实用临床医药杂志2024,Vol.28Issue(9) :109-114.DOI:10.7619/jcmp.20233715

老年慢性心力衰竭患者医院-家庭过渡期用药偏差现状及其影响因素

Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors

王璐 赵齐美 谢赫男 常陆 谢争
实用临床医药杂志2024,Vol.28Issue(9) :109-114.DOI:10.7619/jcmp.20233715

老年慢性心力衰竭患者医院-家庭过渡期用药偏差现状及其影响因素

Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors

王璐 1赵齐美 1谢赫男 1常陆 1谢争1
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作者信息

  • 1. 河南省人民医院/河南省护理医学重点实验室/郑州大学人民医院,河南郑州,450003
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摘要

目的 分析老年慢性心力衰竭(CHF)患者医院-家庭过渡期用药偏差的发生现状及其影响因素.方法 选取178例老年慢性心力衰竭患者为研究对象.收集患者的一般资料,分析患者的8项版的Morisky服药依从性量表(MMAS-8)、合理用药自我效能量表(SEAMS)及家庭关怀度指数(APGAR)问卷.出院后1周,记录患者用药偏差发生情况.分析老年CHF患者发生用药偏差的影响因素.结果 50例患者(28.09%)在出院后1周内至少发生了 1项用药偏差.178例患者共发生108例次用药偏差.用药偏差发生的类型以患者源性原因为主.年龄、出院医嘱药物数量、服药依从性、家庭关怀指数是用药偏差发生的影响因素(P<0.05).结论 老年CHF患者医院-家庭过渡期用药偏差发生情况不容乐观,医护人员应加强对高龄、出院医嘱药物数量多、服药依从性差、家庭功能差患者的关注,并及时采取针对性措施,以保障用药安全.

Abstract

Objective To analyze the current situation and influencing factors of medication devia-tion in hospital-home transition period in elderly patients with chronic heart failure(CHF).Methods A total of 178 elderly patients with chronic heart failure were selected as the study objects.General infor-mation of patients was collected.The 8-item Morisky Medication Adherence Scale(MMAS-8),Self-Efficacy for Appropriate Medication Use Scale(SEAMS)and family APGAR index questionnaire were analyzed.The occurrence of medication deviation was recorded one week after discharge.The influen-cing factors of medication deviation in elderly patients with CHF were analyzed.Results Fifty pa-tients(28.09%)had at least one medication deviation within one week after discharge.A total of 108 cases of medication deviation occurred in 178 patients.The main type of medication deviation was pa-tient-derived causes.Age,quantity of medication in discharge order,medication compliance and fami-ly care index were the influencing factors of medication deviation(P<0.05).Conclusion The oc-currence of medication bias in the hospital-family transition period of elderly CHF patients is not opti-mistic.Medical staff should pay more attention to patients with older-age,a large number of drugs pre-scribed by discharged doctors,poor medication compliance as well as poor family functions,and take timely targeted measures to ensure medication safety.

关键词

心力衰竭/服药依从性/家庭关怀指数/医院-家庭过渡期/用药偏差

Key words

congestive heart failure/medication compliance/family APGAR index/hospital-home transition period/medication deviation

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基金项目

河南省医学科技攻关计划联合共建项目(LHGJ20210022)

河南省护理医学重点实验室开放基金(HNSYHLKT202103)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量25
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