用药护理在脑卒中患者度洛西汀联合醒脑静注射液治疗过程中的应用价值

Application Value of Medication Nursing in Patients with Stroke During Duloxetine Combined with Xingnaojing Injection Treatment

目的:观察用药护理在脑卒中患者药物治疗过程中的应用价值。方法:选取2020年5月—2023年5月我院脑卒中患者60例作为研究对象,以随机数字表法分为观察组和对照组,每组30例。两组患者均采用度洛西汀联合醒脑静注射液治疗措施,对照组给予常规护理,观察组在对照组基础上给予用药护理,比较两组疾病知识掌握程度、治疗依从性、心理状态、自我效能。结果:观察组患者对各维度疾病知识掌握程度评分均高于对照组,差异有统计学意义(P<0.05);观察组患者在用药、饮食及功能锻炼依从性评分均高于对照组,差异有统计学意义(P<0.05);观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);观察组创新、说服、应变、总分高于对照组,差异有统计学意义(P<0.05)。结论:脑卒中患者在度洛西汀联合醒脑静注射液治疗过程中配合用药指导措施,对提升患者对疾病知识知晓程度、临床依从性及自我效能,缓解其负性情绪的价值显著。

Objective:To observe the effect of medication nursing in patients with stroke during duloxetine combined with Xingnaojing injection treatment.Methods:A total of 60 stroke patients in our hospital from May 2020 to May 2023 were selected as the research objects,and were divided into observation group and control group by random number table method,with 30 patients in each group.Both groups were treated with duloxetine combined with Xingnaojing injection.On this basis,the control group was given routine nursing intervention,and the observation group was given medication nursing on the basis of the control group.The mastery of disease knowledge,treatment compliance,psychological state and self-efficacy were compared between the two groups.Results:The scores of disease knowledge in each dimension in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The compliance scores of medication,diet and functional exercise in the observation group were higher than those in the control group,and the diferences were statistically significant(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The innovation,persuasion,strain and total score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The combination of duloxetine and Xingnaojing injection in the treatment of stroke patients with medication guidance measures has a significant value in improving patients'awareness of disease knowledge,clinical compliance and self-efficacy,and alleviating their negative emotions.