神经内科患者口服药物语音提示APP的设计与临床应用效果  

APP design of the oral medication voice prompts for the patients in the department of neurology and its application effect

作　　者：钟代曲[1] 吴东东[1] 唐嘉[1] 张庆[1] 杨华[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所神经内科,重庆400042

出　　处：《中华现代护理杂志》2017年第6期843-845,共3页Chinese Journal of Modern Nursing

摘　　要：目的 设计神经内科患者口服药物专用语音提示APP,探讨专用语音提示APP对神经内科患者口服药物服药依从性及自我管理效能的影响.方法 将神经内科常用口服药物分成10个大类,筛选出每一类药物中需要特别提示的药物共30种,根据服药时间、服药方法、注意事项、药物不良反应4个方面设计每种药物的规范性语音提示用语,通过电脑录音软件录制成音频文件,制作成专用APP.选取2016年1-3月笔者所在医院神经内科住院患者200例,随机分为观察组与对照组,各100例.两组患者均进行神经内科口服药物常规护理,观察组在此基础上在患者的智能手机中植入口服药物专用语音提示APP,提示患者按要求服药.观察两组患者口服药物执行情况.结果 观察组患者服药正确性、服药依从性以及不良反应自我观察处理能力均高于对照组,差异有统计学意义（P〈0.05）.结论 口服药物专用语音提示APP可明显提高神经内科患者的服药依从性,降低服药错误发生率,提高患者服药自我管理效能,促进患者早日康复.Objective To design the APP of the oral medication dedicated voice prompts for the patients in the department of neurology and investigate the APP effects on the oral medication adherence of the patients in the department of neurology and their self-management efficiency.Methods Common oral medicine in the department of neurology was divided into 10 categories. Thirty species from each category which required special prompts were selected. According to the medication time,the medication method,precautions and adverse drug reactions,normative voice prompts of each drug were designed. Audio files were recorded using the computer recording software and the files were made into a special APP. Two hundred of patients hospitalized in the department of neurology in the author＇s hospital during January,2016 to March,2016 were selected and randomly divided into the observation group and the control group （100 patients for each group）.Patients in the two groups were cared with the oral medication routine nursing in the department of neurology. For the patients in the observation group,based on the routine nursing the APP of the oral medication dedicated voice prompts was implanted in the patients＇ smart phone to remind patients of taking medicine according to the requirements. The implementation of oral medication in the two groups was observed.Results The medication correctness, the medication compliance and the self-observation and handling capacity of adverse reactions in the patients in the observation group were all significantly higher than those in the control groups （P〈0.05）.Conclusions The APP of the oral medication dedicated voice prompts can significantly improve the medication compliance,reduce the incidence of medication errors and increase the self-management efficacy of the patients in the department of neurology,which promotes the patients＇early recovery.

关 键 词：智能手机 语音提示 APP 服药依从性 

分 类 号：R473.74[医药卫生—护理学]