我院142名护士服用中药汤剂存在的不合理现象和原因分析

Analysis of unreasonable behavior and its reasons among 142 nurses taking Chinese medicine decoction in our hospital

目的了解我院护士服用中药汤剂存在的不合理现象,并对不合理现象产生原因进行分析。方法采用自制量表进行访谈式调查,以各现象和原因出现频率从高到低排列后,计算累积频率,以累积频率<80%的为主要现象和主要原因。结果在服用中药汤剂过程中,存在不合理现象的人数比例为88.03%。主要不合理现象依次是"未遵照特殊要求服用"、"自行停止服药"、"漏服药"、"不按时服药"和"不按要求次数服药"。其中"未遵照特殊要求服用"的主要原因是"难以做到"、"缺乏指导"和"不重视";"自行停止服药"的主要原因是"不适应汤剂口感"和"疗效不理想";而"漏服药"、"不按时服药"和"不按要求次数服药"的主要原因均是"遗忘"和"生活作息不规律"。结论患者服用中药汤剂的过程中出现不合理现象较为普遍,是影响中药临床疗效的重要因素之一,应加以重视并加强药学指导和监护。

A/M To investigate the unreasonable behavior of taking Chinese medicine decoction among the nurses in our hospital, and analyse its reasons. METHODS The self-made measuring scale was used for the investigation. The main unreasonable behavior and the corresponding main reasons were defined according to the cumulative relative frequen- cy which were less than 80%. RESULTS There were about 88.03% of the investigated subjects having unable behavior of taking Chinese medicine decoction. There were five kinds of main unreasonable behavior including ＂non-followed the special request＂, ＂self-withdrawal＂, ＂missing to take medicines＂, ＂not taking medicines on time＂ and ＂not complying with medication frequency＂. The main-reasons of ＂non-followed the special request＂ were ＂hard to do＂, ＂lack of guidance＂ and ＂neglect＂. The main reasons of ＂self-withdrawal＂ were ＂inadaptation of the taste of decoction＂ and ＂therapeutic effect was not good＂. ＂Forget＂ and ＂unregularity of working and rest＂ were the main-reasons of ＂missing to take medicines＂, ＂not taking medicines on time＂ and ＂not complying with medication frequency＂. CONCLUSION The results show that there is more seriously unreasonable behavior in taking Chinese medicine decoction, and imply that the unreasonable behavior may influence the therapeutic effect of traditional Chinese medicine.