摘要
目的通过延续性自我管理教育,观察精神分裂症伴高血压患者服药依从性及生活质量的影响。方法选择符合精神分裂症伴高血压诊断标准的80例患者,按随机数字表法分为干预组和对照组各40例,对照组实施常规出院护理,干预组在此基础上进行延续性自我管理教育,内容包括药物的服用和保管、药物不良反应的识别和应对、生活能力和社会功能康复等。出院时与出院后12个月均采用Morisky用药依从性问卷(MMAS-8)、生活质量量表(SF-36)、简明精神病评估量表(BPRS)、血压监测及复发率对两组进行评价。结果两组出院时各项指标比较差异无统计学意义(P>0.05),出院后12个月干预组MMAS-8、SF-36及BPRS评分、血压监测结果、复发率等指标均优于对照组,差异有统计学意义(P<0.05)。结论延续性自我管理教育能提高患者服药依从性、生活质量,能改善精神症状及血压状况,降低复发率。
Objective To observe the effect of continuous self-management education on medication compliance and quality of life in patients with schizophrenia complicated with hypertension.Methods Eighty patients with schizophrenia and hypertension were randomly divided into observation or control group,40 in each group.The control group received routine discharge nursing.The observation group conducted continuous self-management education in addition to routine discharge care,including the taking & storage of drugs,the identification & response of adverse drug reactions,and the living & social ability rehabilitation. The Morisky Drug Compliance Questionnaire( MMAS-8),Quality of Life Scale( SF-36),Concise Psychiatric Assessment Scale( BPRS),blood pressure monitoring,and recurrence rate were evaluated at the time of discharge and after 12 months of discharge. Results The differences in various indicators at discharge were not statistically significant( P > 0. 05).When compared the two groups in the 12 months after discharge,the MMAS-8 score,SF-36 score,BPRS score,blood pressure monitoring results,recurrence rate and other indicators in the observation group were significant better than those in the control group( P < 0. 05).Conclusion Continuous self-management education could promote the medication compliance of patients and their quality of life,improve the mental symptoms and blood pressure,and reduce the recurrence.
作者
李玉华
汤玉妹
曹新妹
杨菊丽
LI Yu-hua;TANG Yu-mei;CAO Xin-mei;YANG Juli(Department of Nursing,Shanghai Baoshan District Mental Health Center,Shanghai201999,China;Department of Nursing,Medicine Mental Health Center,Medical School,Shanghai Jiao Tong University,Shanghai 200030,China)
出处
《实用医院临床杂志》
2020年第1期47-50,共4页
Practical Journal of Clinical Medicine
基金
上海交通大学护理学院高原学科建设“多学科创新基金”-上海市教委高原科研基金项目(编号:Hlgy1604dxk)
上海市护理学会2018年度科研基金项目(编号:重点2018SD-B02)
关键词
精神分裂症
高血压
病人依从
生活质量
延续性护理
Schizophrenia
Hypertension
Compliance of patient
Quality of life
Continuing nursing
