家庭护理模式对高血压脑出血患者服药依从性、负性情绪及生活质量的影响
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摘要
目的探讨家庭护理模式对高血压脑出血患者服药依从性、负性情绪及生活质量的影响。方法选取2014年9月—2016年8月湖南中医药大学第一附属医院收治的高血压脑出血患者62例,随机分为对照组和试验组,每组31例。对照组患者给予常规护理干预,试验组患者在对照组基础上给予家庭护理模式干预;两组患者干预时间均为6个月。比较两组患者干预前后服药依从性、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分及生活质量综合评定问卷(GQOL-74)评分。结果干预前两组患者服药依从性评分、SDS和SAS评分及GQOL-74躯体功能、心理功能、社会功能、物质生活评分比较,差异无统计学意义(P>0.05)。干预后试验组患者服药依从性评分高于对照组,SDS和SAS评分低于对照组,GQOL-74躯体功能、心理功能、社会功能、物质生活评分高于对照组(P<0.05)。结论家庭护理模式可有效提高高血压脑出血患者服药依从性及生活质量,减轻患者抑郁、焦虑等负性情绪。
Objective To explore the impact of family nursing mode on medication compliance,negative emotions and quality of life in patients with hypertensive cerebral hemorrhage.Methods A total of 62 patients with hypertensive cerebral hemorrhage were selected in the First Affiliated Hospital of Hu'nan University of Chinese Traditional Medicine from September 2014 to August 2016,and they were randomly divided into control group and test group,each of 31 cases.Patients in control group received routine nursing intervention,while patients in test group received family nursing mode intervention based on that of control group;both groups continuously intervened for 6 months.Medication compliance score,SDS score,SAS score and GQOL-74 score before and after intervention were compared between the two groups.Results No statistically significant differences of medication compliance score,SDS score,SAS score,physical function,mental function,social function or material life score of GQOL-74 was found between the two groups before intervention(P>0.05).After intervention,medication compliance score,physical function,mental function,social function and material life score of GQOL-74 in test group were statistically significantly higher than those in control group,while SDS score and SAS score in test group were statistically significantly lower than those in control group(P<0.05).Conclusion Family nursing mode can effectively improve medication compliance and quality of life,reduce the negative emotions such as depression and anxiety in patients with hypertensive cerebral hemorrhage.
Objective To explore the impact of family nursing mode on medication compliance,negative emotions and quality of life in patients with hypertensive cerebral hemorrhage.Methods A total of 62 patients with hypertensive cerebral hemorrhage were selected in the First Affiliated Hospital of Hu'nan University of Chinese Traditional Medicine from September 2014 to August 2016,and they were randomly divided into control group and test group,each of 31 cases.Patients in control group received routine nursing intervention,while patients in test group received family nursing mode intervention based on that of control group;both groups continuously intervened for 6 months.Medication compliance score,SDS score,SAS score and GQOL-74 score before and after intervention were compared between the two groups.Results No statistically significant differences of medication compliance score,SDS score,SAS score,physical function,mental function,social function or material life score of GQOL-74 was found between the two groups before intervention(P>0.05).After intervention,medication compliance score,physical function,mental function,social function and material life score of GQOL-74 in test group were statistically significantly higher than those in control group,while SDS score and SAS score in test group were statistically significantly lower than those in control group(P<0.05).Conclusion Family nursing mode can effectively improve medication compliance and quality of life,reduce the negative emotions such as depression and anxiety in patients with hypertensive cerebral hemorrhage.
引文
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