CAJ | 학술논문

目的：观察循证护理在预防抗精神病药物所致的不良反应中的效果。方法选取2012年6月-2012年12月该院收治的精神疾病患者共208例，根据入院顺序分为干预组和对照组，各104例。干预组采取循证护理措施进行护理，对照组采用精神科常规护理方法，对两组患者护理8周后采用不良反应症状量表对患者进行评定，并对治疗依从性进行比较。结果不良反应症状量表结果显示，干预组和对照组在实验室检查（0.98±0.33）、（1.11±0.41），神经系统反应（0.96±0.34）、（1.10±0.45）方面比较差异无统计学意义(P>0.05)，其余项目比较，差异有统计学意义（P<0.05）。患者治疗依从性比较差异有统计学意义（P<0.05）。结论循证护理的应用有效预防了患者药物不良反应的发生，提高患者治疗的依从性，值得临床护理中应用。
목적：관찰순증호리재예방항정신병약물소치적불량반응중적효과。방법선취2012년6월-2012년12월해원수치적정신질병환자공208례，근거입원순서분위간예조화대조조，각104례。간예조채취순증호리조시진행호리，대조조채용정신과상규호리방법，대량조환자호리8주후채용불량반응증상량표대환자진행평정，병대치료의종성진행비교。결과불량반응증상량표결과현시，간예조화대조조재실험실검사（0.98±0.33）、（1.11±0.41），신경계통반응（0.96±0.34）、（1.10±0.45）방면비교차이무통계학의의(P>0.05)，기여항목비교，차이유통계학의의（P<0.05）。환자치료의종성비교차이유통계학의의（P<0.05）。결론순증호리적응용유효예방료환자약물불량반응적발생，제고환자치료적의종성，치득림상호리중응용。
Objective To observe the effect of evidence-based care in the prevention of adverse reactions due to antipsychotics. Methods 208 cases of schizophrenia patients admitted in our hospital from June, 2012 to December, 2012 were selected, accord-ing to the order of admission, the patients were divided into intervention group and control group, 104 cases in each. The interven-tion group were given evidence-based care, while the control group were given psychiatric routine care. Treatment Emergent Symptoms Scale was used to evaluate the patients after 8 weeks of treatment, and the treatment compliance was compared. Results The results of Treatment Emergent Symptoms Scale showed that the intervention group and the control group in the laboratory tests (0.98±0.33)、(1.11±0.41), nervous system reactions (0.96±0.34)、(1.10±0.45), with no statistically significant difference(P>0.05), but the differences in the remaining items were significant (P<0.05). Comparison of the treatment compliance:the difference between the two groups was statistically significant (P<0.05). Conclusion Application of evidence-based care is effective in preventing the occurrence of drug adverse reactions, improving the treatment compliance of the patients, it is worthy of application in clinical care.