出院带药发放流程再造在心内科老年患者中的应用

The application of reengineering of the dispense process of discharge medications for elderly cardiac patients

目的 对心内科老年患者出院带药发放流程进行再造,以提高老年患者用药安全性.方法 针对传统出院带药发放流程中存在的问题,对原有发放流程进行考量、分析,通过流程次序改变、流程环节增加与分解,将发药流程重新设计并实施,比较流程改造前后患者自行完成一日三餐摆药所需时间及正确率、口服药相关知识掌握情况以及服药指导护理的满意度.结果 流程再造组患者对药物知识的掌握情况、患者自行完成一日口服药摆药的时间、患者对服药指导的满意度均较传统发药组提高,t=-7.69～-4.85、6.97、-15.32,差异有统计学意义,P＜0.05.结论 出院带药发放流程再造有利于提高老年患者院外用药的相关知识与安全性,以及对护理工作的满意度.

Objective The study aimed to improve the medication safety of aged patients through the reengineering of the dispense process of discharge medications for elderly cardiac patients.Methods The original dispense process was analyzed to find the existing problems,changing the order of process,increasing or decomposing steps of process in order to redesign,perfect and implement the distribution process of medications.Time and correction rate of drug dispensing for three times a day,mastering degree of related knowledge of oral medication and satisfaction degree with medication instruction were compared before and after reengineering of the process.Results Compared with the original process,patients＇ ability to understand the drug knowledge,the timing when the patients take three medications per day and the satisfaction degree with the instructions of taking medications all had statistical significance.Conclusions Reengineering of the dispense process of discharge medications for elderly cardiac patients can help to improve patients＇ understanding of drug knowledge,improve the security of taking medications outside the hospital as well as their satisfaction degree with nursing.