并发症体验式教育提高心房颤动患者服药达标率的随机对照研究

Randomized Controlled Trial on Experiential Education of Complication in Improving Medication Compliance Rate of Patients with Atrial Fibrillation

目的:探讨并发症体验式教育在改善心房颤动患者药物素养、服药依从性及服药达标率中的应用效果。方法:采用简单随机抽样法,选择2020年1—5月入住中国科学技术大学附属第一医院心内科的90例心房颤动患者作为研究对象,将其随机分为观察组(45例)和对照组(45例)。对照组患者住院期间给予心房颤动患者常规健康宣教,观察组患者在此基础上给予并发症体验式健康教育。评估并比较两组患者干预前后的药物素养评估量表评分、Morisky服药依从性量表评分,以及出院后1、3和6个月的服药达标率。结果:两组患者干预前的药物素养评估量表评分、Morisky服药依从性量表评分比较,差异均无统计学意义(P>0.05);干预后(出院时),观察组患者的药物素养评估量表评分、Morisky服药依从性量表评分均明显优于对照组,且观察组患者出院后1、3和6个月的服药达标率明显高于对照组,差异均有统计学意义(P<0.05)。结论:与常规健康宣教相比,并发症体验式健康教育可有效提高心房颤动患者的药物素养和服药依从性,规范患者不良服药行为,提高患者的服药达标率。

OBJECTIVE:To probe into the application effects of experiential education of complication in improving medication literacy,medication adherence and medication compliance in patients with atrial fibrillation.METHODS:Simple random sampling method was used to select 90 patients with atrial fibrillation admitted into the cardiovascular department of Medicine of the First Affiliated Hospital of University of Science and Technology of China from Jan.to May 2020 as study subjects,and all patients were randomly divided into observation group(45 cases)and control group(45 cases).The control group was given routine health education for patients with atrial fibrillation during hospitalization,while the observation group were given experiential health education of complication based on the control group.Scores of medication literacy scale and Morisky medication adherence scale,and medication compliance rates at 1,3 and 6 months after discharge were assessed and compared between two groups before and after the intervention.RESULTS:There were no statistical significance in differences in scores of medication literacy scale and Morisky medication adherence scale between two groups before intervention(P>0.05);after intervention(at discharge),the scores of medication literacy scale and Morisky medication adherence scale of the observation group were significantly better than those of the control group,and the medication adherence rates at 1,3 and 6 months after discharge were significantly higher than those of the control group,with statistically significant differences(P<0.05).CONCLUSIONS:Compared with conventional health education,the experiential health education of complications can effectively improve the medication literacy and medication adherence of patients with atrial fibrillation,regulate patients’poor medicine-taking behavior,and improve their medication compliance rate.