Abstract
Objective To investigate the effect of supportive nursing intervention on treatment adherence of patients with schizophrenia and caregivers′ anxiety. Methods A total of 72 schizophrenia patients and their caregivers were randomly divided into observation group and control group, with 36 patients in each group. Two group both received routine therapy and nursing care, meanwhile the observation group received an extra 3 months supportive nursing intervention. Medication adherence scale was used to evaluate treatment adherence of patients; self-rating anxiety scale (SAS)was used to evaluate mental health of caregivers, and nursing satisfaction scale was used to evaluate the satisfaction of nursing care. Results After 3 months intervention, treatment compliance(12 cases fully compliance, 18 cases partially compliance, 6 cases noncompliance) and nursing care compliance (11 cases fully compliance, 15 cases partially compliance, 10 cases noncompliance)of the observation group were obviously higher than those of the control group(χ2=13.461, 17.537; P<0.01). After intervention, SAS scores of the observed caregivers(37.51±5.93)were lower than that before intervention(43.11±4.98)and that of the control group(42.08±5.64)(t=4.283, 4.040; P<0.01). In the observation group, nursing care satisfaction of caregivers was markedly improved, including 29 cases (82.6%) satisfied, with 5 cases(14.2%) somewhat satisfied, 1 case(2.9%) unsatisfied; while in the control group, 15 cases (41.7%)satisfied, 11 cases (30.6%)somewhat satisfied, 9 cases (25%)unsatisfied, and the difference was statistically significant(χ2=13.105, P<0.01). Conclusions Supportive nursing intervention can significantly improve the treatment and nursing adherence of schizophrenia patients, alleviate caregivers′ anxiety, and promote their satisfaction of nursing care. Key words: Schizophrenia; Caregiver; Anxiety; Treatment adherence; Supportive nursing intervention
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