基于医养结合的优质药学服务对呼吸内科患者给药不良事件的影响

Effect of Quality Based on Combination of Medical and Elderly Care on Adverse Drug Administration Events in Patients with Respiratory Medicine

目的分析基于医养结合的优质药学服务对呼吸内科患者给药不良事件的影响。方法选择我院2021年1月至2022年12月收治的97例呼吸内科患者,以抽签法按序分为研究组(49例)、对照组(48例)。为研究组提供基于医养结合的优质药学服务,对照组则提供常规药学服务。对比两组患者干预后的给药不良事件(药物剂量错误、医嘱错误、给药时间错误、注射速度错误和给药顺序错误)的发生情况,用药依从性评价量表(medication adherence report scale,MARS)评估结果,以及两组患者对药学服务评价。结果研究组的药物剂量错误、医嘱错误、给药时间错误、注射速度错误和给药顺序错误发生率分别为2.04%、2.04%、0、4.08%和0%,低于对照组的6.25%、4.17%、4.17%、4.17%和6.25%,研究组的给药不良事件总发生率为8.16%,明显低于对照组的25.00%,组间异对比有统计学意义(P<0.05);研究组的依从性好、依从性中等和依从性差率分别为46.94%、44.90%和8.16%,对照组的依从性好、依从性中等和依从性差率分别为33.33%、39.58%和27.08%,研究组的依从良好率为91.84%,明显高于对照组的72.92%,组间差异对比有统计学意义(P<0.05);研究组对药学服务总满意率为91.84%,明显高于对照组的77.08%(P<0.05)。结论基于医养结合的优质药学服务可以降低呼吸内科患者给药不良事件发生率,利于提高其用药依从,值得临床应用。

Objective To analyze the influence of quality pharmaceutical care based on combination of medical and elderly care on adverse drug administration events in patients with respiratory department.Methods A total of 97 respiratory patients admitted to our hospital from January 2021 to December 2022 were selected and divided into study group(49 cases),control group(48 cases)by lottery.The study group was provided with high quality pharmaceutical care based on the combination of medical and elderly care,while the control group was provided with conventional pharmaceutical care.The occurrence of adverse events(wrong dose of drugs,wrong medical orders,wrong timing of administration,wrong injection speed,and wrong dosing sequence)after intervention were compared between the two groups,the results of the medication adherence report scale(MARS)assessment,and the evaluation of pharmacy services by the two groups.Results The incidence of drug dosage error,wrong medical orders,administration time error,injection speed error and administration sequence error were 2.04%,2.04%,0,4.08%and 0 in the study group,which were lower than 6.25%,4.17%,4.17%,4.17%and 6.25%in the control group.The total incidence of adverse events in the study group was 8.16%,which was significantly lower than that in the control group(25.00%),and the difference between groups was statistically significant(P<0.05).The good,medium and compliance difference rates of the study group were 46.94%,44.90%and 8.16%,respectively;the good,medium and compliance difference rates of the control group were 33.33%,39.58%and 27.08%,respectively;the good compliance rate of the study group was 91.84%,significantly higher than that of the control group(72.92%).The difference between groups was statistically significant(P<0.05).The total satisfaction rate of pharmaceutical care in the study group was 91.84%,significantly higher than 77.08%in the control group(P<0.05).Conclusions High-quality pharmaceutical care based on the combination of medical and elderly care can reduce the incidence of adverse drug administration events in patients with respiratory medicine and improve their medication compliance,which is worthy of clinical application.