基于医护协作的药品信息化管理对门诊血液透析患者透析用药依从性及生化指标的影响  

Drug informatization management based on the collaboration between doctors and nurses on the compliance with dialysis medications and biochemistry parameters in hemodialysis outpatients

作　　者：曹明聪 马晓迎[1] 贾汝福[2] 王亚飞[2] 潘可丽 胡静[1] CAO Mingcong;MA Xiao-ying;JIA Ru-fu;WANG Ya-fei;PAN Ke-li;HU Jing(Department of Blood Purification and 2Department of Nursing,Cangzhou Central Hospital,Cangzhou 061001,China)

机构地区：[1]沧州市中心医院血液净化室,沧州061001 [2]沧州市中心医院护理部,沧州061001

出　　处：《中国血液净化》2024年第1期71-74,共4页Chinese Journal of Blood Purification

基　　金：2022年沧州市自然科学基金项目(221001006D);2022年度河北省医学科学研究课题计划(20220332)。

摘　　要：目的探讨基于医护协作的药品信息化管理对门诊血液透析患者透析用药依从性及生化指标的影响。方法采用便利抽样法选取2021年10月—2022年9月沧州市中心医院血液透析室的患者为研究对象。2021年10月—2022年3月采用常规透析药品管理方法,2022年4月—9月采用基于医护协作的信息化透析药品管理方法。采用配对样本t检验及配对χ^(2)检验比较信息化管理前后患者透析用药依从性及生化指标合格率的变化。结果共纳入252例患者。药品信息化管理后与管理前相比,患者透析用药依从性得分提高(t=32.563,P<0.001);血红蛋白(χ^(2)=11.021,P=0.001)、白蛋白(χ^(2)=8.481,P=0.004)、血钙(χ^(2)=24.735,P<0.001)、全段甲状旁腺激素(χ^(2)=11.529,P=0.001)合格率提升。结论基于医护协作的药品信息化管理提高了患者透析用药依从性及生化指标合格率,具有推广价值。Objective To explore the influence of drug informatization management based on the collaboration between doctors and nurses on the compliance with dialysis medications and biochemistry parameters in hemodialysis outpatients.Methods A total of 252 hemodialysis outpatients treated in the Blood Purification Division,Cangzhou Central Hospital from October 2021 to September 2022 were recruited using the convenience sampling method.The routine drug management method was used during October 2021 to March 2022,and the informatization management for dialysis medications based on the collaboration between doctors and nurses was used during April 2022 to September 2022.Paired t-test and paired χ^(2) test were used to compare the compliance with dialysis medications and biochemical parameters before and after the drug informatization management in hemodialysis patients.Results The compliance score of dialysis medications(t=32.563,P<0.001),hemoglobin(χ^(2)=11.021,P=0.001),albumin(χ^(2)=8.481,P=0.004),serum calcium(χ^(2)=24.735,P<0.001),and intact parathyroid hormone(χ^(2)=11.529,P=0.001)improved significantly after drug infomatization management,as compared those before drug infomatization management.Conclusion Drug informatization management based on the collaboration between doctors and nurses improves the compliance with dialysis medications and biochemical parameters in hemodialysis patients.This method is worthwhile to be used clinically.

关 键 词：信息化 药品管理 血液透析 依从性 生化指标 

分 类 号：R473[医药卫生—护理学]