非住院老年冠心病患者医院内外一体化用药教育的研究

Study on the education of medication for non-hospitalized aged patients with coronary heart disease

目的探讨医院内外一体化用药教育对非住院老年冠心病患者用药知识、信念、行为及用药有效性、安全性的影响。方法整群抽取4个干休所中的105例老年冠心病患者作为教育对象,采用医院门诊与干休所联合教育的形式。教育前后对患者用药"知信行"、血压、心绞痛发作次数及药物不良反应发生例次数进行测量和统计。结果教育后患者用药知识、信念和行为得分分别提高14.7分、3.0分和1.7分,与教育前比较差异有显著性意义(P<0.01);收缩压及舒张压分别降低5.2mmHg和2.5mmHg(P<0.01);教育第3阶段药物不良反应发生例次数减少(P<0.05)。结论医院内外一体化用药教育能增加患者的用药知识,促进其树立正确的用药信念,建立遵医用药行为,是提高患者用药有效性和安全性的有力措施。

Objective To investigate the effects of education of medication for aged deinstitutionalization patients with coronary heart disease （CHD）. Methods One hundred and five patients with CHD selected from 4 communities were given education of medication in outpatient department and community.The medication knowledge, attitude and behaviors ,blood pressure, elec- trocardiogram, frequency of angina and drug adverse reaction status were analyzed before and after education. Results After education, the scores of medication knowledge, attitude and behaviors were increased （P〈0.01）, systolic pressures and diastolic pressures were decreased obviously（P〈0.01 ）, the frequency of drug adverse reaction was decreased significantly（P〈0.05）. Conclusion Education of medication can help non-hospitalized aged patients with CHD to know more knowledge of medicine, improve their attitude and adopt correct behaviors,