功能、社会功能评估,并针对两组的护理满意度、服药依从性实施比较。结果护理后,观察组SAS、SDS评分对比对照组相对偏低,差异有统计学意义(P<0.05);观察组生理健康、心理健康、不良反应、社会功能、躯体功能等各项评分均高于对照组,差异有统计学意义(P<0.05);观察组服药依从性高于相比于对照组服药依从性更高,差异有统计学意义(P<0.05);观察组护理满意度对比对照组明显较高,差异有统计学意义(P<0.05)。结论心内科患者结合有效的认知护理干预、行为护理干预有利于提高患者日常服药依从性,提高生活质量,有效减轻负性情绪状态。Objective To study the value of cognitive and behavioral nursing intervention on medication compliance of patients in Department of cardiology.Methods Selection in February 2018 to February 2020 in our hospital heart medicine for treatment of 100 patients as research object,selects random distribution method for grouping patients,divided into two groups,group name for the observation group(n=50)and control group(n=50),the observation group cognitive and behavioral nursing intervention,control group routine nursing intervention.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to determine the patients'emotions,and the quality of life scale(SF-36)was used to evaluate the patients'adverse reactions,physical health,mental health,physical function and social function.The nursing satisfaction and medication compliance of the two groups were compared.Results After nursing,the scores of SAS and SDS in the observation group were relatively lower than those in the control group,with statistical significance(P<0.05).The scores of physical health,mental health,adverse reactions,social function and physical function in the observation group were higher than those in the control group,and the differences were significant(P<0.05).The medication compliance of the observation group was higher than that of the control group,with statistical significance(P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group,and the comparison of indicators had statistical significance(P<0.05).Conclusions The combination of effective cognitive nursing intervention and behavioral nursing intervention in patients with cardiology department is beneficial to improve the daily medication compliance,improve the quality of life,and effectively reduce the negative emotional state.

关 键 词：心内科 认知和行为护理 服药依从性 负性情绪 生活质量 

分 类 号：R473.5[医药卫生—护理学] R542.4[医药卫生—临床医学]