摘要
目的探究精神分裂症患者服药依从性的影响因素及循证护理模式效果。方法选取宜春市第三人民医院收治的精神分裂症患者60例,采用随机数字表法分为观察组与对照组,每组30例。对照组给予常规护理,观察组采取循证护理模式。比较2组护理效果,并分析服药依从性的影响因素。结果观察组服药依从性显著高于对照组(P<0.05)。年龄大于60岁、文化程度较低、相关知识匮乏、药物不良反应、药物种类多、未定期复诊、家庭支持干预度低等是影响精神病患者服药依从性的影响因素。结论循证护理可明显提高治疗依从性,改善精神分裂症患者服药依从性时应首先考虑年龄、文化程度、认知度、药物不良反应、药物种类、是否定期复诊、家庭支持干预度等因素。
Objective To explore the influencing factors for medication compliance of patients with schizophrenia and the effects of evidence-based nursing model.Methods A total of 60 patients with schizophrenia treated in our hospital were selected and randomly divided into observation group and control group,with 30 cases in each group.The control group was given routine nursing care,while the observation group was treated with evidencebased nursing model.The nursing effects of the two groups were compared,and the influencing factors for medication compliance in patients were analyzed.Results The medication compliance of the observation group was significantly higher than that of the control group(P<0.05).The main influencing factors for medication compliance in patients with schizophrenia included the age(>60 years old),relatively low education level,lack of relevant knowledge,adverse drug reactions,multiple types of drugs,irregular return visits,and low level of family support.Conclusion Evidence-based nursing can significantly improve treatment compliance.In order to improve medication compliance in patients with schizophrenia,factors,such as age,education level,awareness,adverse drug reactions,drug types,regular return visits and the intervention of family support,should be considered first.
作者
曾维香
王玲
李艳梅
何英
韦澄澄
万慧
ZENG Wei-xiang;WANG Ling;LI Yan-mei;HE Ying;WEI Cheng-cheng;WAN Hui(Department of Psychiatry,the Third People's Hospital of Yichun,Jiangxi 336000,China)
出处
《中国误诊学杂志》
CAS
2020年第6期282-284,共3页
Chinese Journal of Misdiagnostics
关键词
精神分裂症
服药依从性
影响因素分析
循证护理
schizophrenia
medication adherence
root cause analysis
evidence-based nursing
