中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
18期
92-95,99
,共5页
住院老年患者%口服用药%常见问题%护理
住院老年患者%口服用藥%常見問題%護理
주원노년환자%구복용약%상견문제%호리
Hospitalized elderly patients%Oral administration%The common problems%Nursing
目的：探讨住院老年患者口服用药中常见问题及护理疗效。方法对2013年3～10月我科120例老年患者采用问卷形式调查，观察患者口服用药、护士工作中的常见问题及住院患者口服药物种类分布，针对以上问题采用干预护理。对比分析护理干预前、后的用药情况。结果住院老年患者口服用药的常见问题中，自行服药发生率最高64.17%；其次，漏服药发生率59.17%。住院老年患者口服用药过程中存在护理工作不到位现象，其中自行服药与漏服药物分别为25.83%、24.17%。120例老年患者口服药医嘱共l217条，服药种类占前三位的分别是心血管用药、呼吸系统药物和消化系统药物，其构成比分别为19.80%、17.83%和17.33%。对患者进行护理干预后，患者的服药依从性、服药方法、服药时间、药物知识、对服药误区和不规律服药危害的了解以及对不良反应的了解等指标均明显高于干预前，差异有统计学意义（P＜0.05）。结论护理干预住院老年患者口服用药可加强患者口服用药安全管理意识，从而保证老年患者安全服药。
目的：探討住院老年患者口服用藥中常見問題及護理療效。方法對2013年3～10月我科120例老年患者採用問捲形式調查，觀察患者口服用藥、護士工作中的常見問題及住院患者口服藥物種類分佈，針對以上問題採用榦預護理。對比分析護理榦預前、後的用藥情況。結果住院老年患者口服用藥的常見問題中，自行服藥髮生率最高64.17%；其次，漏服藥髮生率59.17%。住院老年患者口服用藥過程中存在護理工作不到位現象，其中自行服藥與漏服藥物分彆為25.83%、24.17%。120例老年患者口服藥醫囑共l217條，服藥種類佔前三位的分彆是心血管用藥、呼吸繫統藥物和消化繫統藥物，其構成比分彆為19.80%、17.83%和17.33%。對患者進行護理榦預後，患者的服藥依從性、服藥方法、服藥時間、藥物知識、對服藥誤區和不規律服藥危害的瞭解以及對不良反應的瞭解等指標均明顯高于榦預前，差異有統計學意義（P＜0.05）。結論護理榦預住院老年患者口服用藥可加彊患者口服用藥安全管理意識，從而保證老年患者安全服藥。
목적：탐토주원노년환자구복용약중상견문제급호리료효。방법대2013년3～10월아과120례노년환자채용문권형식조사，관찰환자구복용약、호사공작중적상견문제급주원환자구복약물충류분포，침대이상문제채용간예호리。대비분석호리간예전、후적용약정황。결과주원노년환자구복용약적상견문제중，자행복약발생솔최고64.17%；기차，루복약발생솔59.17%。주원노년환자구복용약과정중존재호리공작불도위현상，기중자행복약여루복약물분별위25.83%、24.17%。120례노년환자구복약의촉공l217조，복약충류점전삼위적분별시심혈관용약、호흡계통약물화소화계통약물，기구성비분별위19.80%、17.83%화17.33%。대환자진행호리간예후，환자적복약의종성、복약방법、복약시간、약물지식、대복약오구화불규률복약위해적료해이급대불량반응적료해등지표균명현고우간예전，차이유통계학의의（P＜0.05）。결론호리간예주원노년환자구복용약가가강환자구복용약안전관리의식，종이보증노년환자안전복약。
Objective To explore the common problems and nursing effect of oral medication in hospitalized elderly patient. Methods One hundred and twenty elderly patients, who were hospitalized in our department from 2013 March to October, were investigated by the questionnaires for the common problems of oral drugs and nurses working and oral drug types. Nursing was implemented to solve the above problem. The drug using situations were compared before and after nursing intervention. Results In common problems on older patient oral medication, self medication incidence was highest, for 64.17%, secondly, the leakage medication incidence was 59.17%. Nursing work was not in place phe-nomenon on oral medication in elderly patients during the medication, and the drug leakage service station was 25.83%and 24.17%respectively. The oral medication orders of 120 elderly patients were 1217. The top three of the medication were cardiovascular drugs, respiratory system drugs and drugs for digestive system, whose constituent ratio were 19.80%, 17.83%, 17.33%, respectively. For patients with nursing intervention, the indexes were significantly higher than those before intervention, for example the compliance, medication, medication time, knowledge of medication, the understanding of taking the medication errors and irregular harm, and the understanding of adverse reactions and other indexes, the difference was statistically significant (P<0.05). Conclusion Nursing intervention in elderly patients with oral medication can strengthen oral medication safety management consciousness, so as to ensure the safety of medica-tion in elderly patients.
