Related factors and management countermeasures of drug use deviation in patients with coronary heart disease during extended hospital care
Objective To analyze related factors and management countermeasures of drug use deviation in patients with coronary heart disease during extended hospital care.Methods Eighty-four patients with coronary heart disease at Department of Cardiology in Nantong Sixth People's Hospital from March 2020 to December 2022 were included in the study.Relevant survey questionnaires were distributed before discharge,and the medication discrepancy tool was distributed to them eighty weeks after discharge.The related factors affecting medication deviation in extended care of coronary heart disease patients were identified through logistic regression analysis.Results Eighty weeks after discharge,the incidence rate of medication deviation in 84 patients was 58.33％.The results of univariate analysis showed that there were statistical differences in the number of medication orders,length of hospital stay,Hamilton anxiety scale score,Chinese version 8-item Morisky medication adherence scale(MMAS-8)score and family APGAR index(APGAR)score between patients with and without medication bias(P＜0.05).The results of multivariate logistic regression analysis showed that the number of prescribed drugs(OR=2.223,95％CI:1.067 to 4.660,P=0.017),MMAS-8 score(OR=1.670,95％CI:1.041 to 2.679,P=0.003),and APGAR score(OR=0.299,95％CI:0.106 to 0.845,P=0.037)were independent influencing factors for medication deviation in extended care for coronary heart disease patients(P＜0.05).The number of prescribed drugs ≥ 6 was the risk factor affecting the medication deviation of continuous care in patients with coronary heart disease(OR＞1,P＜0.05).MMAS-8 score(≥ 6 points)and APGAR score(7-10 points)were protective factors for medication deviation in continuous care of patients with CHD(OR＜1,P＜0.05).Conclusion The incidence of medication deviation in extended care of coronary heart disease patients is relatively high.The risk of medication deviation can be reduced by reducing the types of medication ordered,improving medication compliance,and improving family care index.
Coronary heart diseaseContinuity of careMed-ication deviationRelated factorsManagement strategy
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NSTL
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