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社区护理干预对老年患者遵医行为的影响
引用本文:郑真,吴慧堃,梁刚,杨美媛,曾桂珍,陈泽梅.社区护理干预对老年患者遵医行为的影响[J].中国基层医药,2008,15(5).
作者姓名:郑真  吴慧堃  梁刚  杨美媛  曾桂珍  陈泽梅
作者单位:湛江中心人民医院门诊部,广东省湛江,524037
摘    要:目的 探讨社区护理干预对门诊老年患者遵医行为的影响,改变其不良生活方式,改善生活质量.方法 选择180例在社区门诊输液老年患者,分别在干预前、干预后发放"老年患者遵医行为调查表"和"对护理工作满意表",比较护理干预前后老年患者遵医行为和对护理工作满意度.结果 实施社区护理干预后老年患者在按时服药、定期复查、控制情绪、合理饮食、戒烟酒、运动锻炼6个方面遵医行为及对护理工作满意度有明显提高,与干预前比较差异有统计学意义(P<0.01或P<0.05).结论 社区护理干预可以提高老年患者治疗护理依从性和能动性,改善其生活质量,提高护理工作满意度.

关 键 词:社区医学  干预性研究  遵医行为  老年人

Active impact of community nursing intervention upon treatment compliance of senior patients taking in clinics
ZHENG Zhen,WU Hui-kun,LIANG Gang,YANG Mei-yuan,ZENG Gui-zhen,CHEN Ze-mei.Active impact of community nursing intervention upon treatment compliance of senior patients taking in clinics[J].Chinese Journal of Primary Medicine and Pharmacy,2008,15(5).
Authors:ZHENG Zhen  WU Hui-kun  LIANG Gang  YANG Mei-yuan  ZENG Gui-zhen  CHEN Ze-mei
Abstract:Objective Establishing community nursing intervention to improve treatment compliance of senior patients taking and quit bad lifestyle so as to enhance quality of life. Methods We selected 180 senior patients who received the questionnaires concerning treatment compliance and the assessment of nursing satisfaction before and after our nursing intervention. Treatment compliance and the assessment of nursing satisfaction were compared. Results After the implementation of community nursing intervention, the senior patients could take medicines punctually and check up regularly. They could also know to control their emotion, take healthy diet, quit cigarette and alcohol and take adequate exercise according to our instruction. Meanwhile, the patients had higher level nursing satisfaction after the intervention. The comparison had statistical significance (P<0.01 or P<0.05). Conclusion Community nursing intervention could change and improve treatment compliance of senior patients actively. As a result, both the patients' quality of life and our nursing satisfaction were improved.
Keywords:Community medicine  Interventional studies  Treatment compliance  Aged
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