应用手机APP提高帕金森患者服药依从性的家庭管理研究

Family management research on improving medication compliance of Parkinson′s patients by mobile APP application

目的探讨通过手机移动应用程序(APP)实现的家庭管理对帕金森患者服药依从性及日常生活自理能力的影响。方法针对2017年6月至2018年10月入住该科的帕金森患者进行相关干预,观察组48例患者通过手机APP给予帕金森患者家庭管理指导,对照组48例患者通过电话随访、家庭访视给予帕金森患者家庭管理指导。采用Morisky用药依从性问卷、日常生活能力评定量表(ADL)比较2组患者出院后1、3、6个月服药依从性及出院后6个月日常生活能力的改善情况。结果出院后1、3个月,2组服药依从性优良率比较,差异均无统计学意义(P>0.05);出院6个月后,观察组服药依从性优良率、ADL量表评分高于对照组,差异均有统计学意义(P<0.05或0.01)。结论通过手机App方式进行家庭管理可提高帕金森患者服药依从性,改善其日常生活自理能力。

Objective To explore the effect of family management through mobile APP on medication compliance and self-care ability in daily life of Parkinson′s patients.Methods From June 2017 to October 2018,patients with Parkinson′s disease admitted to the Department of Neurology were intervened.The experimental group(n=48)received family management guidance for Parkinson′s patients through mobile APP,while the control group(n=48)received family management guidance for Parkinson′s patients through telephone follow-up and family visits.Morisky compliance questionnaire and daily living ability rating scale(ADL scale)were used to compare the medication compliance of the two groups at 1,3 and 6 months after discharge and the improvement of daily living ability at 6 months after discharge.Results There were no significant differences in the excellent and good rate of medication compliance between the two groups at 1,3 months after discharge(P>0.05).The excellent and good rate of medication compliance and ADL score in the observation group were higher than those in the control group at 6 months after discharge,the differences were statistically significant(P<0.05 or 0.01).Conclusion Family management can improve the medication compliance and self-care ability of patients with Parkinson′s disease through mobile App.