社区缺血性脑卒中患者二级预防服药依从性认知干预方案的构建及应用研究

doi:10.3761/j.issn.1672-9234.2024.09.012

摘要/Abstract

摘要：

目的构建社区缺血性脑卒中患者二级预防服药依从性认知干预方案，并评价其应用效果。方法基于健康行为互动模式框架，通过文献检索、访谈和专家咨询形成社区缺血性脑卒中患者二级预防服药依从性认知干预方案。于2023年4月—7月，采用方便抽样法在洛阳市2所社区选取研究对象，分为对照组（n=34）和试验组（n=35）。对照组采用常规健康教育，试验组采用社区缺血性脑卒中患者二级预防服药依从性认知干预方案，比较两组干预后服药依从性情况、合理用药自我效能、服药信念、健康状况指标。结果试验组服药依从率为94%，高于对照组的服药依从率71%（P<0.05）。试验组干预后的合理用药自我效能量表、服药必要性信念维度得分、血压和低密度脂蛋白胆固醇均优于对照组，差异有统计学意义（P<0.05）。结论社区二级预防服药依从性认知干预方案有利于提高缺血性脑卒中患者的服药依从性认知水平，有利于促进、改善健康结局。

关键词: 社区护理, 缺血性脑卒中, 二级预防, 服药依从性, 认知

Abstract:

Objective To construct a cognitive intervention scheme for secondary prophylactic medication compliance in patients with ischemic stroke in community，and evaluate its application effect. Methods Based on the framework of health behavior interaction model，a cognitive intervention program for secondary preventive medication compliance of ischemic stroke patients in community was developed through literature review，interview and expert consultation. From April 2023 to July 2023，study subjects were selected from two communities in Luoyang City by convenient sampling method and were divided into control group（n=34） and experimental group（n=35）. The control group was treated with routine health education，and the experimental group was treated with the cognitive intervention program of secondary preventive medication compliance of ischemic stroke patients in the community. The medication compliance，rational drug use self-efficacy，medication belief and health status indexes were compared between the two groups after intervention. Results The compliance rate of experimental group was 94%，which was higher than that of control group 71%（P<0.05）. After intervention，the scores of rational drug use self-efficacy，belief dimension，blood pressure and low density lipoprotein cholesterol of test group were better than those of control group，and the differences were statistically significant（P<0.05）. Conclusion Community secondary preventive medication compliance cognitive intervention program is beneficial to improve the cognition of medication compliance in patients with ischemic stroke，and is conducive to promoting and improving their health outcomes.

Key words: Community nursing, Ischemic stroke, Secondary prevention, Perception of medication compliance, Cognitive

张冰妍, 李进, 姚颖, 何静茹, 杨惠敏. 社区缺血性脑卒中患者二级预防服药依从性认知干预方案的构建及应用研究[J]. 中华护理教育, 2024, 21(9): 1099-1105.

ZHANG Bingyan, LI Jin, YAO Ying, HE Jingru, YANG Huimin. Construction and application of cognitive intervention program for secondary prophylactic medication compliance in patients with ischemic stroke in community[J]. Chinese Journal of Nursing Education, 2024, 21(9): 1099-1105.

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