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王璐, 赵齐美, 谢赫男, 常陆, 谢争. 老年慢性心力衰竭患者医院-家庭过渡期用药偏差现状及其影响因素[J]. 实用临床医药杂志, 2024, 28(9): 109-114. DOI: 10.7619/jcmp.20233715
引用本文: 王璐, 赵齐美, 谢赫男, 常陆, 谢争. 老年慢性心力衰竭患者医院-家庭过渡期用药偏差现状及其影响因素[J]. 实用临床医药杂志, 2024, 28(9): 109-114. DOI: 10.7619/jcmp.20233715
shu
WANG Lu, ZHAO Qimei, XIE He'nan, CHANG Lu, XIE Zheng. Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 109-114. DOI: 10.7619/jcmp.20233715
Citation: WANG Lu, ZHAO Qimei, XIE He'nan, CHANG Lu, XIE Zheng. Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 109-114. DOI: 10.7619/jcmp.20233715
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老年慢性心力衰竭患者医院-家庭过渡期用药偏差现状及其影响因素

Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors

    摘要
  • 摘要:
    目的  分析老年慢性心力衰竭(CHF)患者医院-家庭过渡期用药偏差的发生现状及其影响因素。
    方法  选取178例老年慢性心力衰竭患者为研究对象。收集患者的一般资料, 分析患者的8项版的Morisky服药依从性量表(MMAS-8)、合理用药自我效能量表(SEAMS)及家庭关怀度指数(APGAR)问卷。出院后1周, 记录患者用药偏差发生情况。分析老年CHF患者发生用药偏差的影响因素。
    结果  50例患者(28.09 %)在出院后1周内至少发生了1项用药偏差。178例患者共发生108例次用药偏差。用药偏差发生的类型以患者源性原因为主。年龄、出院医嘱药物数量、服药依从性、家庭关怀指数是用药偏差发生的影响因素(P < 0.05)。
    结论  老年CHF患者医院-家庭过渡期用药偏差发生情况不容乐观, 医护人员应加强对高龄、出院医嘱药物数量多、服药依从性差、家庭功能差患者的关注, 并及时采取针对性措施, 以保障用药安全。

     

    Abstract:
    Objective  To analyze the current situation and influencing factors of medication deviation in hospital-home transition period in elderly patients with chronic heart failure (CHF).
    Methods  A total of 178 elderly patients with chronic heart failure were selected as the study objects. General information of patients was collected. The 8-item Morisky Medication Adherence Scale (MMAS-8), Self-Efficacy for Appropriate Medication Use Scale (SEAMS) and family APGAR index questionnaire were analyzed. The occurrence of medication deviation was recorded one week after discharge. The influencing factors of medication deviation in elderly patients with CHF were analyzed.
    Results  Fifty patients (28.09 %) had at least one medication deviation within one week after discharge. A total of 108 cases of medication deviation occurred in 178 patients. The main type of medication deviation was patient-derived causes. Age, quantity of medication in discharge order, medication compliance and family care index were the influencing factors of medication deviation (P < 0.05).
    Conclusion  The occurrence of medication bias in the hospital-family transition period of elderly CHF patients is not optimistic. Medical staff should pay more attention to patients with older-age, a large number of drugs prescribed by discharged doctors, poor medication compliance as well as poor family functions, and take timely targeted measures to ensure medication safety.

     

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