脑梗死康复期用药依从性调查及用药干预分析

The cerebral infarction rehabilitation of medication compliance investigations and drug intervention analysis

目的探讨脑梗死患者康复期用药依从情况,探讨其用药合理性,并制定相关干预措施,为临床用药提供参考依据。方法对本院2010年6月～2012年6月收治的338例脑梗死患者康复期用药情况采用问卷方式进行搜集整理,统计分析用药治疗情况,分析影响用药依从性原因,并给予干预措施。结果本组研究对象治愈及好转292例,占86.4%,好转并出院30例,占8.9%,对照组4例要求出院,死亡4例(2.4%),2例死于合并肺部感染,1例死于合并支气管炎,1例死于并发脑疝。干预组和对照组Barthel指数和Fugl-Meyer积分实验结束后相比较,差异具有统计学意义(P<0.01或P<0.05)。结论临床上需要不断改善医疗各个环节,提高脑梗死患者康复工期的用药依从性,进一步提高患者生存质量。

Objective To investigate cerebral infarction rehabilitation of patients with medication compliance situation, explore their medication reasonable, and to develop interventions to provide a reference for clinical. Methods Three hundred and thirty-eight patients with cerebral infarction admitted in our hospital from June 2010 to June 2012, the rehabilitation of drug used questionnaire collected, statistical analyzed of drug treatment, the impact of medication compliance reasons was analyzed, and given the interventions. Results The study cure and improved in 292 cases, ac- counting for 86.4%, improved and discharged from the hospital in 30 cases, accounting for 8.9%, the control group with four cases discharged from hospital, death in 4 cases （2.4%）, 2 cases died of pulmonary infection, 1 ease died of merger bronchitis, 1 case died of concurrent herniation. The Barthel index and Fugl-Meyer integral between the inter- vention group and control group were compared after the experiment, the difference was statistically significant （P 〈 0.01 or P 〈0.05）. Conclusion Each link need to continue to improve clinical medical, rehabilitation period of cerebral infarction patients medication compliance, further improve the quality of survival.