基于人因学的老年患者家庭正确用药研究

发布时间：2018-06-04 08:00

本文选题：人因学 + 看图对话工具　；参考：《中国全科医学》2015年25期

【摘要】：目的探讨基于人因学的老年患者家庭正确用药情况。方法选取2013年1月—2014年11月在温州医科大学附属第一医院住院后出院的老年高血压患者240例,根据患者文化程度分为不识字(60例)、小学(60例)、初/高中(60例)、高中以上(60例)4个层次,按出院顺序每个层内连续编号,单号分为对照组,双号为试验组。其中对照组患者采用以文字表述的传统医嘱,试验组患者采用以图案代表用药时间、给药途径和用药剂量的图示医嘱。经护士宣教后4 h,比较两组患者医嘱正确识别率;出院随访2个月,比较两组患者家庭用药依从性。结果试验组患者医嘱正确识别率高于对照组,差异有统计学意义(χ2=56.88,P0.01)。不同文化程度的试验组患者医嘱正确识别率间差异无统计学意义(χ2=5.67,P=0.12);而不同文化程度的对照组患者医嘱正确识别率间差异有统计学意义(χ2=67.96,P0.01)。两组患者在服药方法正确、剂量正确、服药时间正确、不擅自停药依从性评分的分布上差异均有统计学意义(χ2值分别为33.91、26.04、63.90、60.22,P0.01)。结论基于人因学的看图对话工具能够提高老年患者的用药正确率和家庭用药依从性。
[Abstract]:Objective to investigate the correct drug use in the family of elderly patients based on anthropometry. Methods 240 elderly hypertensive patients who were hospitalized and discharged from the first affiliated Hospital of Wenzhou Medical University from January 2013 to November 2014 were selected. According to the education level of the patients, they were divided into 4 levels: 60 cases of dysliteracy, 60 cases of primary school, 60 cases of primary / high school, 60 cases of upper middle school and 60 cases of upper middle school). The patients were numbered continuously in each layer according to the order of discharge, and the single number was divided into control group and double number group. The patients in the control group were given the traditional medical advice in words, and the patients in the experimental group were given graphical instructions representing the time, route and dosage of the drug. The correct recognition rate of the two groups was compared 4 hours after the nurse education, and the two groups were followed up for 2 months to compare the compliance of the two groups. Results the correct recognition rate of doctors' orders in the trial group was higher than that in the control group, and the difference was statistically significant (蠂 2, 56.88, P 0.01). There was no significant difference in the rate of correct recognition of doctors' orders among the patients with different education levels (蠂 2 / 5.67 / P 0.12), but there was a significant difference in the rate of correct recognition between the patients with different educational levels (蠂 2 / 67.96 / P 0.01). There were statistically significant differences between the two groups in the distribution of drug taking method, dosage, time and compliance score (蠂 ~ 2 = 33.91 ~ 26.04 ~ 63.90 ~ 60.22 P ~ (0.01). Conclusion the tool of map-viewing dialogue based on anthropology can improve the correct rate of drug use and the compliance of family drug use in elderly patients.
【作者单位】：温州医科大学附属第一医院;
【基金】：2014年浙江省医药卫生科技计划项目(2014KYA135)
【分类号】：R969.3

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