综合护理在预防妇产科用药不良反应中的应用效果

Application Effect of Comprehensive Nursing in Prevention of Adverse Drug Reactions in Obstetrics and Gynecology

目的:探究综合护理在预防妇产科用药不良反应中的应用效果。方法:选取2019年12月—2020年12月我院妇产科收治的82例尚未发生不良反应的患者作为研究对象,采用随机数字表法分别观察组和对照组,每组41例。在药物治疗过程中,对照组予以常规护理干预,观察组在对照组基础之上予以综合护理干预,比较两组干预效果、用药知识掌握情况、用药依从性、药物不良反应发生情况及护理满意度。结果:观察组症状总改善率高于对照组(P<0.05)。观察组药物知识掌握程度优于对照组(P<0.05)。观察组用药总依从率高于对照组(P<0.05)。观察组静脉炎、过敏反应、毒性反应、首剂效应发生率低于对照组(P<0.05),而两组戒酒硫样反应发生率比较,差异无统计学意义(P>0.05)。观察组护理总满意率高于对照组(P<0.05)。结论:综合护理可提高患者药物知识掌握度、用药总依从率及对护理的满意度,降低不良反应发生率,具有应用价值。

Objective:To explore the application effect of comprehensive nursing care in preventing adverse drug reactions in obstetrics and gynecology.Methods:From December 2019 to December 2020,82 patients who had not yet experienced adverse reactions were selected as the research objects,and divided into the observation group and the control group with 41 cases in each group using random number table method.During the course of drug treatment,the control group was given routine nursing intervention,and the observation group was given comprehensive nursing intervention on the basis of the control group.The intervention effects,knowledge of medication,medication compliance,adverse drug reactions,and nursing satisfaction were compared between the two groups.Results:The total improvement rate of symptoms in the observation group was higher than that in the control group(P<0.05).The knowledge of drugs in the observation group was better than that in the control group(P<0.05).The total compliance rate of the observation group was higher than that in the control group(P<0.05).The incidence of phlebitis,allergic reactions,toxic reactions,and fi rst-dose effects in the observation group were lower than that in the control group(P<0.05),but there was no signifi cant difference in the incidence of disulfurin-like reactions between the two groups(P>0.05).The overall satisfaction rate of nursing care in the observation group was higher than that in the control group(P<0.05).Conclusion:Comprehensive nursing can improve the patient’s drug knowledge mastery,the total medication compliance rate and the satisfaction with nursing,and reduce the incidence of adverse reactions,which has application value.