PCI术后病人医院—家庭过渡期用药偏差现状调查和影响因素分析  

Status quo and influencing factors of medication deviation during the hospital-family transition of patients after PCI

作　　者：万玫 袁伟[2] 潘晨亮[2] 朱建妹 马欢欢 施多璐 梁志金[3] WAN Mei;YUAN Wei;PAN Chenliang;ZHU Jianmei;MA Huanhuan;SHI Duolu;LIANG Zhijin(School of Nursing,Guangxi University of Chinese Medicine,Guangxi 530001 China)

机构地区：[1]广西中医药大学护理学院,530001 [2]兰州大学第一医院,730013 [3]广西中医药大学附属瑞康医院,530011

出　　处：《全科护理》2023年第4期537-541,共5页Chinese General Practice Nursing

基　　金：甘肃省青年科技基金计划项目,编号:21JR7RA385。

摘　　要：目的:了解首次行经皮冠状动脉介入术(PCI)的病人医院—家庭过渡期用药偏差现状,分析影响因素,为制定有效的过渡期用药方案提供参考。方法:选取兰州市、南宁市某两所三级甲等医院2021年10月—2022年5月住院并首次行PCI术的329例病人为调查对象,于出院前1 d,采用一般资料调查表、慢性病病人健康素养量表、病人家庭关怀指数、冠心病病人疾病感知量表收集信息,出院后1个月,采用中文版用药偏差评估工具、服药依从性量表进行调查,通过χ^(2)检验和Logistic回归分析用药偏差影响因素。结果:PCI术后病人医院-家庭过渡期用药偏差发生率为35.0%,类型以次数减少最常见,病人源性和医源性用药偏差发生率分别为65.9%、34.1%,Logistic回归分析显示年龄、医嘱用药数量、疾病感知、用药依从性、健康素养为影响因素。结论:PCI术后病人过渡期的用药偏差发生率较高,医护人员应根据病人特点及影响因素制订用药管理计划,减少用药偏差发生,确保病人过渡期用药安全。Objective:To understand the status quo of medication deviation during the hospital-home transition period of patients undergoing percutaneous coronary intervention(PCI)for the first time,analyze the influencing factors,and provide the reference for formulating an effective transition medication regimen.Methods:A total of 329 patients who were hospitalized and underwent PCI for the first time were selected as the subjects from October 2021 to May 2022 in two third grade A hospitals in Lanzhou city and Nanning city.One day before discharge,a general information questionnaire,Health Literacy Scale for Patients with Chronic Diseases,Family Care Index for Patients,and Illness Perception Scale for Patients with Coronary Heart Disease were used to collect information.One month after discharge,the Chinese version of the Medication Deviation Evaluation Tool and the Medication Compliance Scale were used to investigate.The Chi-square test and Logistic regression were used to analyze the influencing factors of medication deviation.Results:The incidence of medication deviation during the hospital-family transition period of patients undergoing PCI was 35.0%,and the most common type was frequency reduction.The incidence of patient-derived and iatrogenic medication deviation was 65.8%and 34.2%,respectively.Logistic regression results showed that the number of medications ordered by doctors,disease perception,medication compliance,and health literacy were the influencing factors.Conclusion:The incidence of medication deviation was higher during the transition period of patients undergoing PCI.Medical staff should formulate a medication management plan according to the patient′s characteristics and influencing factors to reduce the incidence of medication deviation and ensure the safety of patients′medication during the transition period.

关 键 词：信息-动机-行为技巧 经皮冠状动脉介入术 医院—家庭过渡期 用药偏差 

分 类 号：R541.4[医药卫生—心血管疾病]