物联网健康管理模式对多重用药老年患者服药依从性及安全性的影响

Effects of the Internet of Things Health Management Model on Medication Compliance and Safety in Elderly Patients with Multiple Medications

目的:探讨物联网健康管理模式在多重用药老年患者中的应用效果。方法:选取2019年1月至2021年9月于该院就诊的多重用药老年患者134例,以简单随机化法分为观察组和对照组。对照组67例患者实施常规管理,观察组67例患者实施物联网健康管理模式。比较两组患者干预前后药物相关知识知晓情况、服药依从性和用药负担,干预后对两组患者用药安全性进行评估。结果:干预后,观察组患者各项药物相关知识知晓情况均高于同组干预前,且高于对照组,差异均有统计学意义(P<0.05);干预后,两组患者的服药依从性均升高,且观察组患者高于对照组,差异有统计学意义(P<0.05);干预后,两组患者的用药负担评分降低,且观察组患者低于对照组,差异有统计学意义(P<0.05)。观察组患者的不良反应发生率为22.39%(15/67),低于对照组的38.81%(26/67),差异有统计学意义(P<0.05)。结论:物联网健康管理模式可有效改善多重用药老年患者药物相关知识知晓情况及服药依从性,减轻用药负担,提高用药安全性。

OBJECTIVE: To probe into the application effect of the Internet of Things health management model in elderly patients with multiple medications. METHODS: A total of 134 elderly patients with multiple medications admitted into the hospital from Jan. 2019 to Sept. 2021 were selected and divided into observation and control group via simple randomization method. The control group was given routine management, while the observation group was given IoT health management model. The awareness of drug-related knowledge, medication compliance and burden of medication before and after intervention were compared between two groups, and the medication safety of the two groups after intervention were evaluated. RESULTS: After intervention, the awareness of drug-related knowledge in the observation group was higher than that of the same group before intervention, and higher than that of the control group, with statistically significant differences(P<0.05);after intervention, the medication compliance of both groups had been increased, and that of the observation group was higher than the control group, with statistically significant differences(P<0.05);after intervention, scores of the burden of medication in both groups had been decreased, and that of the observation group was lower than the control group, with statistically significant differences(P<0.05). The incidence of adverse drug reactions of the observation group was 22.39%(15/67), which was lower than that of the control group(26/67, 38.81%), with statistically significant difference(P<0.05). CONCLUSIONS: The IoT health management model can effectively improve the awareness of drug-related knowledge and medication compliance of elderly patients with multiple medications, reduce the burden of medication, and improve medication safety.