| 孙莹莹,朱庆云,朱亚丽,等.延伸护理对老年类风湿关节炎病人出院后口服甲氨蝶呤的影响[J].安徽医药,2019,23(2):317-319. |
| 延伸护理对老年类风湿关节炎病人出院后口服甲氨蝶呤的影响 |
| Effects of extended care on oral intake of methotrexate after discharge among elderly patients with rheumatoid arthritis |
| 投稿时间：2017-03-11 |
| DOI： |
| 中文关键词: 延伸护理 类风湿关节炎 甲氨蝶呤 |
| 英文关键词: Extended care Rheumatoid arthritis Methotrexate |
| 基金项目: |
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| 摘要点击次数: 1863 |
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| 中文摘要: |
| 目的 通过延伸护理降低老年类风湿关节炎病人出院后口服甲氨蝶呤的错服率。方法 选择安徽医科大学第一附属医院风湿免疫科2015年1月至2016年12月住院病人中98例口服甲氨蝶呤的老年类风湿关节炎病人为研究对象,48例单号出院的病人为对照组,50例双号出院的病人为观察组,两组病人住院期间及出院时均给予详细健康教育及常规护理,观察组在此基础上予以延伸护理。比较两组病人错服漏服药物现象的差异性。结果 两组比较发现,观察组病人错服次数为11次,错服率为1.26%,较对照组的23次和2.7%明显减少(χ2=4.057,P=0.031)。对错服各因素比较,其中观察组中病人因素4次,对照组16次,两组比较差异有统计学意义(χ2=6.952,P=0.008)。结论 护理延伸服务对老年类风湿关节炎出院的病人,可提高药物治疗依从性,提高病人满意度,改善其生活质量。 |
| 英文摘要: |
| Objective To reduce the wrong service rate of oral intake of methotrexate in elderly patients with rheumatoid arthritis by extending the nursing.Methods Ninety-eight elderly patients with rheumatoid arthritis who took oral methotrexate were chosen in the Department of Rheumatology and Immunology,The First Affiliated Hospital of Anhui Medical University from January 2015 to December 2016.Patients were assigned into two groups,48 patients discharged on odd-numbered days were in the control group,and 50 patients discharged on even-numbered days were in the observation group.The two groups received health education and routine nursing care during hospitalization and at discharge,and the extended care was provided for the observation group.The difference between the patients in the observation group and the control group who missed the drug was compared.Results The number of patients' intake mistake of the drug in the observation group was 11 times (1.26%),which was significantly lower than 23 times (2.7%) of the control group (χ2=4.057,P=0.031).Various factors of mistake intake of the drug were compared,of which the patient factor in the observation group was 4 times,and that in the control group was 16 times.The difference between the two groups was statistically significant (χ2=6.952,P=0.008).Conclusions The extended care can improve the compliance of medication,and improve the satisfaction of patients and their quality of life. |
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