儿科不同用药管理模式对药物不良反应及满意度的影响

Influences of different drug use management modes on adverse drug re-actions and satisfaction in pediatric department

目的探讨儿科不同用药管理模式对药物不良反应及满意度的影响。方法选择我院2013年1～12月进行常规用药管理的140例患儿作为对照组，2014年1～12月在我院进行治疗的160例患儿作为观察组：对照组采取常规管理措施，观察组采取有针对性的管理措施，比较两组患儿的不良反应发生率及用药满意度，观察总结药物不良反应发生的原因。结果观察组的消化系统症状、肝功能异常、咳嗽、急性肾功能衰竭、泌尿系统损伤及皮疹不良反应发生率明显低于对照组，差异具有统计学意义（P〈0．05）。观察组的用药满意度为94．28％，对照组的用药满意度为74．29％，观察组的用药满意度明显高于对照组，差异具有统计学意义（P〈0．05）。结论根据儿科用药中存在的问题对儿科用药进行有针对性的管理，能够有效提高患儿及其家属对医疗水平的满意度．有利于护患关系的和谐发展，有利于降低不良反应发生率，提高用药安全性，值得临床推广借鉴。

Objective To investigate the influences of different drug use management modes on the adverse drug reac- tions and satisfaction in the pediatric department. Methods A total of 140 children who received conventional drug use management in our hospital from January to December 2013 were selected as the control group and 160 children who received treatment in our hospital from January to December 2014 were selected as the observation group. The control group was given conventional management measures and the observation group was given specific management mea- sures. The incidences of adverse reactions and drug use satisfaction rates of the two groups were compared. The causes of adverse drug reactions were observed and summarized. Results The incidences of digestive symptoms, abnormal liver function, cough, acute renal failure, urinary system damage and skin rash of the observation group were significantly lower than those of the control group, with statistically significant differences （P〈0.05）. The drug use satisfaction rate of the observation group was 94.28% and that of the control group was 74.29%; the drug use satisfaction rate of the obser- vation group was significantly higher than that of the control group, with statistically significant difference （P〈0.05）. Conclusion The application of pediatric drug use management targeting at the problems existing in pediatric drug use can effectively improve the children and their families＇ satisfaction to medical services, is conducive to promoting har- monious development of nurse-patient relationship, and helps to reduce the incidence of adverse reactions and promote drug use safety, which is worthy of clinical promotion and reference.