CAJ | 학술논문

目的：分析Orem自我护理理论对男性缺血性脑血管病患者他汀类药物用药依从性的影响，更好地指导临床用药，预防脑血管病发生或再次发生。方法选取2009年6月-2012年4月来我院进行治疗的102例男性缺血性脑血管病患者，采用随机数字表法分为观察组和对照组，观察组将Orem自护理论应用到用药指导中，并分别记录两组患者生理指标和服药的依从性。结果观察组患者治疗3个月后各项生理指标与对照组比较，明显优于对照组（ P＜0．05）。观察组患者服药完全依从率69．23％明显高于对照组50．00％，差异有统计学意义（Z＝4．562，P＜0．05）。观察组3个月后新发缺血性脑血管病3例（6．0％），明显低于对照组7例（13．5％），差异有统计学意义（χ2＝5．134，P＜0．05）。结论 Orem自护理论有助于患者参与到护理中来，可有效提高患者的服药依从性，减少缺血性脑血管事件发生。
목적：분석Orem자아호리이론대남성결혈성뇌혈관병환자타정류약물용약의종성적영향，경호지지도림상용약，예방뇌혈관병발생혹재차발생。방법선취2009년6월-2012년4월래아원진행치료적102례남성결혈성뇌혈관병환자，채용수궤수자표법분위관찰조화대조조，관찰조장Orem자호이론응용도용약지도중，병분별기록량조환자생리지표화복약적의종성。결과관찰조환자치료3개월후각항생리지표여대조조비교，명현우우대조조（ P＜0．05）。관찰조환자복약완전의종솔69．23％명현고우대조조50．00％，차이유통계학의의（Z＝4．562，P＜0．05）。관찰조3개월후신발결혈성뇌혈관병3례（6．0％），명현저우대조조7례（13．5％），차이유통계학의의（χ2＝5．134，P＜0．05）。결론 Orem자호이론유조우환자삼여도호리중래，가유효제고환자적복약의종성，감소결혈성뇌혈관사건발생。
Objective To analyze the effect of Orem self-care theory on the medication compliance of male ischemic cerebrovascular patients with statins , so as to better guide clinical meidacation use and prevention of cerebrovascular disease happened or happening again .Methods From June 2009 to April 2012 , totals of 102 cases of male ischemic cerebrovascular disease patients were randomly divided into observation group and control group.Physiological index and medication compliance of two groups of patients were observed .Results After the study and 3 monthes later , physiological indexes of observation group were significantly better than that of control group(P <0.05).The medication compliance of observation group was 69.23% that higher than 50.00%of control group, and the difference was statistically significant (Z=4.562,P<0.05).And the number of cerebrovascular disease happened in observation group was significantly lower than that in control group (6.0%vs 13.5%;χ2 =5.134,P<0.05).Conclusions Self-care theory can promote patients to take part in nursing and improve their medication compliance , which can effectively reduce ischemic cerebrovascular events .