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护士的干预是否能提高用药依从性?

Does intervention by a nurse improve medication compliance?

作者信息

Spector R, McGrath P, Uretsky N, Newman R, Cohen P

出版信息

Arch Intern Med. 1978 Jan;138(1):36-40.

PMID:619829
Abstract

A random sample of patients taking two or more drugs, at least one of which was digoxin or methyldopa, was drawn from a medical clinic population. After giving informed consent, the patients were randomized into control and experimental groups. The experimental group was seen by a specially prepared nurse interventionist who attempted to improve medication compliance. The levels of the drugs in the blood were taken as indicators of medication compliance. Our results document that patients exposed to nurse intervention were more compliant than the general clinic population, but were not more compliant than a nonintervention control group. Problems encountered in the collection and interpretation of compliance study data were identified and discussed.

摘要

从一家医疗诊所的患者群体中随机抽取了服用两种或更多药物的患者样本,其中至少有一种药物是地高辛或甲基多巴。在获得知情同意后,将患者随机分为对照组和实验组。实验组由一名经过专门培训的护士干预人员进行观察,该干预人员试图提高患者的用药依从性。血液中的药物水平被用作衡量用药依从性的指标。我们的研究结果表明,接受护士干预的患者比普通诊所的患者更依从,但并不比非干预对照组更依从。同时还识别并讨论了在收集和解释依从性研究数据时遇到的问题。

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