护理干预对强直性脊柱炎患者服药依从性影响的研究

Effects of nursing intervention on medication compliance of patients with ankylosing spondylitis

目的探讨综合护理干预对强直性脊柱炎（AS）患者服药治疗依从性的影响。方法选择200．5年1月-2006年12月入住的强直性脊柱炎患者92例，随机分为对照组45例和观察组47例。对照组给予常规的护理措施和一般的健康教育，观察组在常规护理措施和一般的健康教育的基础上实施综合护理干预。采用问卷调查法，比较2组患者强直性脊柱炎相关知识水平、服药依从性和复发率的差异。结果经护理干预后，2组患者AS相关知识水平、服药依从性和复发率比较，差异有统计学意义，观察组各指标显著优于对照组（P〈0．05）。结论积极有效的护理干预可提高患者的健康知识水平，改善认知态度及不良行为，增强对服药治疗的依从性，从而能控制疾病进展，降低复发率和致残率，改善患者的生活质量。

Objective To explore the effects of nursing intervention on medication compliance of patients with ankylosing spondylitis（AS）. Methods 92 patients with AS in the department of rheumatology and immunology of our hospital from January 2005 to December 2006 were randomized into the control group （45 cases） and the observation group （47 cases）.The control group was given routine nursing and health education.While the observation group was given comprehensive nursing intervention baaed upon routine nursing and health education.The knowledge level about AS, medication compliance and relapse rate were compared between the two groups by adopting questionnaires. Results The knowledge level about AS, medication compliance,and relapse rate in the observation group were better than those in the control group（P 〈 0.05）. Conclusions Positive nursing intervention could improve the health knowledge level, ameliorate recognition and attitude and delinquent conduct,strengthen their medication compliance.h could control the process of illness,decrease the relapse rate and disable rate so that it could improve the life quality of patients.