基于医护协作的药品信息化管理对门诊血液透析患者透析用药依从性及生化指标的影响
Drug informatization management based on the collaboration between doctors and nurses on the com-pliance with dialysis medications and biochemistry parameters in hemodialysis outpatients
曹明聪 1马晓迎 1贾汝福 2王亚飞 2潘可丽 2胡静1
作者信息
- 1. 061001 沧州,沧州市中心医院 血液净化室
- 2. 061001 沧州,沧州市中心医院 护理部
- 折叠
摘要
目的 探讨基于医护协作的药品信息化管理对门诊血液透析患者透析用药依从性及生化指标的影响.方法 采用便利抽样法选取2021年10月-2022年9月沧州市中心医院血液透析室的患者为研究对象.2021年10月-2022年3月采用常规透析药品管理方法,2022年4月-9月采用基于医护协作的信息化透析药品管理方法.采用配对样本t检验及配对x2检验比较信息化管理前后患者透析用药依从性及生化指标合格率的变化.结果 共纳入252例患者.药品信息化管理后与管理前相比,患者透析用药依从性得分提高(t=32.563,P＜0.001);血红蛋白(x2=11.021,P=0.001)、白蛋白(x2=8.481,P=0.004)、血钙(x2=24.735,P＜0.001)、全段甲状旁腺激素(x2=11.529,P=0.001)合格率提升.结论 基于医护协作的药品信息化管理提高了患者透析用药依从性及生化指标合格率,具有推广价值.
Abstract
Objective To explore the influence of drug informatization management based on the collab-oration between doctors and nurses on the compliance with dialysis medications and biochemistry parameters in hemodialysis outpatients.Methods A total of 252 hemodialysis outpatients treated in the Blood Purifica-tion Division,Cangzhou Central Hospital from October 2021 to September 2022 were recruited using the con-venience sampling method.The routine drug management method was used during October 2021 to March 2022,and the informatization management for dialysis medications based on the collaboration between doc-tors and nurses was used during April 2022 to September 2022.Paired t-test and paired x2 test were used to compare the compliance with dialysis medications and biochemical parameters before and after the drug infor-matization management in hemodialysis patients.Results The compliance score of dialysis medications(t=32.563,P＜0.001),hemoglobin(x2=11.021,P=0.001),albumin(x2=8.481,P=0.004),serum calcium(x2=24.735,P＜0.001),and intact parathyroid hormone(x2=11.529,P=0.001)improved significantly after drug in-fomatization management,as compared those before drug infomatization management.Conclusion Drug in-formatization management based on the collaboration between doctors and nurses improves the compliance with dialysis medications and biochemical parameters in hemodialysis patients.This method is worthwhile to be used clinically.
关键词
信息化/药品管理/血液透析/依从性/生化指标Key words
Informatization/Drug administration/Hemodialysis/Compliance/Biochemical parameter引用本文复制引用
基金项目
沧州市自然科学基金(2022)(221001006D)
河北省医学科学研究课题(2022)(20220332)
出版年
2024
NETL
NSTL
维普
万方数据