护理干预对更年期子宫功能失调性出血患者服药依从性的影响

目的 观察护理干预对更年期子宫功能失调性出血患者服药依从性及治疗效果的影响.方法 2006年2-12月将96例更年期子宫功能失调性出血患者随机分为干预组和对照组各48例.干预组由专门护士进行健康宣教及跟踪督导.对照组单纯由医生进行服药指导,不进行护理干预.首次就诊时登记个人基本信息和病史信息,每次复诊时询问服药情况、药物不良反应、疗效等信息并登记.所有患者于初诊3个月后进行统一随访,随访内容包括服药依从性和就诊依从性,并观察治疗效果.结果 干预组失访1例,对照组失访11例,干预组服药依从率87.2%,就诊依从率93.6%,明显优于对照组(67.6%,56.8%).激素治疗有效率亦明显高于对照组,P＜0.05.结论 护理干预能够提高子宫功能失调性出血患者的依从性和药物疗效.

Influence of nursing intervention on the compliance of patients with dysfunctional uterine bleeding in climacteric period

Objective The aim of this research is to evaluate the influence of nursing intervention on the compliance of patients with dysfunctional uterine bleeding in climacteric period. Methods We divided 96 patients with dysfunctional uterine bleeding in climacteric period from February to December in 2006 into the intervention group and the control group with 48 cases in each group.The control group was given medication instruction simply by the doctors and no nursing intervention.The intervention group was given health education and follow-up supervision.The general information and medical history of patients were registered at the first visit. The medication, adverse effect and effect of drugs were also registered at every visit. All patients were given follow-up visit 3 months later.The medication and visiting compliance and the treatment effect were observed. Results One patients missed follow-up visit in the intervention group and 11 patients missed in the control group.The medication compliance was 87.2% and the visit compliance was 93.6% in the intervention group,which was superior to those of the control group (67.6%,56.8%).The effect of hormone treatment was also better than that of the control group,P ＜ 0.05. Conclusions Nursing intervention couhl improve the compliance and medication effect of patients with dysfunctional uterine bleeding in climacteric period.