| 宋兰君,陶华,张琼婷,牛昕,廖秋菊.贫困精神疾病患者免费服药服务流程分析及护理对策[J].上海护理,2014,14(2): |
| 贫困精神疾病患者免费服药服务流程分析及护理对策 |
| Free Medication Service Process Analysis and Nursing Countermeasures for Psychiatric Patients in Poverty (Changning Mental Health Center Shanghai 200335) |
| DOI： |
| 中文关键词: 贫困重性精神疾病 免费服药服务 临床护理. |
| 英文关键词:Poverty, Severe Psychiatric illness, Free Medication Service, Clinical Nursing |
| 基金项目:上海市长宁区卫生局科研课题（20114GW06001） |
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| 中文摘要: |
| 目的 分析贫困精神疾病患者免费服药服务流程现状,研究护理对策,提高贫困精神疾病患者的治疗率。方法 选取2011年10月以前在本区免费服药门诊就诊的重性贫困精神疾病患者160例,根据随机法分为研究组和对照组,研究组给予规范化流程服务,对照组提供常规服务。采用家庭负担量表(FIS ) 评价免费服药服务流程对疾病负担及家庭监护的影响,通过临床疗效总评量表(CGI)评价免费服药服务流程对患者服药依从性及副反应处理的影响, 对服务需求和满意度进行测评。结果 两组患者疾病负担影响服药的及时性和有效性,加强门诊随访,定期做好药物疗效评定,可促进和完善免费服药服务流程,对患者按时配药,定期检查有直接的作用。结论 提高和改进免费服药服务流程,推动联动机制,定期做好随访及药物疗效的评价与处理,制定有疾病特点的护理对策,可提高精神病患者药物治疗的依存性和安全性,受到社会的好评。 |
| 英文摘要: |
| :Objective This paper analyzes the current state of the free medication process about the psychiatric patients in poverty and studies the nursing countermeasures in order to improve the treatment rate.. Method 160 cases of severe outpatients who received free medical treatment in this region before Oct 2011 were selected, and they were divided into the study group and the control group randomly. The study group is to give standardized process service and the control group is to provide regular routine service. FBS (Family Burden Scale) is used to evaluate the impact of the free medication process on financial burden and family care of the disease. CGI (Clinical Global Impression Scale) is used to assess the impact of the mediation compliance and the side effects of treatment in process. Meanwhile, servicerequirements and outpatients satisfaction are also considered in the evaluation. Result The study of the two groups shows that the financial burden affects the timeliness and the effectiveness of medication. The free medication process can be improved though the strengthening of the outpatients’ follow-up system and the regular assessment of the drug efficacy, which also has a direct influence on timely medication dispensing and regular check-ups. Conclusion The compliance and the safety of psychiatric patients mediation can be enhanced with public approval via the improvement of the medication free service process, the promotion of the joint mechanism (cooperation from different departments of hospital, community and patient families), the regular assessment and the management of patients’ follow-up and drug efficacy as well as the nursing countermeasures with specific disease characteristics. |
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