老年慢性病共病患者医院-家庭过渡期服药偏差及影响因素分析  

Medication deviation and its influencing factors during the hospital-home transition in elderly patients with chronic comorbidities

作　　者：吴晶 张芹 程婷 彭慧 刘亚琼 王媛媛 韩永红[1] WU Jing;ZHANG Qin;CHENG Ting;PENG Hui;LIU Yaqiong;WANG Yuanyuan;HAN Yonghong(General Department,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China;Rehabilitation Department,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China;Oncology Department,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院综合科,武汉430014 [2]华中科技大学同济医学院附属武汉中心医院康复科,武汉430014 [3]华中科技大学同济医学院附属武汉中心医院肿瘤科,武汉430014

出　　处：《中国临床护理》2025年第2期73-77,共5页Chinese Clinical Nursing

摘　　要：目的 调查老年慢性病共病患者医院-家庭过渡期的服药偏差现状,并分析其影响因素。方法 选取2023年11月-2024年4月笔者所在医院综合科收治的264例老年慢性病共病患者为研究对象,采用一般资料调查表、简易智能精神状态检查量表、Morisky服药依从性量表和改良版用药偏差评估工具对其进行调查。结果 在医院-家庭过渡期,老年慢性病共病患者服药偏差发生率为60.61%,最主要用药偏差类型是漏服药物,其次为非规律服药。Logistic回归分析结果显示,慢性病数量、认知功能、服药依从性是老年慢性病共病患者医院-家庭过渡期间发生服药偏差的独立影响因素。结论 老年慢性病共病患者医院-家庭过渡期服药偏差发生率较高,其服药偏差受多种因素影响,医护人员应根据患者具体情况制定个性化的院外服药管理措施,以降低服药偏差发生率。Objective To investigate the status of medication deviation in the hospital-home transition period of elderly patients with chronic diseases and analyze its influencing factors.Methods Totally 264 elderly patients hospitalized in the general department of the author′s hospital between November 2023 and April 2024 were selected and surveyed using a general condition questionnaire,minimum mental state examination,Morisky medication adherence scale and medication discrepancy assessment tool.Results During the hospital-home transition,the incidence of medication deviations among the elderly patients was 60.61%,with the main type of missing medications.Logistic regression analysis showed that the number of chronic diseases,medication compliance and cognitive function were the factors that affected the medication deviations.Conclusion The incidence of medication deviations is high in the hospital-family transition period of elderly patients with chronic diseases,and is influenced by cognitive function,medication compliance and the number of their chronic diseases.Therefore,medical staff should develop personalized out-of-hospital medication management measures to lower it.

关 键 词：老年人 慢性病共病 医院-家庭过渡期 服药偏差 

分 类 号：R47[医药卫生—护理学]