摘要
目的评价出院后继续动机性访谈对抑郁症患者远期服药依从性的影响。方法选取2015年3月至2016年3月入住郑州大学第一附属医院精神医学科的抑郁症患者164例,采用投硬币法进行分组,实验组79例,对照组76例。实验组根据患者的服药依从性增加出院后动机性访谈的次数,对照组进行3次住院期间的动机性访谈、常规的抑郁症健康宣教和电话随访,分别于患者入院时、出院后1个月、3个月、6个月时完成患者的服药依从性资料收集。结果两组出院后1个月服药依从性差异无统计学意义(P>0.05),出院后3个月和6个月时,实验组的服药依从率分别为92.41%和96.20%,明显高于同期的对照组(81.58%,71.05%)(P<0.05)。结论住院期间的动机性访谈可有效提高抑郁症患者短期服药依从性,出院后继续动机性访谈可为患者提供院外延续性护理方案,在提高抑郁症患者服药依从性方面有更好的远期效果。
Objective To evaluate the effects of continuing motivational interviewing after discharge on medica- tion adherence in patients with depression. Methods We recruited 164 patients with depression who were hospital- ized in psychiatric ward of the First Affiliated Hospital of Zhengzhou University. Patients were randomly assigned to the experimental group（79 cases） and the control group（76 cases）. The experimental group received increased numbers of motivational interviewing after discharge according to patients＇ medication adherence. The control group received three times of motivational interviewing before discharge, regular health education and telephone follow-up. Data of medication adherence were collected at baseline, l,3 and 6 months after discharge. Results There were no significant differences in general information and medication adherence between two groups at 1 month after discharge （P〉0.05）. But medication adherence of the experimental group at 3 and 6 months after discharge was 92.41% and 96.20%, which was significantly higher than that of the control group（81.58%,28.95%）（P〈0.05）. Medication adher- ence scores of patients in the experimental group were significantly higher than those in the control group（P〈0.05）. Conclusion Motivational interviewing can effectively improve medication adherence of patients with depression. Motivational interviewing after discharge will provide patients with continuing nursing service and have a better long-term effect in improving medication adherence.
出处
《中华护理杂志》
CSCD
北大核心
2016年第10期1166-1169,共4页
Chinese Journal of Nursing
基金
国家自然科学基金项目(81371494)
关键词
抑郁症
动机性访谈
服药依从性
Depressive Disorder
Motivational Interviewing
Medication Adherence
