老年慢性病患者用药安全及健康教育需求影响因素的调查

发布时间：2018-01-05 20:16

本文关键词：老年慢性病患者用药安全及健康教育需求影响因素的调查　出处：《中国药房》2016年27期 　论文类型：期刊论文

【摘要】：目的:为保障老年慢性病患者的用药安全提供参考。方法:随机选取邵阳医学高等专科学校附属医院2014年3月-2015年5月的住院老年慢性病患者和护理人员分别进行问卷调查,分析影响受访患者用药安全和健康教育需求的因素,探讨受访护理人员对患者开展健康教育的困难来源。结果:共向老年慢性病患者发放调查问卷500份,回收有效问卷500份,有效回收率为100%;共向护理人员发放调查问卷200份,回收有效问卷200份,有效回收率为100%。500名受访患者中发生药品不良反应(ADR)的有193名,影响其用药安全的因素包括年龄、学历、月均收入、病程以及是否接受健康教育等(P0.05),年龄越大、学历越低、月均收入越低、病程越长以及未接受健康教育的患者其ADR发生率更高;影响其健康教育需求的因素包括学历、职业状态、病程、护理人员素质评价等(P0.05),学历越高、病程越短的患者和在职以及护理人员素质评价高的患者健康教育需求更强烈。受访护理人员对患者开展健康教育的困难来源依次为工作忙、怕误解、难为情、认知缺乏、技巧缺乏。结论:老年慢性病患者用药安全与多种因素相关,而影响其健康教育需求的因素同样有多个。护理人员应不断提升自身能力和素质,同医师、药师一起,结合以上影响因素对患者开展健康教育,以更好地保障患者用药安全。
[Abstract]:Objective: to provide reference for the protection of elderly patients with chronic medication safety. Methods: randomly selected from the affiliated hospitals of Shaoyang Medical College in March 2014 -2015 year in May in hospitalized elderly patients with chronic diseases and nursing staff were investigated, the analysis of impact factors with the medication safety of patients and health education demand, study respondents of nursing staff to carry out health education of patients difficult to source. Results: a total of elderly patients with chronic diseases 500 questionnaires, 500 valid questionnaires, the effective recovery rate was 100%; to the nursing staff issued questionnaire 200 copies, 200 valid questionnaires, the effective recovery rate was 100%.500, surveyed the occurrence of adverse drug reactions (ADR) of the patients 193 degree, including age, factors affecting the drug safety, the average monthly income, duration and whether to accept health education (P0.05), the older, the degree is low And the average monthly income is lower, the longer course and without health education in patients with the incidence of ADR is high; the influence factors of the demand of health education including education, occupation, course of disease, nursing staff quality assessment (P0.05), the higher the degree, the shorter duration of the patients and in the post evaluation and the quality of nursing personnel in patients with high health education needs more strongly. The surveyed nurses to carry out health education for patients with difficult sources were busy, afraid of misunderstanding, embarrassment, lack of recognition, lack of skills. Conclusion: the treatment of senile chronic diseases associated with multiple safety factors, and factors affecting the demand for health education also have more than one. The nursing staff should improve their ability and quality, with physicians, pharmacists, combined with the above factors to carry out health education of patients, in order to better protect the safety of patients.

【作者单位】：邵阳医学高等专科学校;邵阳医学高等专科学校附属医院;
【分类号】：R195
【正文快照】： 据资料显示,截至2015年我国60岁以上老年人口总数高达2亿多,占据全国总人口的15%左右,预计到本世纪中段我国老年人口的比例将高达30%[1]。老年人口数量增加会给国内的医疗卫生行业带来巨大压力,与此同时,老年慢性病患者需要长期服药维持治疗,而长期的药物治疗会增加药品不良反

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