探析药剂工作人员对患者服药方法的指导效果

目的探析药剂工作人员对患者服药方法的指导效果。方法选取我院从2011年11月至2012年11月间到门诊房取药的100例患者,将其按照1:1的比例划分为观察组(A组)与对照组(B组),观察组患者由药剂工作人员专门对其服药方法、注意事项等方面进行专业指导;对照组仅要求患者按照说明书服药,对比分析这两组患者的用药效果。结果经过一段时间的服药指导后,在用药服从性率上,观察组为96%,对照组为60%,差异显著,有统计学意义(P<0.05);在临床疗效上,观察组治愈率为92%,对照组为80%,差异显著,有统计学意义(P<0.05);在用药不良反应发生率上,观察组为8%,对照组为18%,差异显著,有统计学意义(P<0.05)。结论药剂工作人员对患者服药方法、注意事项进行切实有效地指导,可以提高患者的用药服从性、疾病治愈率,并且降低了用药不良反应发生率,保证了患者用药的安全性,非常值得各医院门诊房在临床上应用。

Effects of a symptom management intervention based on group sessions combined with a mobile health application for persons living with HIV in China:A randomized controlled trial

Objective:This study aims to evaluate the effects of a symptom management intervention(SMI)based on symptom management group sessions combined with a mobile health(mHealth)application(app)on the knowledge of symptom management,the certainty of symptom self-management,symptom severity,symptom distress,medication adherence,social support,and quality of life among persons living with HIV(PLWH)in China.Methods:A parallel randomized controlled trial with 61 PLWH was conducted in Shanghai,China.The participants in the control group(n¼30)downloaded the Symptom Management(SM)app according to their needs and preferences,and received routine follow-ups.The participants in the intervention group(n¼31)were guided to download and use the SM app,and received four tailored weekly group sessions at routine follow-ups.Each group session lasted for approximately 2 h and targeted one of the major modules of the SM app.All the outcomes were assessed at baseline and post-intervention.The study was registered with the Chinese Clinical Trial Registry(ChiCTR1900024821).Results:The symptom management knowledge and certainty of symptom self-management were significantly improved after the intervention(all P<0.01).Compared with the control group,the scores of symptoms reasons knowledge score improved 11.47 points(95%CI:3.41,19.53)and scores of symptoms self-management knowledge score improved 12.80 points(95%CI:4.55,21.05)in the intervention group after controlling for covariates.However,other outcomes did not show statistically significant differences between the intervention group and the control group(P>0.05).Conclusion:The SMI could improve PLWH’s symptom management knowledge and certainty of symptom self-management.Multi-center studies with larger sample sizes and longer follow-ups are needed to further understand the effects of SM app on ameliorating symptom severity and symptom distress.More innovative strategies are also needed to promote and maintain the sustainability of the SM app.

个性化护理联合心理干预在癫痫患者中的应用

癫痫是临床常见的神经系统疾病,其患病率仅次于脑卒中,因致残率高、病程长、复发突然、危险性大等,给患者及家属带来很大的心理问题和困惑[1]。癫痫的治疗问题一直困扰很多患者,靠长期服药对病情进行控制是癫痫治疗的现状,但目前尚缺乏对此类患者有效的护理方法。近年来,个性化护理在临床上取得一定的效果[2]。为了探讨个性化护理联合心理干预在癫痫患者中的应用效果,2015年以来,本研究采用个性化护理联合心理干预模式对癫痫患者进行护理,出院后跟踪随访1 年,取得了一定的效果,现报告如下。