门诊老年冠心病患者用药安全状况及其影响因素的研究  

Study on medicine safety of senile outpatients with coronary heart disease and related factors

作　　者：周素娟[1] 任素琴[1] 矫向前[1] 李姝 陈欣 吴青[1] 

机构地区：[1]解放军总医院,北京100853 [2]总后离休干部管理处门诊部 [3]总参通讯部第一干休所门诊部

出　　处：《现代护理》2006年第25期2353-2356,共4页Modern Nursing

基　　金：解放军总医院后勤部保健基金资助

摘　　要：目的探讨提高门诊老年冠心病患者用药安全性的状况的措施及其影响因素。方法采用自行设计的调查问卷对124例老年冠心病患者既往1年内药物不良反应发生的状况进行调查与分析。结果门诊老年冠心病患者为不安全用药的高危群体,高龄、多种疾病、多药合用为不安全用药的重要因素,用药行为依从性差为不安全用药的促发因素;药物不良反应表现多样中存在相对集中现象。结论对门诊老年冠心病患者以及照顾者进行系统的、有针对性的、持续的药物学知识教育,提高患者的用药依从性,是保障门诊老年冠心病患者用药安全性的重要措施。Objective To explore the methods of improving medicine safety of the senile out-patients with coronary heart disease and the relevant factors. Methods 124 senile out-patients with coronary heart disease were investigated on their medicine side-effects in a year by questionnaires. Results The senile out- patients with coronary heart disease were easy to suffer medicine side- effects. Advanced age, multiple disease and polypharmacy were the important factors of unsafe medication. Patients＇ less compliance was the promoting factor of unsafe medication. The clinical manifestations of medicine side-effects were multiplicity, but centered comparatively. Conclusions It is important for the patients＇ medicine safety to perform systemic, particular and persistent health education on medication knowledge and promote their compliance of medication.

关 键 词：冠心病 老年人 药物 医疗安全 影响因素 

分 类 号：R473.5[医药卫生—护理学]