CAJ | 학술논문

目的：探讨三级分层互动管理模式在社区老年患者安全用药中的应用。方法选取来院就诊的260例老年患者，采用定性和定量的研究方法进行调查，按患者在用药安全问题上需要帮助指导的不同程度划分为A级、B级、C级3个层次开展三级分层互动管理，分别进行安全用药护理干预，4个月后进行回访，比较不良用药行为改善情况。结果开展3级分层互动管理后，自行增减药物剂量患者从70．38％降至5．38％，随意服用保健品的患者从81．53％降至11．92％，改变服药时间、漏服、误服、忘服药物的患者从73．46％降至7．30％，实施管理前后比较差异均有统计学意义（χ2值分别为233．40，267．89，226．62；P＜0．05）。结论三级分层互动管理的应用可以有效提高社区老年患者用药安全。
목적：탐토삼급분층호동관리모식재사구노년환자안전용약중적응용。방법선취래원취진적260례노년환자，채용정성화정량적연구방법진행조사，안환자재용약안전문제상수요방조지도적불동정도화분위A급、B급、C급3개층차개전삼급분층호동관리，분별진행안전용약호리간예，4개월후진행회방，비교불량용약행위개선정황。결과개전3급분층호동관리후，자행증감약물제량환자종70．38％강지5．38％，수의복용보건품적환자종81．53％강지11．92％，개변복약시간、루복、오복、망복약물적환자종73．46％강지7．30％，실시관리전후비교차이균유통계학의의（χ2치분별위233．40，267．89，226．62；P＜0．05）。결론삼급분층호동관리적응용가이유효제고사구노년환자용약안전。
Objective To discuss the application of three level hierarchical interactive management for safe medication in community elderly patients .Methods A total of 260 elderly patients between 60-80 years old were investigated by the method of qualitative and quantitative survey .They were divided into class A , class B and class C according to their need for safe medication , and three level hierarchical interactive management was used to conduct medication nursing intervention . Return visits were performed 4 months later and improvement of bad medication behaviors was compared .Results After 3 level hierarchical interactive management, the rate of patients who adjusted their doses by themselves dropped from 70.38%to 5.38%, rate of patients who took health care products at will dropped from 81.53% to 12.92%, and rate of patients who changed medication time , miss medication, take wrong medication and forgot to take medication dropped from 73.46% to 7.30%, and the differences were statistically significant (χ2 =233.40, 267.89, 226.62, respectively;P<0.05).Conclusions The application of three level hierarchical interactive management can effectively improve safe medication in community elderly patients .