摘要
目的:分析用药护理干预辅助银杏达莫注射液治疗急性脑梗死溶栓的效果。方法:选取2018年10月至2022年10月我院收治的接受银杏达莫注射液治疗的急性脑梗死(Acute cerebral infarction,ACI)溶栓患者,随机分为对照组和观察组,各43例。对照组予以常规护理,观察组给予用药护理。观察两组患者干预前后的Morisky用药依从性量表(Morisky Medication Adherence Scale,MMAS)、用药信念特异性问卷(Beliefs about Medication Questionnaire-specific,BMQ-specific)、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)、改良Rankin量表(Modified Rankin Scale,mRS)和日常生活活动评分量表(Activity of Daily Living,ADL)评分,不良反应发生率以及用药护理效果。结果:干预后,观察组患者MMAS评分、用药必要性信念评分、ADL评分和护理总有效率高于对照组(P<0.05),而用药顾虑信念评分、NIHSS评分、mRS评分和不良反应发生率低于对照组(P<0.05)。结论:针对ACI溶栓,采用用药护理干预可有效提升患者用药依从性,降低药物不良反应发生风险,改善神经功能缺损症状,加快患者康复。
Objective:To analyze the effect of pharmacological nursing interventions to assist Ginkgodamol injection in patients with acute cerebral infarction treated with thrombolysis.Methods:ACI patients treated with thrombolysis and Ginkgo damol injection admitted to our hospital from October 2018 to October 2022 were selected and randomly divided into control group and observation group,43 cases in each group.The control group was given conventional care and the observation group was given medication care.The Morisky Medication Adherence Scale(MMAS),the Beliefs about Medication Questionnaire-specific(BMQ-specific),and the National Institute of Health stroke scale(NIHSS),the Modified Rankin Scale(mRS),and the Activity of Daily Living(ADL)scores,the incidence of adverse effects,and the effect of medication care were observed before and after the intervention.Results:After the intervention,MMAS score,medication necessity belief score,ADL score and total efficiency of care in the observation group were higher than those in the control group(P<0.05),while medication concern belief score,NIHSS score,mRS score and incidence of adverse reactions were lower than those in the control group(P<0.05).Conclusion:For ACI with thrombolysis therapy,medication nursing intervention can effectively improve patients'medication compliance,reduce the risk of adverse drug reactions,improve the symptoms of neurological deficits,and accelerate recovery.
作者
王锐
马丽
王冉
Wang Rui;Ma Li;Wang Ran(Department of Rehabilitation Medicine,Nanyang Central Hospital,Nanyang 473000,Henan,China)
出处
《四川生理科学杂志》
2023年第1期53-56,共4页
Sichuan Journal of Physiological Sciences
关键词
用药护理
银杏达莫
急性脑梗死
Medication care
Ginkgodamol
Acute cerebral infarction