护理干预措施对提高住院患者服药依从性临床价值.docVIP

护理干预措施对提高住院患者服药依从性临床价值 　　① 　　【摘要】 目的：探讨护理干预措施对提高住院患者服药依从性的临床价值。方法：对笔者所在科室住院患者的服药依从性进行调查，对服药依从性差的患者进行护理查房、跟踪服务、监督服药，同时进行心理疏导、健康教育等护理干预措施，提高患者服药依从性，对比干预组和常规护理组平均住院时间、抗生素使用率、平均医疗费用的差异。结果：干预组平均住院时间（13.0±5.5）d，常规护理组平均住院时间（18.0±7.2）d，两组比较差异有统计学意义（P0.05）；干预组抗生素使用率为（23.4±4.8）%，常规护理组为（56.7±19.4）%，两组比较差异有统计学意义（P0.05）；干预组平均住院费用为（3280.26±1260.58）元，常规护理组平均住院费用为（4832.72±2468.39）元，两组比较差异有统计学意义（P0.05）。结论：通过护理干预措施提高患者服药依从性能降低抗生素的使用率，降低患者的医疗费用，缩短住院时间，较好的节约了医疗资源，提高了患者服药依从性具有较高的临床价值。 　　【关键词】 护理干预措施； 服药依从性； 临床价值 　　中图分类号 R47 文献标识码 B 文章编号 1674-6805（2014）13-0086-02 　　Clinical Value of Nursing Intervention Measures to Improve the Drug Compliance of Inpatients/ZHOU Shu-ping.//Chinese and Foreign Medical Research，2014，12（13）：86-87 　　【Abstract】 Objective：To explore the clinical value of nursing intervention measures to improve the drug compliance of inpatients.Method：The drug compliance of patients in our department was investigated，the patients with poor compliance were given nursing rounds，tracking service，supervision and medication，psychological counseling，health education and nursing intervention measures，to improve the drug compliance of inpatients.The use of the average days of hospitalization，antibiotic rate and average medical expenses of intervention group and routine nursing group were compared.Result：The average hospital stay of intervention group was （13.0±5.5）days，routine nursing group was （18.0±7.2）days，there was statistical significance（P0.05）.The usage of antibiotic of intervention group was （23.4±4.8）%，routine nursing group was （56.7±19.4）%，there was statistically significant（P0.05）.The average cost of hospitalization of intervention group was （3280.26±1260.58）yuan，routine nursing group was （4832.72±2468.39）yuan，there was statistically significant（P0.05）.Conclusion：The nursing intervention measures to improve the drug compliance can reduce antibiotic use rate，reduce the medical cost of patients，short the hospitalization time，save medical resources，improve the clinical v