医院-家庭模式多层面干预在降低老年慢性病共病患者用药偏差中的应用  

Application of Multi-tiered Intervention of Hospital-family Model in Reducing Medication Errors in Elderly Patients with Multiple Chronic Conditions

作　　者：钱玉霞 张婧[1] 李祎萍 QIAN Yuxia;ZHANG Jing;LI Yiping(Taizhou People's Hospital Affiliated to Nanjing Medical University,Taizhou 225300,China;不详)

机构地区：[1]南京医科大学附属泰州人民医院,江苏泰州225300

出　　处：《中外医学研究》2025年第4期148-152,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究医院-家庭模式多层面干预在降低老年慢性病共病患者用药偏差中的应用。方法:选择2023年1月—2024年1月南京医科大学附属泰州人民医院收治的175例老年慢性病共病患者作为研究对象,采用随机数表法将患者分为对照组(n=87)与观察组(n=88)。对照组给予常规护理,观察组给予医院-家庭模式多层面干预,比较两组干预前后服药依从性、安全用药知识、用药偏差及自我管理能力。结果:干预后,两组服药依从性、安全用药知识评分较干预前提高,且观察组高于对照组,差异有统计学意义(P<0.05);观察组干预后用药偏差发生率低于对照组,差异有统计学意义(P<0.05);干预后,两组认知能力、用药自我管理能力及用药自我管理经验评分较干预前提高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:医院-家庭模式多层面干预能有效降低老年慢性病共病患者的用药偏差,提高用药依从性、安全用药知识掌握程度及自我管理能力。Objective:To investigate the application of multi-tiered intervention of hospital-family model in reducing medication errors in elderly patients with multiple chronic conditions.Method:A total of 175 elderly patients with multiple chronic conditions who admitted to Taizhou People's Hospital Affiliated to Nanjing Medical University from January 2023 to January 2024 were selected as the research objects,the patients were divided into the control group(n=87)and the observation group(n=88)by random number table method.The control group was given routine nursing,and the observation group was given multi-tiered intervention of hospital-family model.The medication compliance,knowledge of safe medication,medication deviation and self-management ability between two groups before and after intervention were compared.Result:After intervention,the scores of medication compliance and safe medication knowledge in two groups were higher than those before intervention,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05);the incidence of medication deviation in the observation group after intervention was lower than that in the control group,and the difference was statistically significant(P<0.05);after intervention,the scores of cognitive ability,medication self-management ability and medication self-management experience in two groups were higher than those before intervention,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Multi-tiered intervention of hospital-family model in reducing medication errors can effectively reduces medication errors in elderly patients with multiple chronic conditions,enhances medication compliance,knowledge of safe medication practices,and self-care ability.

关 键 词：医院- 家庭模式 多层面干预 老年慢性病共病患者 用药偏差 用药依从性 安全用药知识 自我管理能力 

分 类 号：R47[医药卫生—护理学]