慢阻肺急性加重期患者治疗依从性差的相关因素分析和延续性护理干预措施

Analysis of Related Factors of Poor Treatment Compliance in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease and Continuous Nursing Intervention

目的分析影响慢性阻塞性肺疾病急性加重期(AECOPD)患者治疗依从性的相关影响因素,并应用延续性护理观察其效果。方法收集2018年1月—2019年1月绵阳市中心医院收治的120例的慢阻肺急性加重期患者患者资料,其中依从性差的患者共24例分为未完全依从组,其余96例患者为完全依从组。采用Logistic分析患者治疗依从性差的影响因素,比较延续性护理干预前后依从性差患者心理状态变化。结果经多因素Logistic回归分析发现患者婚姻状况、家庭支持度、文化程度低、疾病知识缺乏、药物不良反应、经济收入低及医保报销情况等为影响慢阻肺急性加重期患者治疗依从性差的独立性因素;延续性护理干预后,患者出院后心理状态显著好于干预前(P<0.05)。结论患者婚姻状况、家庭支持度、文化程度低、疾病知识缺乏、药物不良反应、经济收入低及医保报销情况等为影响用药治疗依从性的独立危险因素,而延续性护理干预可有效改善依从性差患者与家属错误认知,提高治疗依从性。

Objective To analyze the factors influencing the treatment compliance of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD),and to observe the effect of continuous nursing.Methods Data of 120 patients with acute AECOPD admitted to the hospital from January 2018 to January 2019 were collected.A total of 24 patients with poor compliance were divided into incomplete compliance group,and the remaining 96 patients for full compliance group.The Logistic analysis of the influence factors of treatment adherence in patients with poor,more continuity poor compliance in patients with mental state changes before and after the nursing intervention was made.Results The multiariable Logistic regression analysis found that the patients marital status,family support,low degree of culture,lack of disease knowledge,adverse drug reaction,low economic income and insurance reimbursement were affecting AECOPD of poor treatment adherence independence factor.Continuity after nursing intervention,psychological status of patients after discharge were significantly better than before(P<0.05).Conclusion Patients with marital status,family support,low degree of culture,lack of disease knowledge,adverse drug reaction,low economic income and insurance reimbursement for the independent risk factors influencing drug treatment adherence,and continuity nursing intervention can effectively improve poor adherence to the patient and family wrong cognition,improve the treatment adherence.