药学干预影响老年妇科手术患者用药依从性的实验性研究  

Research about the influence of pharmaceutical intervention on medication compliance of elderly patients under⁃going gynecological surgery

作　　者：洪晓波 李梅[2] HONG Xiaobo;LI Mei(Department of Pharmacy,The Affiliated Hospital of Medical School of Ningbo University,Ningbo 315020,China)

机构地区：[1]宁波大学医学院附属医院药学部,浙江宁波315020 [2]宁波大学医学院附属医院妇科,浙江宁波315020

出　　处：《全科医学临床与教育》2021年第5期421-423,435,共4页Clinical Education of General Practice

基　　金：浙江省医药卫生科技项目(2019KY615)。

摘　　要：目的探究药学干预对老年妇科手术患者用药依从性的影响并评价其实践效果。方法选择老年妇科手术住院患者585例,随机分为干预组(n=290)与对照组(n=295)。对照组采用常规治疗,干预组在常规治疗的基础上给予药学干预,由临床药师根据8条目Morisky用药依从性量表(MMAS-8)评估两组患者入院与出院时的用药依从性;统计干预组药学干预实施情况;分析干预组中患者用药不依从原因;比较两组出院时的药学服务满意度。结果干预组患者的用药依从性合格率(87.93%)明显高于对照组(47.80%),差异有统计学意义(χ^(2)=36.80,P<0.05);服用时间错误(32.89%)和服用频次错误(20.39%)是需要干预的主要类型;教育程度为初中及以下的患者用药干预率(66.45%)最高;患者记忆力衰退忘记服药占不依从原因第一位(54.61%);出院时干预组药学服务满意率(97.59%)明显高于对照组(51.86%),差异有统计学意义(χ^(2)=38.52,P<0.05)。结论药学干预可明显提高老年妇科手术患者用药依从性,保障患者用药安全,促进医患关系,提高患者满意度。Objective To investigate the effect of pharmaceutical intervention on medication compliance in elderly patients undergoing gynecological surgery.Methods Totally 585 elderly gynecological surgery inpatients were selected and randomly divided into intervention group(n=290)and control group(n=295).The control group was given conventional treatment,and the intervention group was received pharmaceutical intervention on the basis of conventional treatment.The medication compliance of the two groups at admission and discharge was evaluated according to the 8-item Morisky medication adherence scale.The reasons of medication non-compliance in the intervention group were analyzed,and the satisfaction at the time of discharge between the two groups was compared.Results After the intervention,the proportion of high medication compliance in the intervention group(87.93%)was significantly higher than that of the control group(47.80%),the difference was statistically significant(χ^(2)=36.80,P<0.05).The main types of requiring intervention were wrong time of administration(32.89%)and wrong frequency of administration(20.39%).Patients with junior high school education or below had the highest medication intervention rate(66.45%).Patients with memory deterioration that forgetting to take medicine accounted for the first reason of non-compliance(54.61%).At discharge,the satisfaction rate of pharmaceutical care in the intervention group(97.59%)was significantly higher than that in the control group(51.86%)(χ^(2)=38.52,P<0.05).Conclusion Pharmaceutical intervention can significantly improve medication compliance in elderly gynecological surgery patients,ensure medication safety,promote doctor-patient relationship,and improve patient satisfaction.

关 键 词：药学干预 老年妇科手术患者 用药依从性 

分 类 号：R713[医药卫生—妇产科学] R969[医药卫生—临床医学]