循证护理健康教育对住院精神分裂症患者治疗依从性的影响

Effects of evidence-based nursing health education on treatment compliance of hospitalized patients with schizophrenia

目的研究循证护理健康教育措施对住院精神分裂患者疗效及依从性的影响。方法选取2015年5月~2017年10月于我院接受住院治疗长于45d的精神分裂患者120例,随机分为观察组和对照组,每组60例,对照组仅采取常规护理,观察组在对照组的基础上依循最新的循证护理健康教育路径进行干预,对两组患者使用简明精神病评定量表(BPRS)、住院患者观察量表(noise30)及自制服药依从性量表进行评估。结果观察组与对照组患者在入院时的简明精神病评定量表、住院患者观察量表及自制服药依从性量表的评分均差异无统计学意义(P>0.05)。在入院45d及出院时,观察组患者的简明精神病评定量表、住院患者观察量表及自制服药依从性量表评分均较入院时及对照组有所改善,差异有统计学意义(P<0.05)。结论采用最新的循证护理健康教育能有效改善患者的治疗依从性,从而提升治疗效果,降低复发率,在临床工作中应依循循证护理理论对患者进行护理健康教育以期提高患者的短期治疗疗效及远期获益。

Objective To study effects of evidence-based nursing health education on curative effects and treatment compliance of hospitalized patients with schizophrenia. Methods 120 patients with schizophrenia who hospitalized in our hospital for 45 days from May 2015 to October 2017 were selected.They were randomly divided into the observation group and the control group,with 60 cases in each group.The control group was given routine nursing while the observation group was given intervention according to the newest evidence-based nursing health education pathway based on the control group.Patients in two groups were evaluated by using the Brief Psychiatric Rating Scale(BPRS),the Inpatient Observation Scale(noise30)and the self-made medication compliance scale. Results There was no significant difference in Brief Psychiatric Rating Scale,Inpatient Observation Scale(noise30)and the self-made medication compliance scale at the time of admission(P > 0.05).At 45 days after admission and at discharge,the patients in the observation group had improved scores on the Brief Psychiatric Rating Scale,Inpatient Observation Scale(noise30)and the self-made medication compliance scale compared with those at the time of admission and of the control group.The difference was statistically significant(P < 0.05). Conclusion Adopting the latest evidence-based nursing health education can effectively improve the patient’s treatment compliance,thereby improving the curative effects and reducing the recurrence rate.In clinical work,patients should be educated in accordance with evidence-based nursing theory to improve the short-term curative effects and long-term benefits of patients.