The objective of the study is to study the impact of pharmaceutical care on medication compliance in asthmatic children. The results will be used to further develop the pharmaceutical care delivered by pharmacists for...The objective of the study is to study the impact of pharmaceutical care on medication compliance in asthmatic children. The results will be used to further develop the pharmaceutical care delivered by pharmacists for asthmatic children, and to promote children＇s asthma control in China. The study was conducted in outpatient department of Beijing Children＇s Hospital from Mar. to Sept., 2009. Asthmatic children （101） were randomly divided into two groups： the intervention group that received routine treatment and complete pharmaceutical care provided by pharmacists and the control group that received routine treatment only. Questionnaires were distributed to both groups and responses were analyzed statistically. Our results showed that the percentage of children using medication following doctor＇s instructions in the intervention group was significantly higher than that in the control group （66.67% and 36.00%, respectively）; the percentage of children correctly using inhaler devices in the intervention group was significantly higher than that in the control group （78.26% and 32.84%, respectively）; children and care givers of the intervention group had significantly more knowledge about medication compliance. In conclusion, the pharmaceutical care provided by pharmacists could improve medication compliance of asthmatic children, and it would be desirable to further develop the pharmaceutical care for asthmatic children across China.展开更多
BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-p...BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia.METHODS Overall,98 out-patients and in-patients with chronic schizophrenia treated in our hospital from February 2022 to January 2023 were included and randomly divided into the study(50 patients)and control groups(48 patients).For 3 months,the control group was treated with conventional drugs,and the research group with a comprehensive intervention model of drug-psychology-society-skills.Data were obtained for the mini mental assessment scale(MMSE),Montreal cognitive assessment scale(MoCA),positive and negative symptom scale,insight and treatment attitude scale,cognitive ability scale and social skills[personal and social function scale(PSP)].The adverse reactions were observed.RESULTS After the intervention,the MMSE and MoCA scores improved in both groups.MoCA scores in the study group(26.58±3.21)were significantly(P<0.05)higher than those in the control group(24.68±3.02),MMSE scores were not significantly higher.Post-intervention,positive and negative symptom scores improved in both groups,and the positive and negative symptom scores in the study group[(12.01±2.58)and(32.51±2.11)]were significantly(P<0.05)different than those in the control group[(14.54±2.33)and(33.74±2.55)].Post-intervention,insight and treatment attitudes questionnaire scores of both groups were improved and compared with the control group(7.97±3.02),the study group(13.56±6.35)had significantly(P<0.05)higher scores.Post-intervention,the MATRICS consensus cognitive battery score of both groups was improved and compared with the control group(38.44±6.23),the score of the study group was significantly(P<0.05)increased(43.51±6.01).Post-intervention,the PSP score of the study group(78.38±6.63)was significantly(P<0.05)higher than that of the control group(74.52±7.01).During the intervention period,the incidence of adverse reactions in the study group was 6.25%,not significantly different from that in the control group(8.33%).During the intervention,both groups experienced adverse reactions,with no significant difference between groups(P>0.05).CONCLUSION The comprehensive intervention model based on drug-psychology-society-skills has obvious intervention effects on patients with chronic schizophrenia,which improves their cognitive ability and reduces their positive and negative symptoms.Simultaneously,it improves the self-knowledge of patients,improves their attitude toward treatment,effectively promotes the recovery of patients'social functions,and is safe.Therefore,it is worthy of being vigorously promoted and widely used in clinics.展开更多
This paper introduced the content, compilation process, reliability and validity, scoring method of the evaluation tool for patients’ medication compliance at home and abroad, and reviewed the research progress of th...This paper introduced the content, compilation process, reliability and validity, scoring method of the evaluation tool for patients’ medication compliance at home and abroad, and reviewed the research progress of the tool. The evaluation method, dimension, scoring method, evaluation content and application scope of the tool were compared, so as to provide reference for nurses to comprehensively and accurately evaluate patients’ medication status.展开更多
Objective: To validate the effectiveness of a Family-Centered Empowerment Model (FCEM) health education through WeChat on medication compliance and blood pressure among elderly hypertensive patients in rural areas. Me...Objective: To validate the effectiveness of a Family-Centered Empowerment Model (FCEM) health education through WeChat on medication compliance and blood pressure among elderly hypertensive patients in rural areas. Methods: One hundred and two rural elderly hypertensive patients aged 65-80 years were selected and randomly divided into an experimental and control group of 51 each. The control group implemented conventional health education, and the experimental group implemented FCEM health education through WeChat platform for 4 consecutive weeks. The Therapeutic Adherence Scale for Hypertensive Patients (TASHP) scores and blood pressure measurements were compared between and within the two groups. Results: After the intervention, there were significant differences in medication compliance and blood pressure between the two groups (P < 0.001). In the control group, before and after the intervention, there was a significant difference in medication compliance (P < 0.001), but no significant difference in blood pressure (P > 0.05). In the experimental group, there were significant differences in medication compliance and blood pressure before and after the intervention (P < 0.001). Conclusion: The FCEM health education through an online social platform significantly improved medication compliance and led to effective blood pressure control in rural elderly hypertensive patients. Therefore, as an effective, safe, and economical model, it is also necessary to explore its effectiveness in improving health problems in other chronic diseases and other age groups.展开更多
Objective: effect of extended nursing based on planned behavior theory on medication compliance of patients with schizophrenia. Methods :60 schizophrenic patients in our hospital from January 2019 to January 2020 were...Objective: effect of extended nursing based on planned behavior theory on medication compliance of patients with schizophrenia. Methods :60 schizophrenic patients in our hospital from January 2019 to January 2020 were randomly divided into two groups, 30 cases in each group. The reference group (routine nursing) and the observation group (extended nursing based on the theory of planned behavior) were used to evaluate the medication compliance of 60 patients. Results: there were significant differences in medication compliance between the two groups, the observation group was better than the reference group, the difference was significant (P < 0.05).Conclusion: the extended nursing based on the theory of planned behavior can improve the medication compliance of patients, which is worthy of promotion and practice.展开更多
Objective: to explore the effect of psychological nursing combined with health education on compliance of drug-resistant pulmonary tuberculosis patients. Methods: 100 cases of drug-resistant pulmonary tuberculosis pat...Objective: to explore the effect of psychological nursing combined with health education on compliance of drug-resistant pulmonary tuberculosis patients. Methods: 100 cases of drug-resistant pulmonary tuberculosis patients admitted in our hospital from October 2017 to December 2019 were randomly divided into observation group and control group with 50 cases in each group. The control group was given routine nursing combined with health education, while the observation group was given psychological nursing combined with health education. The two groups were compared in terms of compliance (medication rate according to the doctor's advice, treatment interruption rate, and regular examination), degree of knowledge mastery (adverse drug reactions, causes of disease, treatment principles, necessity of isolation) and nursing satisfaction. Results: after the intervention, the scores of medication rate, regular examination and adverse drug reactions, cause of disease, treatment principle and the necessity of isolation in the observation group were significantly higher than those in the control group (P < 0.05), while the interruption rate of treatment was significantly lower in the observation group (P < 0.05). The nursing satisfaction of the two groups of patients was higher than before the intervention, the observation group was significantly higher than the control group (P < 0.05). Conclusion: psychological nursing combined with health education for drug-resistant pulmonary tuberculosis can significantly reduce the interruption rate of treatment, and improve patients' compliance, knowledge mastery and nursing satisfaction.展开更多
Objective: to analyze the clinical application of the method of implementing pharmaceutical guidance for patients with diabetes, and to analyze and discuss the medication compliance of patients after implementing phar...Objective: to analyze the clinical application of the method of implementing pharmaceutical guidance for patients with diabetes, and to analyze and discuss the medication compliance of patients after implementing pharmaceutical guidance. Methods: 112 diabetic patients were randomly selected from January 2019 to January 2021 in our hospital, and divided into two groups according to the different guiding medication methods to analyze the clinical application of pharmaceutical guidance method for diabetic patients. Results: before nursing, there was no comparability between the two groups of blood glucose and hba1c related indicators. After pharmaceutical guidance, the blood glucose of the experimental group was significantly better than the control group, and the clinical blood glucose indicators were significantly better than the control group. At the same time, the medication compliance of patients was significantly improved, the experimental group was better than the control group;And the nursing satisfaction of the experimental group is better than the control group, there are significant differences between the results. Conclusion: effective medication guidance for diabetic patients can improve their medication compliance, which is worth promoting.展开更多
Objective: to observe the effect of psychological nursing program on improving medication compliance in the process of clinical nursing elderly patients with hypertension. Methods: 80 elderly patients with hypertensio...Objective: to observe the effect of psychological nursing program on improving medication compliance in the process of clinical nursing elderly patients with hypertension. Methods: 80 elderly patients with hypertension were selected as the observation object. The reception time was from January 2020 to January 2021. Group observation was carried out according to the reception order, that is, the reference group and the experimental group. There were 40 elderly patients in each group. The reference group implemented the routine nursing scheme, and the experimental group implemented the psychological nursing scheme on this basis. The negative emotions and medication compliance of the two groups were compared. Results: the negative emotion score of the experimental group was lower than that of the reference group, and the medication compliance was higher than that of the reference group, the difference was particularly significant (P < 0.05). Conclusion: in the routine nursing program for elderly patients with hypertension, the implementation of psychological nursing model can improve the negative emotion of patients, promote the treatment and nursing enthusiasm of patients, and have an important impact on improving medication compliance.展开更多
Objective: to investigate the medication compliance of outpatients with hypertension, analyze its influencing factors, and explore its relationship with medication compliance, so as to provide the basis for health edu...Objective: to investigate the medication compliance of outpatients with hypertension, analyze its influencing factors, and explore its relationship with medication compliance, so as to provide the basis for health education of outpatients with hypertension. Methods: a total of 198 hypertension patients in a third class A hospital in Inner Mongolia Autonomous Region were investigated by convenience sampling method. The self-made questionnaire and medication compliance questionnaire (MMAS-8) prepared by Morisky et al were used to analyze the medication compliance scores of patients, and the medication compliance scores of patients of different categories were compared. Results: there were 17 patients with high compliance (8.58%), 25 patients with medium compliance (12.63%), and 156 patients with low compliance (78.79%). The results showed that marital status, educational level, age, range of family annual income, course of hypertension, presence or absence of complications, and knowledge of medication had influence on medication compliance of patients with hypertension, among which educational level and knowledge of medication could affect medication compliance of patients together. Conclusion: the level of medication compliance of outpatient hypertension patients is low, and the compliance is affected by many factors. Publicity of knowledge related to hypertension is helpful to improve the compliance of patients.展开更多
Objective: to explore the relationship between medication compliance of pulmonary tuberculosis patients and nursing intervention. Methods: a total of 100 patients with pulmonary tuberculosis admitted to our hospital i...Objective: to explore the relationship between medication compliance of pulmonary tuberculosis patients and nursing intervention. Methods: a total of 100 patients with pulmonary tuberculosis admitted to our hospital in recent years were randomly divided into experimental group and observation group. The patients in the experimental group were treated with high-quality nursing intervention, while the patients in the observation group were only treated with conventional nursing methods. The effects of different nursing methods on their medication compliance were compared. Results: it was found that the experimental group adopted high-quality nursing, and the patients' medication compliance was significantly improved. There was a significant statistical difference between the two groups, which could be used as a comparison of experiments. Conclusion: the implementation of nursing intervention for pulmonary tuberculosis patients can improve the patients' medication compliance and promote their clinical use, which can effectively improve the patients' lives.展开更多
Objective: to investigate the current situation of medication compliance of patients with convalescent coronary heart disease and related influencing factors, and to provide patients with more comprehensive and target...Objective: to investigate the current situation of medication compliance of patients with convalescent coronary heart disease and related influencing factors, and to provide patients with more comprehensive and targeted health education and medication guidance in clinical practice to improve patients' medication compliance. Methods: a total of 110 patients with convalescent coronary heart disease (CHD) from a tertiary class A hospital in Guangdong province from October 2020 to February 2021 were selected as the investigation subjects, and the medication compliance and influencing factors of the patients in the convalescent CHD were investigated by questionnaire. RESULTS: According to the survey results, the drug compliance of patients with coronary heart disease in convalescent period was 29.1%. Multivariate logistic regression analysis found that occupation, payment method of medical expenses, educational level, monthly income of family, type of drugs taken, feeling that the disease is not serious, no need to take drugs, economic pressure, fear of drug side effects and adverse reactions, self-suspension of medication were independent risk factors affecting medication compliance of patients with coronary heart disease in convalescence (P < 0.05). Conclusion: the drug compliance of patients with coronary heart disease in convalescence is not very optimistic, and its influencing factors are complex and diverse. In clinical work, medical care should take corresponding measures to intervene patients, so as to improve the drug compliance of patients and improve their quality of life.展开更多
Whether patients with hypertension can take medicine according to the doctor's advice is an important factor affecting the prognosis of the disease. Apart from age, education and economic status, the compliance of...Whether patients with hypertension can take medicine according to the doctor's advice is an important factor affecting the prognosis of the disease. Apart from age, education and economic status, the compliance of patients with hypertension is also closely related to factors such as patients' cognition of the disease, their own beliefs and psychological support from family and society. This article is to study the effective communication of patients under the "co-participation" model. By establishing a good nurse-patient relationship, the patient's cognition of the disease will be gradually enhanced, and the support of the patient's family and society will be promoted. Measures such as increasing the patient's compliance with medication, further maintaining the stability of blood pressure, effectively preventing the occurrence of various hypertension complications, improving the prognosis and improving the quality of life will be taken.展开更多
Purpose: Medication compliance for chronic medications has been well studied, but there is a gap in the literature regarding compliance within the perioperative period. Our objective was to determine the incidence of ...Purpose: Medication compliance for chronic medications has been well studied, but there is a gap in the literature regarding compliance within the perioperative period. Our objective was to determine the incidence of patient non-compliance with preoperative medication instructions for adult non-emergent surgery. Additional objectives were to identify predictors of compliance, describe medication instructions by drug type, and explore the impact of non-compliance. Patients and Methods: This historical chart review evaluated preoperative compliance to medication instructions in 393 adults undergoing non-emergent surgeries at Hamilton Health Sciences between May 1, 2012, and April 30, 2013. Seven patient factors (age;sex;American Society of Anesthesiologists class;number of medications;type of surgery;time between preoperative appointment to surgery;the individual collecting the medication list) were evaluated as potential predictors of non-compliance and analyzed using logistic regression analysis. Consequences of non-compliance were assessed by impact on intraoperative blood pressure, blood glucose level, drop in hemoglobin, bronchospasm, and case delays. Results: One hundred forty-six (37.2%) patients were non-compliant with one or more medication reconciliation instructions provided by the anesthesiologist. No significant associations were observed for any patient risk factors and non-compliance. Non-compliance was not associated with any clinically significant consequences. Conclusions: Our study shows that 37.15% of adult patients undergoing non-emergent surgery were non-compliant with medication instructions, although patients did not receive any written instructions for 46% of their medications. We did not identify any predictive patient factors or adverse outcomes associated with non-compliance.展开更多
Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hyperte...Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.展开更多
Objective:To explore the effects of problem-oriented nursing on self-efficacy and compliance behavior of patients undergoing coronary intervention.Methods:Seventy patients who underwent coronary intervention in a hosp...Objective:To explore the effects of problem-oriented nursing on self-efficacy and compliance behavior of patients undergoing coronary intervention.Methods:Seventy patients who underwent coronary intervention in a hospital from March 2024 to February 2025 were selected and divided into the control group(n=35)and the observation group(n=35)by using the randomized numeric table method.The control group implemented conventional clinical care,and the observation group was given problem-oriented nursing intervention on the basis of conventional care.The self-efficacy,negative psychological state,medical compliance behavior,and quality of life improvement of patients in the two groups were compared.Results:Before nursing intervention,the difference in the scores of patients’role function,symptom management,emotion management,nurse-patient communication and exchange and other dimensions between the control group and the observation group was not statistically significant(P>0.05).After nursing intervention,the scores of all indexes of the two groups were significantly higher,and the difference between the two groups was statistically significant(P<0.05).Before nursing intervention,the difference in the scores of patients’anxiety and depression status between the control group and the observation group was not statistical significance(P>0.05).However,after nursing intervention,the negative psychological state of the two groups improved significantly,and the difference between the groups was statistically significant(P<0.05).The total excellent rate of patients’compliance behavior in the observation group was 97.14%,which was significantly higher than that of the control group,which was 74.29%,with a statistically significant difference(P<0.05).The patients of the observation group had a higher psychological state,social function,physical condition,emotional condition and other dimension scores of patients in the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of problem-oriented nursing care for patients undergoing coronary intervention can not only significantly improve their self-efficacy and enhance their compliance behavior,but also positively improve their negative emotions of anxiety and depression,and improve their quality of life.展开更多
BACKGROUND Depression is a common psychological disorder often associated with genetic,neurobiological,and psychosocial factors.This condition is characterized by low mood and decreased conscious activity and can lead...BACKGROUND Depression is a common psychological disorder often associated with genetic,neurobiological,and psychosocial factors.This condition is characterized by low mood and decreased conscious activity and can lead to severe consequences such as suicidal thoughts.Respiratory failure,a disorder of pulmonary ventilation and gas exchange,is frequently complicated by depression,aggravating the condition and creating complications in treatment.Patients with both conditions tend to exhibit poor compliance with medical advice,resulting in adverse outcomes such as sleep disorders,arrhythmias,and electrolyte imbalances.Therefore,effective nursing interventions are crucial for improving patient outcomes.While routine nursing care can provide basic support,dedicated nursing,which involves specialized and personalized care by highly trained professionals,may offer additional benefits.AIM To examine the effect of dedicated nursing intervention on medical advice compliance and adverse event incidence in patients with depression complicated by respiratory failure.METHODS A total of 160 patients with depression complicated by respiratory failure admitted to the Second Affiliated Hospital of Soochow University from January to December 2024 were randomly categorized into a control group(n=80)receiving routine nursing care and observation group(n=80)receiving routine nursing combined with dedicated nursing care.The establishment of a specialized nursing team;the development of a personalized nursing plan;and the implementation of comprehensive care strategies targeting emotional support,sleep improvement,pulmonary function enhancement,and adherence to medical advice were included in the dedicated nursing intervention.Emotional state[evaluated using the Self-Rating Depression Scale(SDS)],sleep quality[assessed using the Pittsburgh Sleep Quality Index(PSQI)],hope level[measured using the Herth Hope Scale(HHS)],pulmonary function[comprising forced vital capacity(FVC)and forced expiratory volume in the first second(FEV1)],exercise endurance[6-minute walk distance test(6MWD)],compliance with medical advice,and incidence of adverse events were compared between the two groups.RESULTS No significant differences were observed in SDS,PSQI,HHS,FVC,FEV1,6MWD,or compliance with medical advice between the two groups(P>0.05)before the intervention.However,after the intervention,the control group exhibited significantly lower SDS and PSQI scores;higher HHS scores;greater improvements in FVC,FEV1,and 6MWD;and higher compliance with medical advice compared with the control group(P<0.05).In addition,the incidence of adverse events was significantly lower in the control group(P<0.05).CONCLUSION Dedicated nursing intervention significantly improves emotional state,sleep quality,hope level,pulmonary function,exercise endurance,and compliance with medical advice while reducing adverse events in patients with depression complicated by respiratory failure.Therefore,dedicated nursing appears to be an effective approach to enhance patient outcomes in this population.展开更多
Objective: to study the effect of targeted drug intervention in elderly patients with hypertension. Methods: the patients were randomly divided into control group (routine care) and observation group (targeted care) t...Objective: to study the effect of targeted drug intervention in elderly patients with hypertension. Methods: the patients were randomly divided into control group (routine care) and observation group (targeted care) to explore the improvement of patients pathological changes. Results: the indexes of satisfaction and medication compliance of the observation group were higher than those of the control group (P < 0.05), and the blood pressure level after nursing was lower than that of the control group (P < 0.05). Conclusion: targeted nursing intervention is feasible for elderly patients with hypertension.展开更多
Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital...Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.展开更多
Objective:To analyze the effects of providing extended rehabilitation nursing services at home to patients with coronary heart disease(CHD)combined with heart failure(CHF)on psychological improvement and adherence to ...Objective:To analyze the effects of providing extended rehabilitation nursing services at home to patients with coronary heart disease(CHD)combined with heart failure(CHF)on psychological improvement and adherence to medical compliance behavior.Methods:79 patients with CHD with CHF admitted to Sijia Town Central Health Hospital,Haimen District,Nantong City,Jiangsu Province,between June 2021 and June 2023 were selected and grouped according to the randomized numerical table method.The control group(39 cases)was provided with conventional nursing care and extended rehabilitation nursing care at home was provided to the observation group(40 cases).The psychological status,adherence to medical behaviors,cardiac function,and complications between both groups were compared.Results:The scores of anxieties and depression self-assessment scales(SAS,SDS)of patients in the observation group were lower than those of the control group(t=2.954,3.212;P<0.05);the compliance of patients in the observation group was higher than that of the control group(P<0.05).The levels of left ventricular ejection fraction,end-systolic and end-diastolic internal diameters(LVEF,LVESD,LVEDD)of patients in the observation group at 58.02±5.34%,44.49±5.16 mm,and 49.16±5.76 mm respectively were better than those of the control group after nursing care(t=3.205,3.288,2.633;P<0.05);the complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion:Extended rehabilitation nursing at home exhibited a psychological regulation effect on CHD with CHF patients,improved their medical compliance,improved cardiac function,reduced the incidence of complications,and had significant application value.展开更多
目的分析上海市2021年新发非利福平耐药肺结核患者手机应用程序(application,APP)督导服药的应用情况及其影响因素,为进一步优化手机APP督导管理方式的应用策略提供依据。方法通过易督导患者管理系统(e-Patient Service System,e-PSS)...目的分析上海市2021年新发非利福平耐药肺结核患者手机应用程序(application,APP)督导服药的应用情况及其影响因素,为进一步优化手机APP督导管理方式的应用策略提供依据。方法通过易督导患者管理系统(e-Patient Service System,e-PSS)平台收集患者管理数据,通过《中国疾病预防控制信息系统》结核病子系统收集患者性别、年龄组、职业、户籍、病原学结果等信息。对手机APP督导管理应用情况及相关影响因素进行统计分析。采用卡方检验和多因素非条件logistic回归分析结核病患者使用手机APP督导服药的影响因素。结果2021年上海市采用e-PSS平台管理患者2687例,其中使用手机APP督导服药的患者790例,占29.4%。使用手机APP督导服药的患者总体服药率为99.8%,总体规则服药率为99.5%,坚持打卡率为24.1%。多因素分析结果显示,病原学结果阳性(OR值为2.328,95%CI为1.474~3.825)及阴性(OR值为1.699,95%CI为1.067~2.809),年龄60岁及以下(≤20岁、>20~40岁、>40~60岁的OR值分别为11.017、16.864、9.002,95%CI分别为3.793~40.430、6.881~55.914、3.674~29.837),职业为农民(OR值为1.801,95%CI为1.289~2.519)的患者更倾向于使用手机APP进行服药管理。结论结核病患者日常服药管理应针对不同类型人群采用不同的督导管理方式,对于>20~40岁年龄组、病原学阳性、职业为农民、有合并症的结核病患者,社区医生可以优先推荐使用手机APP进行服药管理。展开更多
文摘The objective of the study is to study the impact of pharmaceutical care on medication compliance in asthmatic children. The results will be used to further develop the pharmaceutical care delivered by pharmacists for asthmatic children, and to promote children＇s asthma control in China. The study was conducted in outpatient department of Beijing Children＇s Hospital from Mar. to Sept., 2009. Asthmatic children （101） were randomly divided into two groups： the intervention group that received routine treatment and complete pharmaceutical care provided by pharmacists and the control group that received routine treatment only. Questionnaires were distributed to both groups and responses were analyzed statistically. Our results showed that the percentage of children using medication following doctor＇s instructions in the intervention group was significantly higher than that in the control group （66.67% and 36.00%, respectively）; the percentage of children correctly using inhaler devices in the intervention group was significantly higher than that in the control group （78.26% and 32.84%, respectively）; children and care givers of the intervention group had significantly more knowledge about medication compliance. In conclusion, the pharmaceutical care provided by pharmacists could improve medication compliance of asthmatic children, and it would be desirable to further develop the pharmaceutical care for asthmatic children across China.
文摘BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia.METHODS Overall,98 out-patients and in-patients with chronic schizophrenia treated in our hospital from February 2022 to January 2023 were included and randomly divided into the study(50 patients)and control groups(48 patients).For 3 months,the control group was treated with conventional drugs,and the research group with a comprehensive intervention model of drug-psychology-society-skills.Data were obtained for the mini mental assessment scale(MMSE),Montreal cognitive assessment scale(MoCA),positive and negative symptom scale,insight and treatment attitude scale,cognitive ability scale and social skills[personal and social function scale(PSP)].The adverse reactions were observed.RESULTS After the intervention,the MMSE and MoCA scores improved in both groups.MoCA scores in the study group(26.58±3.21)were significantly(P<0.05)higher than those in the control group(24.68±3.02),MMSE scores were not significantly higher.Post-intervention,positive and negative symptom scores improved in both groups,and the positive and negative symptom scores in the study group[(12.01±2.58)and(32.51±2.11)]were significantly(P<0.05)different than those in the control group[(14.54±2.33)and(33.74±2.55)].Post-intervention,insight and treatment attitudes questionnaire scores of both groups were improved and compared with the control group(7.97±3.02),the study group(13.56±6.35)had significantly(P<0.05)higher scores.Post-intervention,the MATRICS consensus cognitive battery score of both groups was improved and compared with the control group(38.44±6.23),the score of the study group was significantly(P<0.05)increased(43.51±6.01).Post-intervention,the PSP score of the study group(78.38±6.63)was significantly(P<0.05)higher than that of the control group(74.52±7.01).During the intervention period,the incidence of adverse reactions in the study group was 6.25%,not significantly different from that in the control group(8.33%).During the intervention,both groups experienced adverse reactions,with no significant difference between groups(P>0.05).CONCLUSION The comprehensive intervention model based on drug-psychology-society-skills has obvious intervention effects on patients with chronic schizophrenia,which improves their cognitive ability and reduces their positive and negative symptoms.Simultaneously,it improves the self-knowledge of patients,improves their attitude toward treatment,effectively promotes the recovery of patients'social functions,and is safe.Therefore,it is worthy of being vigorously promoted and widely used in clinics.
文摘This paper introduced the content, compilation process, reliability and validity, scoring method of the evaluation tool for patients’ medication compliance at home and abroad, and reviewed the research progress of the tool. The evaluation method, dimension, scoring method, evaluation content and application scope of the tool were compared, so as to provide reference for nurses to comprehensively and accurately evaluate patients’ medication status.
文摘Objective: To validate the effectiveness of a Family-Centered Empowerment Model (FCEM) health education through WeChat on medication compliance and blood pressure among elderly hypertensive patients in rural areas. Methods: One hundred and two rural elderly hypertensive patients aged 65-80 years were selected and randomly divided into an experimental and control group of 51 each. The control group implemented conventional health education, and the experimental group implemented FCEM health education through WeChat platform for 4 consecutive weeks. The Therapeutic Adherence Scale for Hypertensive Patients (TASHP) scores and blood pressure measurements were compared between and within the two groups. Results: After the intervention, there were significant differences in medication compliance and blood pressure between the two groups (P < 0.001). In the control group, before and after the intervention, there was a significant difference in medication compliance (P < 0.001), but no significant difference in blood pressure (P > 0.05). In the experimental group, there were significant differences in medication compliance and blood pressure before and after the intervention (P < 0.001). Conclusion: The FCEM health education through an online social platform significantly improved medication compliance and led to effective blood pressure control in rural elderly hypertensive patients. Therefore, as an effective, safe, and economical model, it is also necessary to explore its effectiveness in improving health problems in other chronic diseases and other age groups.
文摘Objective: effect of extended nursing based on planned behavior theory on medication compliance of patients with schizophrenia. Methods :60 schizophrenic patients in our hospital from January 2019 to January 2020 were randomly divided into two groups, 30 cases in each group. The reference group (routine nursing) and the observation group (extended nursing based on the theory of planned behavior) were used to evaluate the medication compliance of 60 patients. Results: there were significant differences in medication compliance between the two groups, the observation group was better than the reference group, the difference was significant (P < 0.05).Conclusion: the extended nursing based on the theory of planned behavior can improve the medication compliance of patients, which is worthy of promotion and practice.
文摘Objective: to explore the effect of psychological nursing combined with health education on compliance of drug-resistant pulmonary tuberculosis patients. Methods: 100 cases of drug-resistant pulmonary tuberculosis patients admitted in our hospital from October 2017 to December 2019 were randomly divided into observation group and control group with 50 cases in each group. The control group was given routine nursing combined with health education, while the observation group was given psychological nursing combined with health education. The two groups were compared in terms of compliance (medication rate according to the doctor's advice, treatment interruption rate, and regular examination), degree of knowledge mastery (adverse drug reactions, causes of disease, treatment principles, necessity of isolation) and nursing satisfaction. Results: after the intervention, the scores of medication rate, regular examination and adverse drug reactions, cause of disease, treatment principle and the necessity of isolation in the observation group were significantly higher than those in the control group (P < 0.05), while the interruption rate of treatment was significantly lower in the observation group (P < 0.05). The nursing satisfaction of the two groups of patients was higher than before the intervention, the observation group was significantly higher than the control group (P < 0.05). Conclusion: psychological nursing combined with health education for drug-resistant pulmonary tuberculosis can significantly reduce the interruption rate of treatment, and improve patients' compliance, knowledge mastery and nursing satisfaction.
文摘Objective: to analyze the clinical application of the method of implementing pharmaceutical guidance for patients with diabetes, and to analyze and discuss the medication compliance of patients after implementing pharmaceutical guidance. Methods: 112 diabetic patients were randomly selected from January 2019 to January 2021 in our hospital, and divided into two groups according to the different guiding medication methods to analyze the clinical application of pharmaceutical guidance method for diabetic patients. Results: before nursing, there was no comparability between the two groups of blood glucose and hba1c related indicators. After pharmaceutical guidance, the blood glucose of the experimental group was significantly better than the control group, and the clinical blood glucose indicators were significantly better than the control group. At the same time, the medication compliance of patients was significantly improved, the experimental group was better than the control group;And the nursing satisfaction of the experimental group is better than the control group, there are significant differences between the results. Conclusion: effective medication guidance for diabetic patients can improve their medication compliance, which is worth promoting.
文摘Objective: to observe the effect of psychological nursing program on improving medication compliance in the process of clinical nursing elderly patients with hypertension. Methods: 80 elderly patients with hypertension were selected as the observation object. The reception time was from January 2020 to January 2021. Group observation was carried out according to the reception order, that is, the reference group and the experimental group. There were 40 elderly patients in each group. The reference group implemented the routine nursing scheme, and the experimental group implemented the psychological nursing scheme on this basis. The negative emotions and medication compliance of the two groups were compared. Results: the negative emotion score of the experimental group was lower than that of the reference group, and the medication compliance was higher than that of the reference group, the difference was particularly significant (P < 0.05). Conclusion: in the routine nursing program for elderly patients with hypertension, the implementation of psychological nursing model can improve the negative emotion of patients, promote the treatment and nursing enthusiasm of patients, and have an important impact on improving medication compliance.
文摘Objective: to investigate the medication compliance of outpatients with hypertension, analyze its influencing factors, and explore its relationship with medication compliance, so as to provide the basis for health education of outpatients with hypertension. Methods: a total of 198 hypertension patients in a third class A hospital in Inner Mongolia Autonomous Region were investigated by convenience sampling method. The self-made questionnaire and medication compliance questionnaire (MMAS-8) prepared by Morisky et al were used to analyze the medication compliance scores of patients, and the medication compliance scores of patients of different categories were compared. Results: there were 17 patients with high compliance (8.58%), 25 patients with medium compliance (12.63%), and 156 patients with low compliance (78.79%). The results showed that marital status, educational level, age, range of family annual income, course of hypertension, presence or absence of complications, and knowledge of medication had influence on medication compliance of patients with hypertension, among which educational level and knowledge of medication could affect medication compliance of patients together. Conclusion: the level of medication compliance of outpatient hypertension patients is low, and the compliance is affected by many factors. Publicity of knowledge related to hypertension is helpful to improve the compliance of patients.
文摘Objective: to explore the relationship between medication compliance of pulmonary tuberculosis patients and nursing intervention. Methods: a total of 100 patients with pulmonary tuberculosis admitted to our hospital in recent years were randomly divided into experimental group and observation group. The patients in the experimental group were treated with high-quality nursing intervention, while the patients in the observation group were only treated with conventional nursing methods. The effects of different nursing methods on their medication compliance were compared. Results: it was found that the experimental group adopted high-quality nursing, and the patients' medication compliance was significantly improved. There was a significant statistical difference between the two groups, which could be used as a comparison of experiments. Conclusion: the implementation of nursing intervention for pulmonary tuberculosis patients can improve the patients' medication compliance and promote their clinical use, which can effectively improve the patients' lives.
文摘Objective: to investigate the current situation of medication compliance of patients with convalescent coronary heart disease and related influencing factors, and to provide patients with more comprehensive and targeted health education and medication guidance in clinical practice to improve patients' medication compliance. Methods: a total of 110 patients with convalescent coronary heart disease (CHD) from a tertiary class A hospital in Guangdong province from October 2020 to February 2021 were selected as the investigation subjects, and the medication compliance and influencing factors of the patients in the convalescent CHD were investigated by questionnaire. RESULTS: According to the survey results, the drug compliance of patients with coronary heart disease in convalescent period was 29.1%. Multivariate logistic regression analysis found that occupation, payment method of medical expenses, educational level, monthly income of family, type of drugs taken, feeling that the disease is not serious, no need to take drugs, economic pressure, fear of drug side effects and adverse reactions, self-suspension of medication were independent risk factors affecting medication compliance of patients with coronary heart disease in convalescence (P < 0.05). Conclusion: the drug compliance of patients with coronary heart disease in convalescence is not very optimistic, and its influencing factors are complex and diverse. In clinical work, medical care should take corresponding measures to intervene patients, so as to improve the drug compliance of patients and improve their quality of life.
文摘Whether patients with hypertension can take medicine according to the doctor's advice is an important factor affecting the prognosis of the disease. Apart from age, education and economic status, the compliance of patients with hypertension is also closely related to factors such as patients' cognition of the disease, their own beliefs and psychological support from family and society. This article is to study the effective communication of patients under the "co-participation" model. By establishing a good nurse-patient relationship, the patient's cognition of the disease will be gradually enhanced, and the support of the patient's family and society will be promoted. Measures such as increasing the patient's compliance with medication, further maintaining the stability of blood pressure, effectively preventing the occurrence of various hypertension complications, improving the prognosis and improving the quality of life will be taken.
文摘Purpose: Medication compliance for chronic medications has been well studied, but there is a gap in the literature regarding compliance within the perioperative period. Our objective was to determine the incidence of patient non-compliance with preoperative medication instructions for adult non-emergent surgery. Additional objectives were to identify predictors of compliance, describe medication instructions by drug type, and explore the impact of non-compliance. Patients and Methods: This historical chart review evaluated preoperative compliance to medication instructions in 393 adults undergoing non-emergent surgeries at Hamilton Health Sciences between May 1, 2012, and April 30, 2013. Seven patient factors (age;sex;American Society of Anesthesiologists class;number of medications;type of surgery;time between preoperative appointment to surgery;the individual collecting the medication list) were evaluated as potential predictors of non-compliance and analyzed using logistic regression analysis. Consequences of non-compliance were assessed by impact on intraoperative blood pressure, blood glucose level, drop in hemoglobin, bronchospasm, and case delays. Results: One hundred forty-six (37.2%) patients were non-compliant with one or more medication reconciliation instructions provided by the anesthesiologist. No significant associations were observed for any patient risk factors and non-compliance. Non-compliance was not associated with any clinically significant consequences. Conclusions: Our study shows that 37.15% of adult patients undergoing non-emergent surgery were non-compliant with medication instructions, although patients did not receive any written instructions for 46% of their medications. We did not identify any predictive patient factors or adverse outcomes associated with non-compliance.
文摘Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.
文摘Objective:To explore the effects of problem-oriented nursing on self-efficacy and compliance behavior of patients undergoing coronary intervention.Methods:Seventy patients who underwent coronary intervention in a hospital from March 2024 to February 2025 were selected and divided into the control group(n=35)and the observation group(n=35)by using the randomized numeric table method.The control group implemented conventional clinical care,and the observation group was given problem-oriented nursing intervention on the basis of conventional care.The self-efficacy,negative psychological state,medical compliance behavior,and quality of life improvement of patients in the two groups were compared.Results:Before nursing intervention,the difference in the scores of patients’role function,symptom management,emotion management,nurse-patient communication and exchange and other dimensions between the control group and the observation group was not statistically significant(P>0.05).After nursing intervention,the scores of all indexes of the two groups were significantly higher,and the difference between the two groups was statistically significant(P<0.05).Before nursing intervention,the difference in the scores of patients’anxiety and depression status between the control group and the observation group was not statistical significance(P>0.05).However,after nursing intervention,the negative psychological state of the two groups improved significantly,and the difference between the groups was statistically significant(P<0.05).The total excellent rate of patients’compliance behavior in the observation group was 97.14%,which was significantly higher than that of the control group,which was 74.29%,with a statistically significant difference(P<0.05).The patients of the observation group had a higher psychological state,social function,physical condition,emotional condition and other dimension scores of patients in the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of problem-oriented nursing care for patients undergoing coronary intervention can not only significantly improve their self-efficacy and enhance their compliance behavior,but also positively improve their negative emotions of anxiety and depression,and improve their quality of life.
基金Supported by the Second Nursing Research Project of the Humanities Nursing Professional Committee,No.RW2024PY03the Open Project of Suzhou Key Laboratory of Elderly Smart Nursing and Health Care in 2024.
文摘BACKGROUND Depression is a common psychological disorder often associated with genetic,neurobiological,and psychosocial factors.This condition is characterized by low mood and decreased conscious activity and can lead to severe consequences such as suicidal thoughts.Respiratory failure,a disorder of pulmonary ventilation and gas exchange,is frequently complicated by depression,aggravating the condition and creating complications in treatment.Patients with both conditions tend to exhibit poor compliance with medical advice,resulting in adverse outcomes such as sleep disorders,arrhythmias,and electrolyte imbalances.Therefore,effective nursing interventions are crucial for improving patient outcomes.While routine nursing care can provide basic support,dedicated nursing,which involves specialized and personalized care by highly trained professionals,may offer additional benefits.AIM To examine the effect of dedicated nursing intervention on medical advice compliance and adverse event incidence in patients with depression complicated by respiratory failure.METHODS A total of 160 patients with depression complicated by respiratory failure admitted to the Second Affiliated Hospital of Soochow University from January to December 2024 were randomly categorized into a control group(n=80)receiving routine nursing care and observation group(n=80)receiving routine nursing combined with dedicated nursing care.The establishment of a specialized nursing team;the development of a personalized nursing plan;and the implementation of comprehensive care strategies targeting emotional support,sleep improvement,pulmonary function enhancement,and adherence to medical advice were included in the dedicated nursing intervention.Emotional state[evaluated using the Self-Rating Depression Scale(SDS)],sleep quality[assessed using the Pittsburgh Sleep Quality Index(PSQI)],hope level[measured using the Herth Hope Scale(HHS)],pulmonary function[comprising forced vital capacity(FVC)and forced expiratory volume in the first second(FEV1)],exercise endurance[6-minute walk distance test(6MWD)],compliance with medical advice,and incidence of adverse events were compared between the two groups.RESULTS No significant differences were observed in SDS,PSQI,HHS,FVC,FEV1,6MWD,or compliance with medical advice between the two groups(P>0.05)before the intervention.However,after the intervention,the control group exhibited significantly lower SDS and PSQI scores;higher HHS scores;greater improvements in FVC,FEV1,and 6MWD;and higher compliance with medical advice compared with the control group(P<0.05).In addition,the incidence of adverse events was significantly lower in the control group(P<0.05).CONCLUSION Dedicated nursing intervention significantly improves emotional state,sleep quality,hope level,pulmonary function,exercise endurance,and compliance with medical advice while reducing adverse events in patients with depression complicated by respiratory failure.Therefore,dedicated nursing appears to be an effective approach to enhance patient outcomes in this population.
文摘Objective: to study the effect of targeted drug intervention in elderly patients with hypertension. Methods: the patients were randomly divided into control group (routine care) and observation group (targeted care) to explore the improvement of patients pathological changes. Results: the indexes of satisfaction and medication compliance of the observation group were higher than those of the control group (P < 0.05), and the blood pressure level after nursing was lower than that of the control group (P < 0.05). Conclusion: targeted nursing intervention is feasible for elderly patients with hypertension.
基金Medical science research key project plan of Hebei health and Family Planning Commission in 2018.Subject name:Evaluation of application effect of case management model in newly treated smear positive pulmonary tuberculosis patients,Question number:20180720.
文摘Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.
文摘Objective:To analyze the effects of providing extended rehabilitation nursing services at home to patients with coronary heart disease(CHD)combined with heart failure(CHF)on psychological improvement and adherence to medical compliance behavior.Methods:79 patients with CHD with CHF admitted to Sijia Town Central Health Hospital,Haimen District,Nantong City,Jiangsu Province,between June 2021 and June 2023 were selected and grouped according to the randomized numerical table method.The control group(39 cases)was provided with conventional nursing care and extended rehabilitation nursing care at home was provided to the observation group(40 cases).The psychological status,adherence to medical behaviors,cardiac function,and complications between both groups were compared.Results:The scores of anxieties and depression self-assessment scales(SAS,SDS)of patients in the observation group were lower than those of the control group(t=2.954,3.212;P<0.05);the compliance of patients in the observation group was higher than that of the control group(P<0.05).The levels of left ventricular ejection fraction,end-systolic and end-diastolic internal diameters(LVEF,LVESD,LVEDD)of patients in the observation group at 58.02±5.34%,44.49±5.16 mm,and 49.16±5.76 mm respectively were better than those of the control group after nursing care(t=3.205,3.288,2.633;P<0.05);the complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion:Extended rehabilitation nursing at home exhibited a psychological regulation effect on CHD with CHF patients,improved their medical compliance,improved cardiac function,reduced the incidence of complications,and had significant application value.
文摘目的分析上海市2021年新发非利福平耐药肺结核患者手机应用程序(application,APP)督导服药的应用情况及其影响因素,为进一步优化手机APP督导管理方式的应用策略提供依据。方法通过易督导患者管理系统(e-Patient Service System,e-PSS)平台收集患者管理数据,通过《中国疾病预防控制信息系统》结核病子系统收集患者性别、年龄组、职业、户籍、病原学结果等信息。对手机APP督导管理应用情况及相关影响因素进行统计分析。采用卡方检验和多因素非条件logistic回归分析结核病患者使用手机APP督导服药的影响因素。结果2021年上海市采用e-PSS平台管理患者2687例,其中使用手机APP督导服药的患者790例,占29.4%。使用手机APP督导服药的患者总体服药率为99.8%,总体规则服药率为99.5%,坚持打卡率为24.1%。多因素分析结果显示,病原学结果阳性(OR值为2.328,95%CI为1.474~3.825)及阴性(OR值为1.699,95%CI为1.067~2.809),年龄60岁及以下(≤20岁、>20~40岁、>40~60岁的OR值分别为11.017、16.864、9.002,95%CI分别为3.793~40.430、6.881~55.914、3.674~29.837),职业为农民(OR值为1.801,95%CI为1.289~2.519)的患者更倾向于使用手机APP进行服药管理。结论结核病患者日常服药管理应针对不同类型人群采用不同的督导管理方式,对于>20~40岁年龄组、病原学阳性、职业为农民、有合并症的结核病患者,社区医生可以优先推荐使用手机APP进行服药管理。
