护理干预对脑血管意外他汀类药物服药依从性的影响.docVIP

护理干预对脑血管意外他汀类药物服药依从性的影响 李永凤汪再阳陈雪梅 广州新海医院广东广州510300 摘 要 目的分析护理干预对脑血管意外他汀类药物服药依从性的影响。 方法:将我院2013年1月至2014年6月间收治的110例脑血管病患者随机均分 为实验组和对照组。对照组采用常规护理，实验组实施综合护理干预，观察两组 患者服药依从性及护理满意度。结果实验组患者有4例不依从，总依从率为 92.7%；对照组患者有14例不依从，总依从率为74.5%；实验组的护理满意度90.9% 显著高于对照组的69.1%o结论对服用他汀类药物的脑血管意外患者给以综合 护理干预，其服药依从率高，护理满意度高，值得推广应用。 关键词 护理干预；脑血管意外；他汀类药物；服药依从性 Abstract Objective analysis of the effect of nursing intervention on the statins compliance of cerebral vascular accident.Methods 110 cases of patients of the cerebral vascular disease, who were received by the hospital from June 2014 to January 2013, were randomly divided into the experimental group and the control group.The patients in the control group received routine nursing, and the patients in the experimental group received comprehensive nursing intervention, to observe the drug compliance and nursing satisfaction of those two groups.Results In the experimental group, there were 4 cases of non complianee, the total complianee rate was 92.7%； the patients in the control group with 14 cases of non complianee, the total complianee rate was 74.5%； the 90.9% of nursing satisfaction in the experimental group was sign讦icantly higher than the control group of 69.1%.Conclusion it is worth recommending for patients of cerebral vascular accident who took statins to give a comprehensive nursing intervention due to the high drug complianee rate and high nursing satisfaction. Keywords nursing intervention； cerebral vascular accident； statins； drug compliance 脑血管病是指脑血管破裂岀血或血栓形成，引起的以脑部出血性或缺血性损 伤症状为主要临床表现的疾病，又称脑血管意外，常表现出剧烈头痛、血压骤升 骤降、肢体麻木、偏身感觉异常等症状⑴。该病常见于中年以上人群的急性发 作，严重者可发生意识障碍和肢体瘫痪，是造成人类死亡和残疾的主要疾病。积 极采用他汀类药物治疗，可显著降低心脑血管疾病发生率和病死率。因此，指导 患者正确及时地服用他汀类药物具有重要意义。本研究通过采用综合护理干预, 与常规护理干预对比，观察分析其对脑血管意外他汀类药物服药依从性的影响。 现将研究过程报告如下 1资料和方法 1.1 j般资料 选取我院2013年1月至2014年6月间内科收治的110例脑血管病患者，其 中男性58例，女性52例，年龄46-84岁，平均(62.6plusmn;7.3)岁，病程为 3个月至5年，平均(2.4plusmn;0.6)年。经检查判定，所有患者均符合脑血 管病诊断标准，并经头颅CT或MRI证实，确诊为脑血管意外。排除重度感染、 心肝肺等主要脏器不全或功能缺失者及其他严重性疾病。采用随机法将所有患者 平均分为实验组和对照组，每组55例，两组患