肿瘤患者参与用药安全行为现状及其影响因素分析

Status and influencing factors of tumor patients' participation in medication safety behavior

目的调查住院肿瘤患者参与用药安全行为现状,分析其影响因素。方法采用便利抽样法,选取2020年10—11月在北京大学肿瘤医院住院治疗的502例恶性肿瘤患者,采用一般资料调查表和住院患者参与用药安全行为量表对其进行调查,采用多重逐步回归法分析肿瘤住院患者参与用药安全行为的影响因素。结果502例肿瘤患者参与用药安全行为的总得分为(88.86±16.79)分;3个维度得分率由高到低依次为决策性参与、照护性参与、诉求性参与。多重逐步回归分析显示,文化程度,自觉参与用药安全的重要性,对疾病相关知识、给药流程及参与方式的了解程度是肿瘤住院患者参与用药安全行为的影响因素(P<0.05)。结论肿瘤患者参与用药安全行为有待进一步提高,提示应改善患者参与用药安全的认知及探索可行的患者参与方式,以改善患者参与用药安全行为,进一步促进患者用药安全。

Objective To explore the status of tumor inpatients'participation in medication safety behavior,and analyze its influencing factors.Methods From October to November 2020,convenience sampling was used to select 502 patients with malignant tumor in Peking University Cancer Hospital.A survey was carried out on the patients by using the General Information Questionnaire and the Inpatients Involvement in Patient Medication Safety Scale.Multiple stepwise regression was used to analyze the influencing factors of medication safety behaviors in tumor inpatients.Results The total score of 502 patients'participation in medication safety behavior was(88.86±16.79).The scoring rate of the 3 dimension items from high to low were decision-making involvement,care involvement,appealing involvement.Multiple stepwise regression showed that educational level,the importance of conscious participation in medication safety,knowledge of disease treatment,medication process and participation methods were the influencing factors for tumor inpatients'participation in medication safety behavior(P<0.05).Conclusions Tumor patients'participation in medication safety behavior needs to be further improved.It is necessary to improve the patient's awareness of participating in medication safety and explore feasible ways of patient participation to improve patient participation in medication safety behavior and further promote patient medication safety.