“信号灯式”管理对老年慢性病患者用药依从性的影响

Effect of signal lamp type management on medication compliance in the elderly patients with chronic diseases

目的探讨"信号灯式"管理对老年慢性病患者用药依从性的影响效果。方法对管辖社区内230例多品种用药的老年慢性病患者的用药次数、剂量以及用药时间采用"信号灯式"管理,分别于2周、1月、3月后进行回访调查。结果经过"信号灯式"管理2周、1月、3月后,老年慢性病患者根据医嘱用药次数正确率依次为60.87%、73.48%、81.30%,用药剂量准确率依次为47.39%、64.35%、77.83%,用药时间准确率依次为35.65%、50.43%、62.17%,均较管理前(依次为38.69%、33.48%、24.35%)显著提高(P<0.05)。结论 "信号灯式"管理能有效提高老年慢性病患者用药依从性,从而控制慢性病的发生发展,提高药物疗效和患者生活质量。

Objective To investigate the effect of signal lamp type management on medication compliance in the elderly patients with chronic diseases. Methods 230 elderly patients with chronic diseases from communities of Yutian county were enrolled in the study. Administration frequency, dosage and time were incorporated into signal lamp type management. The target population were followed after two weeks, one month, three months and the results were analyzed and compared. Results The correct rate of drug administration frequency after two weeks, one month, three months was 60. 87%, 73.48% and 81.30%, respectively. The correct rate of drug administration dosage was 47.39%, 64. 35 % and 77. 83%, respectively. The correct rate of drug administration time was 35.65%, 50. 43% and 62. 17%, respectively. These indicators were all significantly higher than that before management （38. 69%, 33.48%, 24. 35%）. Conclusions Signal lamp type management can effectively improve medication in the elderly patients with chronic diseases, which is helpful to control the development of chronic diseases and improve the drug efficacy and the quality of life.