糖尿病专科护理用药安全管理的对策研究

Safety management of medication in specialized department of diabetes

为了保证糖尿病患者的用药安全，几种使临床用药合理化的方法需要被采用，例如：色别分区管理法，专柜分区管理法，醒目提示卡，患者参与法等。每种备用口服药数量定为20片，并设两个不同的药瓶储存，定时在有效期前更换。专职护士在发药时佩戴“我在发药，请勿打扰”的红色臂章。患者不在位时，将药品放到专门的药品存放区。不同种类胰岛素采用色标法进行分区，放置冰箱的指定区域。相关知识的教育和指导需要被加强，尤其对出院患者。本文作者在糖尿病患者中随机192例，其中传统摆药法96例，改进后方法96例，分别统计正确次数与错误次数。结果传统摆药96例中错误10例，改进后96例错误1例（X2=7．811，P〈0．05），差异有统计学意义。可以认为改进后的方法明显优于传统摆药法。

In order to guarantee the safe medication for the diabetics, several methods to rationalize the clinical medication were adopted： color logos to distinguish different anti-diabetic drugs, special cupboard to store the anti-diabetic drugs, eye-catching reminder card, participation of patients, etc. The number of every kind of spare drug should be 20 that are stored in 2 bottles so as to avoid expiration. Full-time nurses are to be appointed wearing a red armband with the words ＂I am dispensing. Please don＇t disturb＂. If a patient is absent, his/her drugs should be put in a special storage area. Different insulin preparations with color logos are put in different section of the refrigerator. Education and guidance for patients, especially those to be discharged are strengthened. The authors randomly selected 192 in-patients with diabetes, 96 undergoing traditional medication and 96 undergoing the improved medication, only 1 medication error （ME） was found in the 96 patients undergoing improved medication compared to the 10 cases of ME found in the 96 patients undergoing traditional medication （X2=7.811,P 〈 0.05）