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
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• 护理安全 • 上一篇    下一篇

出院患者华法林用药安全知识与能力水平的调查及分析

钟竹青 段应龙 谢建飞 丁四清 罗爱静   

  1. 中南大学公共卫生学院,医学信息研究湖南省普通高等学校重点实验室(钟竹青,罗爱静);中南大学湘雅三医院护理部(钟竹青,段应龙,谢建飞,丁四清);中南大学湘雅护理学院(段应龙)
  • 出版日期:2016-05-25 发布日期:2016-05-25
  • 基金资助:
    国家临床护理重点专科建设项目 ( 国卫办医函[2013]544 号)

Investigation and analysis the knowledge and ability of warfarin taking safety management in the discharged patients

  • Online:2016-05-25 Published:2016-05-25

摘要: 目的:调查出院患者服用华法林的用药安全知识与能力水平,分析其影响因素。方法:采用出院患者华法林用药安全知识与能力水平调查问卷对112 名服用华法林的出院患者进行调查。结果:出院患者华法林用药安全知识与能力水平调查中,患者对用药的时间、不可自行停药及忘记吃药后的处理措施的掌握率比较高,对饮食和生活习惯的影响及需要就医的情况掌握率比较低。多元逐步回归分析结果显示,年龄、用药的健康指导及阅读用药说明书是患者用药安全知识与能力水平的影响因素,高龄患者用药安全知识与能力水平较低,获得用药健康指导的患者和阅读了药物说明书的患者用药安全知识与能力水平较高。结论:出院患者的用药安全知识与能力水平不容乐观,医务人员应当对患者进行详细的用药健康指导,并督促其阅读药物说明书,有效合理地实施个性化用药指导。

Abstract: Objective: To investigate the knowledge and ability of medication safety management in the discharged patients who were taking warfarin, and analyze the influencing factors. Methods: A total of 112 discharged patients taking warfarin were investigated using the knowledge and ability of medication safety questionnaire by telephone or face-toface interview. Results: Among all the items, most of the patients knew the correct time to take the medication, reported that they wouldn't stop the medication by themselves, and knew what to do if they forgot to take the mediation. But only few patients understood the influence on diets and living habits, and the need to see a doctor. Multiple stepwise regression analysis indicated that age, medication education and instruction reading entered the equation. The older patients had lower level knowledge and ability of warfarin taking safety. Patients who got medical health guidance and read the instruction had higher level knowledge and ability of medication safety. Conclusion: The knowledge and ability of warfarin taking safety management in the discharged patients were not adequate. Medical staff should educated the patients' in detail about the medication taking safety knowledge, encouraged them to read instruction, and implemented personalized medicine safety direction effectively.