医院-家庭过渡期老年冠心病患者的用药偏差管理

Management for reducing medication discrepancy in elderly patients with coronary heart disease during the transition from hospital to home

目的探讨老年冠心病患者医院-家庭过渡期的用药偏差管理效果。方法将71例老年冠心病患者按不同病区分为对照组35例与观察组36例;对照组给予常规护理,观察组在此基础上进行用药偏差管理。结果干预后观察组用药偏差发生率显著低于对照组(均P<0.05),干预8周后观察组药物素养及服药依从性评分显著高于对照组(均P<0.05)。结论实施用药偏差管理可减少医院-家庭过渡期患者用药偏差发生率,提高患者药物素养和服药依从性。

Objective To explore the effect of management on medication discrepancy in elderly patients with coronary heart disease(CAD)during the transition from hospital to home.Methods Totally,71 elderly CAD patients were divided into a control group(n=35)and an observation group(n=36)according to the ward where they stayed.The control group was given routine care,while the observation group additionally received management for medication discrepancy.Results The incidence of medication discrepancy in the observation group was significantly lower than that in the control group after the intervention(all P<0.05).The scores of medication literacy and medication adherence in the observation group were significantly higher than those in the control group after 8 weeks of intervention(both P<0.05).Conclusion Management for medication discrepancy can reduce medication discrepancy rate during the transition from hospital to home,and improve patients′medication literacy and adherence.