延续性护理对出院后精神分裂症患者服药依从性的影响
|
摘要
目的探究延续性护理对出院后精神分裂症患者服药依从性的影响。方法抽取我院2015年1月～2017年6月收治的120例精神分裂症患者,随机分为对照组和观察组,各60例。对照组给予常规的出院指导,观察组给予延续性护理干预,比较两组患者出院当天、出院后3个月、出院1年的服药依从性及生活质量。结果出院3个月观察组患者服药依从性(93.30%)高于对照组(66.70%),出院1年观察组患者服药依从性(80.00%)也高于对照组(36.70%),差异有统计学意义(P<0.05);观察组患者EQ-5D-5L生活质量量表中行动能力、自我照顾、日常活动得分均高于对照组,差异有统计学意义(P<0.05)。结论延续性护理有利于提高患者院外服药依从性,巩固出院后的治疗效果,从而降低疾病的复发率,提高患者自我照顾水平和社会适应能力,改善生活质量,促进其社会回归。
Objective To investigate the effect of continuous care on medication compliance in patients with schizophrenia after discharge. Methods120 patients with schizophrenia admitted to our hospital from January 2015 to June 2017 were randomly divided into control group and observation group, 60 cases each. The control group received routine discharge guidance, and the observation group was given continuous nursing intervention.The medication compliance and quality of life of the two groups were compared on the day of discharge, 3 months after discharge, and discharge for 1 year. Results The medication compliance(93.30%) in the observation group was higher than in the control group(66.70%).The compliance of patients in the observation group after discharge for 1 year(80.00%) was also higher than that of the control group(36.70%), the difference was statistically significant(P<0.05). The observation group had the ability to act on the EQ-5 D-5 L quality of life scale. Self-care and daily activities scores were higher than the control group, the difference was statistically significant(P<0.05).Conclusion Continuing care is beneficial to improve the compliance of patients with medication outside the hospital and to consolidate the therapeutic effect after discharge, thereby reducing the recurrence rate of the disease, improving the self-care level and social adaptability of patients, improving the quality of life and promoting their social return.
Objective To investigate the effect of continuous care on medication compliance in patients with schizophrenia after discharge. Methods120 patients with schizophrenia admitted to our hospital from January 2015 to June 2017 were randomly divided into control group and observation group, 60 cases each. The control group received routine discharge guidance, and the observation group was given continuous nursing intervention.The medication compliance and quality of life of the two groups were compared on the day of discharge, 3 months after discharge, and discharge for 1 year. Results The medication compliance(93.30%) in the observation group was higher than in the control group(66.70%).The compliance of patients in the observation group after discharge for 1 year(80.00%) was also higher than that of the control group(36.70%), the difference was statistically significant(P<0.05). The observation group had the ability to act on the EQ-5 D-5 L quality of life scale. Self-care and daily activities scores were higher than the control group, the difference was statistically significant(P<0.05).Conclusion Continuing care is beneficial to improve the compliance of patients with medication outside the hospital and to consolidate the therapeutic effect after discharge, thereby reducing the recurrence rate of the disease, improving the self-care level and social adaptability of patients, improving the quality of life and promoting their social return.
引文
[1]童宇.院外延续性护理对精神分裂症患者康复和生活质量的影响分析[J].中国医药指南,2017,15(9):208-209.
[2]李志强,陈剑华,贺林,等.多人群精神分裂症全基因组关联分析研究[J].2017中国长三角遗传大会会议手册,2017:101.
[3]邢亚彬,马爱霞.EQ-5D-5L中文版应用介绍[J].现代商贸工业,2013(1):177-179.
[4]刘晴.精神分裂症患者复发原因分析[J].现代中西医结合杂志,2013,22(24):2677-2679.
[5]崔虹,何夏君,丁寒琴,等.个案管理对社区精神分裂症患者服药依从性和生活质量的影响[J].护理学杂志,2014,29(23):77-79.
[6]尹雪冰.院外延续护理对精神分裂症患者康复和生活质量的影响[J].中国保健营养,2016,26(18):249.
[7]朱彩虹.延续性护理对康复期精神分裂症患者服药依从性和生活质量的影响[J].中外医学研究,2018,16(2):96-98.
[2]李志强,陈剑华,贺林,等.多人群精神分裂症全基因组关联分析研究[J].2017中国长三角遗传大会会议手册,2017:101.
[3]邢亚彬,马爱霞.EQ-5D-5L中文版应用介绍[J].现代商贸工业,2013(1):177-179.
[4]刘晴.精神分裂症患者复发原因分析[J].现代中西医结合杂志,2013,22(24):2677-2679.
[5]崔虹,何夏君,丁寒琴,等.个案管理对社区精神分裂症患者服药依从性和生活质量的影响[J].护理学杂志,2014,29(23):77-79.
[6]尹雪冰.院外延续护理对精神分裂症患者康复和生活质量的影响[J].中国保健营养,2016,26(18):249.
[7]朱彩虹.延续性护理对康复期精神分裂症患者服药依从性和生活质量的影响[J].中外医学研究,2018,16(2):96-98.