社区慢性病患者安全用药管理方案的构建

Construction of medication safety management scheme for patients with chronic diseases in community

目的:构建社区慢性病患者安全用药管理方案,为社区医务人员管理慢性病患者用药提供参考。方法:基于慢性病适应护理中域理论的概念-理论-实证框架,构建管理方案初稿,通过专家会议法确立管理方案的核心概念和实施路径。结果 :专家权威系数为0.858,管理方案涵盖理论框架、实施框架和方案实施表。理论框架包括刺激、应对过程、适应方式、输出4个概念;实施框架以“旅行者地图”为参考视角,构建了区域化、循环闭合式的安全用药管理地图;在框架指导下构建了较为具体、可操作的方案实施表,通过线上、线下结合的方式实施干预。结论 :本方案能够较为科学地认识、解释和阐述各概念之间的关系,对社区医务人员规范化管理慢性病患者用药具备较强的指导性和可操作性。

Objective:To construct a medication safety management scheme for patients with chronic diseases in community based on middle-range theory,so as to provide reference for community medical staff.Methods:The prototype of the management scheme is constructed based on concept-theory-empirical framework of middle-range theory,and the core concepts and implementation paths were organized by expert meetings.Results:The expert authority coefficient was 0.858.The management scheme consisted of theoretical framework,empirical framework,and implementation table.The theoretical framework included four concepts:stimulus,response process,adaptation,and output.The empirical framework presented a chain-like visualization of the medication safety management map from the perspective of"traveler's map".A specific and operable implementation table was constructed under the guidance of the above framework,and the intervention was implemented by a combination of online and face-to-face way.Conclusion:This scheme can scientifically recognize,explain,and elaborate the relations between various concepts,and is a standard practice model with strong guidance and operability to manage medication safety for community medical staff.