綜合護(hù)理干預(yù)對(duì)精神病患者服藥依從性的影響

[摘要] 目的 采取綜合護(hù)理，改善精神病患者的服藥依從性。 方法 選取筆者所在醫(yī)院從2011年1月～2012年6月所收治的精神病患者120例作為臨床研究對(duì)象，將患者隨機(jī)分為護(hù)理組和對(duì)照組兩組，對(duì)照組患者采取常規(guī)護(hù)理措施，護(hù)理組在對(duì)照組基礎(chǔ)上采用綜合護(hù)理干預(yù)。在兩組患者出院時(shí)，出院6個(gè)月和出院12個(gè)月評(píng)定患者的服藥依從性。 結(jié)果 護(hù)理組在出院前，出院6個(gè)月和出院12個(gè)月后的服藥依從性都顯著高于對(duì)照組患者，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 采取綜合性護(hù)理后，精神病患者服藥依從性有顯著提高，是符合今后護(hù)理趨勢(shì)的理想方案。

[關(guān)鍵詞] 精神病；服藥依從性；綜合護(hù)理

[中圖分類號(hào)] R473.74 [文獻(xiàn)標(biāo)識(shí)碼] B [文章編號(hào)] 2095-0616（2012）22-129-02

Influence of comprehensive nursing intervention on the medication compliance of psychiatric patients

ZHENG Ling

Department of Neurology， People Liberation Army 86 Hospitals， Maanshan 243000， China

[Abstract] Objective To adopt the comprehensive nursing intervention and improve the medication compliance of psychiatric patients. Methods 120 cases of psychiatric patients in our hospital from January 2011 to June 2012 were selected as clinical research objects， they were randomly divided into two groups of nursing group and control group， routine nursing were given to the control group and comprehensive nursing intervention were given to the nursing group on the basic of routine nursing. The medication compliance of 120 patients was evaluated in six months and twelve months after discharge. Results The medication compliance of nursing group was significant higher than control group at discharge， six months and twelve months after discharge， the difference was statistically significant（P<0.05）. Conclusion Comprehensive nursing intervention can significant improve the medication compliance of psychiatric patients； it is the ideal scheme of nursing in the future.

[Key words] Psychiatric patients； Medication compliance； Comprehensive nursing

目前，精神病患者大多依靠傳統(tǒng)抗精神病藥物治療，以精神分裂癥為例，氯氮平等傳統(tǒng)抗精神病藥物仍是目前主流藥物[1]。但傳統(tǒng)藥物副反應(yīng)較大，加上患者普遍缺乏自知力，服藥依從性差，這些都給護(hù)理工作和治療帶來眾多困難，甚至是導(dǎo)致患者病情復(fù)發(fā)的重要因素之一。為改善精神病患者的服藥依從性，筆者所在醫(yī)院對(duì)60例精神病患者進(jìn)行綜合護(hù)理干預(yù)，取得了良好效果，現(xiàn)將結(jié)果報(bào)道如下。

1 資料與方法

1.1 一般資料

選取筆者所在醫(yī)院從2011年1月～2012年6月所收治的精神病患者120例作為臨床研究對(duì)象。其中精神分裂癥96例，躁狂癥8例，分裂樣精神病13例，酒精依賴3例，均符合CCMD-Ⅲ的相關(guān)診斷標(biāo)準(zhǔn)。將患者隨機(jī)分為護(hù)理組和對(duì)照組兩組，每組60例。其中護(hù)理組男36例，女24例；……