院内药物自我管理训练对心血管疾病患者出院后服药依从性的影响

Effects of hospital drug self-management training on medication compliance in patients with cardiovascular disease after discharge

目的探讨院内药物自我管理训练对心血管疾病患者出院后服药依从性的影响。方法选取无锡市人民医院心血管内科病区2016年3月-2017年2月120例心血管疾病患者，随机分为试验组与对照组各60例，试验组患者进行药物自我管理模式训练，对照组患者仍按常规护理，记录两组患者的服药成绩及出院后2周、1个月和半年的服药成绩，比较两组患者对服药管理及宣教模式满意度。结果试验组患者出院后2周、1个月和半年的服药成绩、出院2周后对服药管理及宣教模式满意度均高于对照组（t值分别为5．900、7．058、11．412、4．693；P〈0．001）。结论实行院内药物自我管理训练能够有效提高心血管疾病患者出院后的服药依从性。

Objective To explore the effects of hospital drug self-management training on medication compliance in patients with cardiovascular disease after discharge. Methods From March 2016 to February 2017, a total of 120 patients with cardiovascular disease in the Department of Internal Cardiovascular of Wuxi People＇s Hospital were selected and randomly divided into experimental group and control group, with 60 cases in each. The patients in the experimental group were trained with medication self-management mode, while the patients in the control group were treated in routine care. The scores of medication administration and the scores of 2 weeks, 1 month and half year after discharge were recorded, and the satisfaction of medication management and education mode were compared between the two groups. Results The scores of medication administration of 2 weeks, 1 month and half year after discharge, and the satisfaction of medication management and education mode after discharge 2 weeks were all higher than those of the control group （t=5.900, 7.058, 11.412, 4.693 ; P 〈 0.001）. Conclusions The hospital drugs self-management training can effectively improve the medication compliance in cardiovascular disease patients after discharge.