【摘要】 目的 探讨赋能授权联合药物素养构建的健康教育处方对首发心肌梗死(myocardial infarction, MI)患者的药物素养、服药依从性及自我管理情况的影响。方法 采用便利抽样法选取2023年6—12月江西省某三级甲等医院心内科首发MI入院治疗的70例患者为研究对象，按随机数字表法分为对照组35例和观察组35例。对照组采取常规健康教育处方，观察组实施赋能授权联合药物素养构建的健康教育处方，评估比较2组患者干预前后的药物素养、服药依从性及自我管理情况。结果 干预后，观察组患者的药物素养、服药依从性得分分别为(5.29±0.93)分、(6.51±0.82)分，均优于对照组(4.69±0.96)分、(5.91±1.10)分，差异有统计学意义(P<0.05);观察组患者的自我管理情况总得分为(95.63±7.15)分，明显高于对照组(88.79±6.00)分，差异有统计学意义(P<0.05)。结论 赋能授权联合药物素养构建的健康教育处方，有助于改善首发MI患者安全用药情况，提高自我管理水平。更多还原

【Abstract】 Objective To explore the effect of health education programs constructed by empowering authorization combined with drug literacy on drug literacy, medication compliance, and self-management in patients with first-time myocardial infarction(MI). Methods A total of 70 patients admitted to the hospital for the first MI in the department of cardiology of a tertiary hospital in Nanchang from June to December 2023 was selected as the research subjects by convenient sampling method, and were divided into the control group(35 cases) and the observation group(35 cases) according to the random number table method. The control group adopted routine health education, and the observation group implemented the health education model constructed by empowering authorization combined with drug literacy, and the drug literacy, medication compliance and self-management of patients between 2 groups before and after intervention were evaluated and compared. Results After the intervention, the scores of drug literacy and medication compliance in the observation group were(5.29±0.93) points and(6.51±0.82) points, respectively, which were better than those in the control group [(4.69±0.96) points and(5.91±1.10) points], and the differences were statistically significant(P<0.05);The total self-management score of the patients in the observation group was(95.63± 7.15) points, and was obviously higher than that in the control group(88.79±6.00) points, and the difference was statistically significant(P<0.05). Conclusion The health education program constructed by empowering authorization combined with drug literacy can help improve the safe medication use of patients with first-time MI, and improve the level of self-management.更多还原