老年脑梗死患者医院-家庭过渡期用药偏差现状及影响因素分析  

Status and influencing factors of medication deviation in elderly patients with brain infarction during the hospital-family transition

作　　者：沈晗埼 祁红[2,3] 杨惠[4] 范欣欣 甘宇琴 Shen Hanqi;Qi Hong;Yang Hui;Fan Xinxin;Gan Yuqin(School of Nursing,Chengdu Medical College,Chengdu 610500,China;Party Committee Office,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Orginization Department,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Neurology Department,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院护理学院,成都610500 [2]成都医学院第一附属医院党委办公室,成都610500 [3]成都医学院第一附属医院组织部,成都610500 [4]成都医学院第一附属医院神经内科,成都610500

出　　处：《中华现代护理杂志》2023年第13期1717-1722,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨老年脑梗死患者医院-家庭过渡期用药偏差现状及影响因素,并探讨用药偏差和药物不良事件的相关性。方法采用便利抽样法,选取2021年11月—2022年5月成都医学院第一附属医院神经内科的218例老年脑梗死患者为研究对象。采用一般资料调查表和合理用药自我效能量表对其进行调查。出院后1个月,采用用药差异评估工具和Morisky服药依从性量表对患者进行电话随访,并收集药物不良事件的发生情况。采用Logistic回归分析探讨用药偏差的影响因素。采用Spearman相关分析探讨药物不良事件与用药偏差的相关性。本研究共发放问卷218份,回收有效问卷207份,有效回收率为95.0%。结果老年脑梗死患者用药偏差的发生率为48.8%(101/207)。Logistic回归分析结果显示,高血压病、卒中严重程度、服药依从性、医嘱用药数量是用药偏差的影响因素(P<0.05)。Spearman相关分析显示,药物不良事件与用药偏差呈正相关(r=0.234,P<0.01)。结论老年脑梗死患者医院-家庭过渡期用药偏差发生率较高,高血压病、卒中严重程度、服药依从性、医嘱用药数量是用药偏差发生的影响因素。医护人员应基于用药偏差的影响因素制订有针对性的干预措施,降低用药偏差的发生率。Objective To explore status and influencing factors of medication deviation in elderly patients with brain infarction during the hospital-family transition,and to explore the relationship between medication deviation and adverse drug events.Methods From November 2021 to May 2022,218 elderly patients with brain infarction from Neurology Department of the First Affiliated Hospital of Chengdu Medical College were selected as the research objects by the convenience sampling method.General data questionnaire and Self-Efficacy for Appropriate Medication Use Scale were used to investigate patients.One month after discharge,patients were investigated by telephone using Medication Discrepancy Tool and Morisky Medication Adherence Scale with Eight-Item,and the incidence of adverse drug events was collected.Logistic regression analysis was used to explore the influencing factors of medication deviation.Spearman correlation analysis was used to investigate the correlation between adverse drug events and medication deviation.A total of 218 questionnaires were distributed in this study,and 207 valid questionnaires were effectively recovered,with an effective recovery rate of 95.0%.Results The incidence of medication deviation in elderly patients with brain infarction was 48.8%(101/207).Logistic regression analysis results showed that hypertension,stroke severity,medication compliance and medication quantity were the influencing factors of medication deviation(P<0.05).Spearman correlation analysis results showed that adverse drug events were positively correlated with medication deviation(r=0.234,P<0.01).Conclusions The incidence of medication deviation in elderly patients with brain infarction during the hospital-family transition was higher.Hypertension,stroke severity,medication compliance and medication quantity were the influencing factors of medication deviation.Medical staff should formulate targeted intervention measures based on the influencing factors of medication deviation,so as to reduce the incidence of medication

关 键 词：脑梗死 老年人 用药偏差 过渡期护理 

分 类 号：R473.74[医药卫生—护理学]