CAJ | 학술논문

目的探讨个体化延续护理对动脉粥样硬化患者服药依从性及粥样斑块形成主要危险因素的控制效果,为今后制定卫生政策提供参考依据.方法方便抽取广州市三家医院神经内科病房经彩超确诊有颈动脉斑块形成的中老年患者217例并随机分组,分别给予传统的护理干预和个体化延续护理干预,4个月后比较两组患者服药依从性及相关化验检查指标.结果试验组和对照组的服药依从性得分分别为(2.2±0.4)、(2.1±0.5).干预后,试验组的服药依从性得分明显高于对照组(P=0.007);试验组的SBP、DBP、GLU及SCr均较干预前下降(P＜0.05),而对照组干预前后比较差异无统计学意义.结论个体化延续护理干预能有效提高患者的服药依从性,从而有效控制高血压、高血脂等危险因素.
목적 탐토개체화연속호리대동맥죽양경화환자복약의종성급죽양반괴형성주요위험인소적공제효과,위금후제정위생정책제공삼고의거.방법 방편추취엄주시삼가의원신경내과병방경채초학진유경동맥반괴형성적중노년환자217례병수궤분조,분별급여전통적호리간예화개체화연속호리간예,4개월후비교량조환자복약의종성급상관화험검사지표.결과 시험조화대조조적복약의종성득분분별위(2.2±0.4)、(2.1±0.5).간예후,시험조적복약의종성득분명현고우대조조(P=0.007);시험조적SBP、DBP、GLU급SCr균교간예전하강(P＜0.05),이대조조간예전후비교차이무통계학의의.결론 개체화연속호리간예능유효제고환자적복약의종성,종이유효공제고혈압、고혈지등위험인소.
Objective To discuss the effects of individual and continuous nursing intervention to the medication compliance and the main risk factors of patients with atherosclerosis,in order to provide theoretic basis for health policy.Methods From April 2011 to July 2011,a questionnaire survey was conducted among 217 patients,which were from three hospitals of Guangzhou and with carotid atherosclerosis plaque in cardiovascular and cerebro vascular disease by the examination of color Doppler ultrasound.And then they were randwomly divided into experimental and control groups,separately given traditional nursing intervention and individual and continuous nursing intervention.Four months later,we compared the medication compliance changes and biochemical indicator changes of the two groups.Results The medication compliance scores of experimental group and control group were (2.2 ± 0.4) and (2.1 ± 0.5) respectively.After intervention,the medication compliance scores of experimental group apparendy were higher than those of control groups (P=0.007); and the differences among the index for systolic blood pressure,diastolic blood pressure,fasting blood glucose and serum creatinine in experimental group were statistically significant (P ＜ 0.05),while there were no differences in control groups (P ＞ 0.05).Conclusion Individual and continuous nursing intervention was more effective than traditional group in improving medication compliance of Atherosclerosis patients,thus to control the main risk factors,such as hypertensive and hyperliipoidemia.