黑龙江医学2024,Vol.48Issue(4) :466-468.DOI:10.3969/j.issn.1004-5775.2024.04.023

出院后持续健康宣教对癫痫患者服药依从性及自测健康评分的影响

Effect of Continuous Health Education After Discharge on Medication Adherence and Self-tested Health Scores in Patients with Epilepsy

李婷婷 刘斯尔 李莎莎 刘艳
黑龙江医学2024,Vol.48Issue(4) :466-468.DOI:10.3969/j.issn.1004-5775.2024.04.023

出院后持续健康宣教对癫痫患者服药依从性及自测健康评分的影响

Effect of Continuous Health Education After Discharge on Medication Adherence and Self-tested Health Scores in Patients with Epilepsy

李婷婷 1刘斯尔 1李莎莎 1刘艳1
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作者信息

  • 1. 德阳市人民医院神经内科,四川 德阳 618000
  • 折叠

摘要

目的:探讨出院后持续健康宣教对癫痫患者服药依从性及自测健康评分(SRHMS)的影响.方法:选取2017年1月—2018年12月德阳市人民医院神经内科收治的140例癫痫患者作为研究对象,按出院时间顺序将2017年1-12月出院患者为对照组(70例,行常规出院指导),2018年1-12月出院患者作为观察组(70例,实施出院后持续健康宣教干预).比较两组患者的临床疗效、用药依从率及不同时间点自测健康评定量表(SRHMS)评分情况.结果:干预后,观察组患者总有效率显著高于对照组,差异有统计学意义(χ2=25.940,P<0.05).观察组患者用药依从性情况明显高于对照组,差异有统计学意义(χ2=24.27,P<0.05).入院和出院时,两组患者SRHMS评分情况比较,差异无统计学意义(t= 0.699、1.768,P>0.05);出院后1个月、6个月、12个月,观察组患者SRHMS评分明显高于对照组,差异有统计学意义(t=7.507、27.570、8.199,P<0.05).结论:出院后持续健康宣教用于癫痫患者,可有效提高其病情控制效果,改善其服药依从性和健康状态.

Abstract

Objective:To investigate the effect of post-discharge continuous health promotion on medication adherence and self-reported health scores(SRHMS)in patients with epilepsy.Methods:140 patients with epilespy admitted to the hospital from Jan.2017 to Dec.2018 in the hospital were included in the study.70 epileptic patients who implemented post-discharge continuous health promotion intervention in the hospital from Jan.to Dec.2017 were selected as the observation group,and 70 epileptic patients who were in the year before the implementation of post-discharge continuous health promotion intervention from Jan.to Dec.2018 were selected as the control group.Clinical outcomes,medication adherence rates and SRHMS scores at different time points were compared between the two groups.Results:After intervention,the total effective rate of patients in the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ2= 25.940,P<0.05).The medication adherence of patients in the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ2=24.27,P<0.05).At admission and discharge,there was no statistically significant difference in SRHMS score profiles between the two groups(t=0.699,1.768,P>0.05).At 1,6,and 12 months after discharge,the SRHMS scores of patients in the observation group were significantly higher than those of the control group,and the differences were statistically significant(t=7.507,27.570,8.199,P<0.05).Conclusion:Post-discharge continuous health promotion for patients with epilepsy is effective in improving disease control,medication adherence and health status.

关键词

出院/健康宣教/癫痫/依从性/自测健康评分

Key words

Discharge/Health education/Epilepsy/Compliance/Self rated health score

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基金项目

四川省心理健康教育研究中心项目(XLJKJY2251C)

出版年

2024
黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
参考文献量16
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