临床护理路径对精神分裂症患者服药依从性及健康教育效果的影响

Effect of clinical nursing pathway on drug compliance and efficacy of health education in patients with schizophrenia

  • 摘要:
      目的  探讨将临床护理路径应用于精神分裂症患者中对服药依从性、健康教育效果的影响。
      方法  纳入70例精神分裂症患者作为研究对象,按随机数字表法分为研究组、对照组,各35例。对照组采用临床常规护理方案,研究组采用临床护理路径开展相关护理工作,对比2组患者干预后的服药依从性、健康教育效果及自我护理能力。
      结果  干预后研究组患者服药依从率为97.14%, 显著高于对照组的85.71%(P < 0.05); 研究组患者疾病知识认知度、用药知识认知度、康复锻炼知识认知度分别为(95.20±3.29)、(96.29±3.05)、(93.12±4.14)分,分别显著高于对照组的(82.50±4.67)、(84.78±5.94)、(80.68±5.49)分(P < 0.05); 研究组患者健康知识水平、自我责任感、自我概念、自护能力评分均显著高于对照组(P < 0.05); 研究组患者护理满意度为97.14%, 显著高于对照组的80.00%(P < 0.05)。
      结论  对精神分裂症患者而言,临床护理路径的应用可有效提高其服药依从性,巩固健康教育效果,改善患者自我管理能力,提高护理满意度及整体护理服务水平。

     

    Abstract:
      Objective  To investigate the effect of clinical nursing pathway on drug compliance and efficacy of health education in patients with schizophrenia.
      Methods  A total of 70 patients with schizophrenia were randomly divided into study group(n=35) and control group(n=35). The control group carried out clinical routine nursing program, and the study group used clinical nursing pathway. The drug compliance, efficacy of health education after intervention and self-care ability of the two groups were analyzed.
      Results  The drug compliance rate after intervention in the study group was 97.14%, which was significantly higher than 85.71%in the control group(P < 0.05). The awareness in disease, drug, and rehabilitation knowledge in the study group scored (95.20± 3.29), (96.29±3.05), and (93.12±4.14) points, respectively, and (82.50±4.67), (84.78±5.94), and (80.68±5.49) points, respectively, in the control group. The study group had significantly higher scores in health knowledge, self-responsibility, self-concept, and self-care ability than those in the control group(P < 0.05). The care satisfaction in the study group was 97.14%, which was significantly higher than 80.00% in the control group(P < 0.05).
      Conclusion  Clinical nursing pathway can effectively improve the medication compliance, consolidate the effect of health education, improve self-management ability, improve nursing satisfaction and overall nursing service.

     

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