主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (7): 931-937.doi: 10.3969/j.issn.1672-1756.2018.07.015

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住院患者参与用药安全行为现状及其影响因素分析

王冰寒 张艳 颜巧元   

  1. 华中科技大学同济医学院附属协和医院神经内科,430022 武汉市(王冰寒,张艳);护理部(颜巧元)
  • 出版日期:2019-01-07 发布日期:2019-01-07
  • 基金资助:
    湖北省卫生计生委面上项目(WJ2017M100)

The current status and influencing factors of inpatients involvement in medication safety behavior

  • Online:2019-01-07 Published:2019-01-07

摘要: 目的:调查住院患者参与用药安全行为现状,并分析其影响因素。方法: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615例住院用药患者进行调查,采用多元逐步回归分析住院患者参与用药安全行为的影响因素。结果:住院患者参与用药安全行为总得分为(89.64±15.90)分,3个维度条目均分分别为决策性参与(4.02±0.77)分、照护性参与(3.94±0.74)分、诉求性参与(3.62±0.92)分。多元逐步回归分析显示,自觉参与重要性、自评医护人员态度、文化程度、婚姻状况和医疗付费方式是住院患者参与用药安全行为的影响因素(P<0.05)。结论:住院患者参与用药安全行为亟待提高,须加强住院患者对“患者参与患者安全”和“用药安全”的认知水平,医护人员应给予相应的理解、支持和正确引导,实施针对性的干预措施,以实现患者安全用药。

关键词: 患者参与患者安全;用药安全;行为;影响因素

Abstract: Objective: To investigate the current status and influencing factors of inpatients involvement in medication safety behavior. Methods: A total of 615 inpatients taking medications were investigated with general questionnaire and inpatients involvement in medication safety behavior scale to determine the influencing factors of inpatients involvement in medication safety behavior. The univariate analysis and stepwise multiple regression were used. Results: The mean score of inpatients involvement in medication safety behavior was 89.64±15.90. In each dimension, scores from high to low were as follows: participation in decision making (4.02±0.77), caring participation (3.94±0.74) and demands participation (3.62±0.92). Stepwise multiple regression analysis showed that the importance of conscious participation, self-evaluation of medical staff attitude, degree of education, marital status and payment category entered the model gradually (P<0.05). Conclusion: Inpatients involvement in medication safety behavior needs to be improved urgently. It is necessary to strengthen the inpatients' awareness of "patients involved in patient safety and medication safety". Meanwhile, Medical staff should give appropriate understanding, support and correct guidance for inpatients, and implement targeted interventions to achieve safe drug use by patients.

Key words: patient involvement in patient safety; medication safety; behavior; influencing factors