延续性护理对心房颤动患者用药依从性和国际标准化比值达标率的影响

Effect of continuous nursing on medication compliance and international normalized ratio compliance rate of patients with atrial fibrillation

目的探讨延续性护理对心房颤动患者用药依从性和国际标准化比值(INR)达标率的影响。方法选取2018年9月至2020年5月于揭阳市人民医院就诊的100例心房颤动患者为研究对象,按1∶1的比例随机分入对照组(n=50)和观察组(n=50)。所有患者均服用华法林治疗,对照组患者实施常规护理,观察组患者在常规护理基础上开展延续性护理。比较两组出院3个月后用药依从性和INR达标率,以及两组患者出院时、出院3个月后的自我管理能力和生活质量。结果观察组的用药依从优良率(96.00%)显著高于对照组(82.00%,P<0.05),INR达标率(90.00%)显著高于对照组(68.00%,P<0.05)。护理3个月后,两组自我管理能力和生活质量综合评定问卷(GQOLI-74)评分均显著高于出院时(P值均<0.05);且观察组上述评分均显著高于对照组(P值均<0.05)。结论对心房颤动患者实施延续性护理,可有效改善患者用药依从性,显著提高INR达标率、患者自我管理能力和生活质量。

Objective To explore the effect of continuous nursing on medication compliance and international normalized ratio(INR)compliance rate of patients with atrial fibrillation.Methods A total of 100 patients with atrial fibrillation who were treated in Jieyang People s Hospital from September 2018 to May 2020 were selected as the research objects,and randomly divided into a control group(n=50)and an observation group(n=50)at a ratio of 1∶1.All patients were treated with warfarin.Patients in the control group were given routine care,and patients in the observation group were given continuous care on the basis of routine care.The medication compliance and INR compliance rate of the two groups were compared 3 months after discharge,and the self-management ability and quality of life of the two groups at discharge and 3 months after discharge were also compared.Results The medication compliance rate of the observation group(96.00%)was significantly higher than that of the control group(82.00%)(P<0.05).The INR compliance rate(90.00%)was significantly higher than that of the control group(68.00%)(P<0.05).After 3 months of nursing,the scores of self-management scale and Generic Quality of Life Inventory-74(GQOLI-74)of the two groups were significantly higher than at discharge(all P<0.05).The above scores after nursing in the observation group were significantly higher than those in the control group(all P<0.05).Conclusion The implementation of continuous nursing for atrial fibrillation patients can effectively improve their medication compliance,significantly increase the INR compliance rate,and significantly improve their self-management ability and quality of life.