看图对话式健康教育在社区老年高血压患者用药安全中的应用  

To explore the application of conversation map health education in medication safety of elderly patients with hypertension in community

作　　者：何元元 陈玲 高慧 罗理尹 黄巧荣 严晓晨 曾掩 He Yuanyuan;Chen Ling;Gao Hui;Luo Liyin;Huang Qiaorong;Yan Xiaochen;Zeng Yan(School of Nursing,Guangxi University of Chinese Medicine,Nanning 530001,China)

机构地区：[1]广西中医药大学护理学院,广西南宁530001

出　　处：《护理学杂志》2025年第4期86-91,共6页Journal of Nursing Science

基　　金：广西中医药大学研究生教育创新计划项目(YCSY2023054)。

摘　　要：目的探讨基于药物素养的看图对话式健康教育对社区老年高血压患者用药安全的应用效果。方法采用便利抽样法选取80例社区老年高血压患者,按随机数字表法分为对照组与干预组各40例。对照组实施社区常规健康教育,干预组实施基于药物素养的看图对话式健康教育。干预8周后比较两组患者用药安全、用药错误及药物素养得分。结果对照组39例、干预组33例完成研究。干预后两组患者用药安全总分及各维度、药物素养总分及各维度得分比较,差异具有统计学意义(均P<0.05);两组患者用药错误总得分及处方错误、遗落错误、时间错误、剂量错误、自行购药、自行停药、监控错误等7个条目得分比较,差异有统计学意义(均P<0.05)。结论基于药物素养的看图对话式健康教育能够提高社区老年高血压患者用药安全水平,改善用药错误情况,提升患者药物素养。Objective To explore the effect of conversation map health education based on medication literacy on medication safety in community elderly patients with hypertension.Methods A total of 80 elderly patients with hypertension in the community were selected by convenience sampling method and divided into the control group and the interventiongroup according to the random number table method,with 40 cases in each group.The control group carried out routine community health education,while the intervention group implemented conversation map health education based on medication literacy.After 8 weeks of intervention,the scores of medication safety,medication errors and medication literacy were compared between the two groups.Results A total of 39 cases in the control group and 33 cases in the intervention group completed the study.After intervention,there were statistically significant differences in the total score and each dimension score of medication safety,and the total score and each dimension score of medication literacy between the two groups(all P<0.05).There were statistically significant differences in the total score of medication errors and the scores of 7 items such as prescription errors,omission errors,time errors,dose errors,self-purchase drugs,self-withdrawal drugs,and monitoring errors between the two groups(all P<0.05).Conclusion Conversation map health education based on medication literacy can improve the medication safety level,medication errors and medication literacy of elderly patients with hypertension in the community.

关 键 词：用药安全 药物素养 用药错误 老年高血压 看图对话 健康教育 社区护理 

分 类 号：R473.2[医药卫生—护理学] R544.1[医药卫生—临床医学]