Simons M R
Lone Tree Health Care Center, Iowa.
Nurs Clin North Am. 1992 Jun;27(2):477-94.
Compliance by clients with prescribed health care regimens has become an area of intense interest for health care providers. With statistics pointing to the fact that patient compliance can range anywhere from 10% to 94%, there is a definite need for strategies that are available to health care providers, in particular nurses, to assist clients in adhering to their health care regimens. Although much research has been done to measure compliance and identify determinants, little has been done in the area of developing specific strategies and interventions to assist clients with their lifestyle changes. Nurses, using empirically validated nursing interventions to treat identified problems or nursing diagnoses, are in the unique position of being able to impact and enhance the clients' ability to adhere to their prescribed regimens. In this study a total of 225 nursing activities were identified to operationalize the five selected nursing interventions and were rated by 32 master's-prepared nurses certified in the area of diabetes education and psychiatric/mental health. Four activities received weighted ratios of less than 0.50 and were thus discarded. One hundred nine (48%) received ratios of less than 0.80 and are considered minor supporting activities, and 112 (50%) were weighted as greater than or equal to 0.80 and are thus considered major supporting activities. The ICV scores for the five nursing interventions ranged from 0.76 to 0.81.
患者对规定的医疗保健方案的依从性已成为医疗保健提供者密切关注的领域。统计数据表明，患者的依从性可能在10%至94%之间，医疗保健提供者，尤其是护士，显然需要有可用的策略来帮助患者坚持他们的医疗保健方案。尽管已经进行了大量研究来衡量依从性并确定决定因素，但在制定具体策略和干预措施以帮助患者改变生活方式方面做得很少。护士通过使用经过实证验证的护理干预措施来治疗已确定的问题或护理诊断，处于能够影响和提高患者坚持规定方案能力的独特位置。在这项研究中，总共确定了225项护理活动来实施五项选定的护理干预措施，并由32名在糖尿病教育和精神科/心理健康领域获得认证的硕士学历护士进行评分。四项活动的加权比率低于0.50，因此被舍弃。109项（48%）活动的比率低于0.80，被视为次要支持活动，112项（50%）活动的加权比率大于或等于0.80，因此被视为主要支持活动。五项护理干预措施的ICV得分在0.76至0.81之间。
