经皮冠状动脉介入治疗术后老年患者多重用药管理方案的构建  

Construction of a medication management program of elderly patients with polypharmacy after percutaneous coronary intervention

作　　者：程婷 涂惠[1] 熊晓云[1] 郭婷[1] 张卫芳[2] 彭莹[3] CHENG Ting;TU Hui;XIONG Xiaoyun;GUO Ting;ZHANG Weifang;PENG Ying

机构地区：[1]南昌大学第二附属医院护理部,330006 [2]南昌大学第二附属医院药学部,330006 [3]南昌大学护理学院

出　　处：《中华护理杂志》2023年第12期1476-1482,共7页Chinese Journal of Nursing

基　　金：国家自然科学基金(72064028);中华护理学会2021年度科研课题项目(ZHKYQ202112);江西省重点研发计划项目(20202BBG73018)。

摘　　要：目的构建经皮冠状动脉介入治疗术后老年患者多重用药管理方案,以保证患者用药安全。方法2022年1月-7月,基于循证方法,系统检索国内外文献,以4R危机管理理论为指导,经研究小组讨论,制订经皮冠状动脉介入治疗术后老年患者多重用药管理方案初稿,并通过德尔菲专家函询形成方案终稿。结果共15名专家完成2轮函询,问卷有效回收率均为100%;专家权威系数为0.90;第2轮专家意见重要性及可行性肯德尔和谐系数分别为0.216、0.289。最终形成的经皮冠状动脉介入治疗术后老年患者多重用药管理方案包括风险缩减、风险预备、危机应对和监控反馈4项一级指标、7项二级指标、23项三级指标。结论该研究构建的经皮冠状动脉介入治疗术后老年患者多重用药管理方案科学全面,可为患者的多重用药管理提供理论依据和实践方向。Objective To construct a program for elderly patients with polypharmacy after percutaneous coronary intervention,and to ensure the safety of patients’polypharmacy throughout the process.Methods Based on evidence-based methods to retrieve domestic and foreign literature,and guided by the 4R crisis management theory,the first draft of the medication management program was formulated by the research group,and the final program was revised and established according to the experts’opinions by Delphi method from January to July 2022.Results 15 experts participated in 2 rounds of consultations,and the effective recovery rate of questionnaire was 100%.The expert authority scores of 2 rounds were 0.90,and the importance and operability of the second round of expert opinions Kendall harmony were 0.216 and 0.289.The final program contained 4 primary indicators,7 secondary indicators and 23 tertiary indicators.Conclusion The constructed medication management program for elderly patients with polypharmacy after percutaneous coronary intervention is scientific and comprehensive,which can provide a theoretical basis and practical direction for the management of patients.

关 键 词：老年人 经皮冠状动脉介入治疗 多重用药 用药管理 危机管理理论 德尔菲技术 护理 

分 类 号：R473.5[医药卫生—护理学]