社区慢性病患者出院过渡期用药差异及相关因素研究

Study on the differences and related factors of drug use in community chronic disease patients during the transition period

目的:探讨慢性病患者出院过渡期用药差异的发生情况及影响因素。方法:收治慢性病患者372例,采用修订后的用药差异调查工具对出院后4周的患者进行电话随访,评估用药差异的发生情况、类型和原因。结果:用药差异发生率为31.7%,以药物种类减少最常见。多因素分析结果提示用药差异的发生与出院后过渡期取药地点有关。结论:慢性病患者出院过渡期用药差异的发生率较高,应从患者源性和医源性两方面出发,进行用药管理,减少和避免用药差异。

Objective:To investigate the incidence and influencing factors of drug use in the transition period of dischargedpatients with chronic diseases.Methods:372patients with chronic diseases were selected.The revised medication difference surveywas used to make a telephone follow-up of4weeks after discharge,and the incidence,type and cause of the differences wereevaluated.Results:The incidence of medication difference was31.7%,and the decrease of drug type was the most common.Theresult of multivariate analysis indicated that the occurrence of medication difference was related to the place of taking drug afterthe transition period after discharge.Conclusion:Patients with chronic diseases have a higher incidence of drug use during thetransition period.The two aspects of patient origin and medical origin should be taken into account for the management of drug useso as to reduce and avoid the differences in medication use.