CAJ | 학술논문

目的：了解老年住院患者夜间药物服用情况及其影响因素,减少给药差错的发生。方法采用目的抽样方法,选择三级医院临床一线护士165名和老年患者274例为调查对象,通过对老年患者夜间跟踪调查及护理人员问卷调查,对结果进行Spearman相关性分析,了解影响口服药发放安全的风险因素。结果165名护士夜间安全给药执行情况,发药查对严格执行率最高,占90.9%,发药到口严格执行率最低,占33.3%。患者服用方式、服用时间与护士发药到口执行程度呈正相关( r值分别为0.407,0.335；P<0.05)；患者遵医行为、服药姿势与护士对药物知识宣教执行程度呈正相关(r值分别为0.380,0.429；P<0.05)；患者不良反应处理与护士观察服药后反应的执行程度呈正相关(r=0.464,P<0.05)。结论指导老年患者正确服用药物、提高其遵医行为应该作为老年患者健康教育的重要内容,开展对护理人员全面系统的药物相关知识培训,增加护士药品知识的储备能力也是降低夜间给药风险的必要措施。
목적：료해노년주원환자야간약물복용정황급기영향인소,감소급약차착적발생。방법채용목적추양방법,선택삼급의원림상일선호사165명화노년환자274례위조사대상,통과대노년환자야간근종조사급호리인원문권조사,대결과진행Spearman상관성분석,료해영향구복약발방안전적풍험인소。결과165명호사야간안전급약집행정황,발약사대엄격집행솔최고,점90.9%,발약도구엄격집행솔최저,점33.3%。환자복용방식、복용시간여호사발약도구집행정도정정상관( r치분별위0.407,0.335；P<0.05)；환자준의행위、복약자세여호사대약물지식선교집행정도정정상관(r치분별위0.380,0.429；P<0.05)；환자불량반응처리여호사관찰복약후반응적집행정도정정상관(r=0.464,P<0.05)。결론지도노년환자정학복용약물、제고기준의행위응해작위노년환자건강교육적중요내용,개전대호리인원전면계통적약물상관지식배훈,증가호사약품지식적저비능력야시강저야간급약풍험적필요조시。
Objective To ensure the safety of oral administration at night among elderly inpatients. Methods By the purposive sampling method, a total of 165 clinical nurses and 274 elderly patients were selected as sample. Elderly patients received nocturnal tracking and 165 nurses underwent survey questionnaire, that investigate risk factors for night safety of oral-administration. Results For circumstances of night oral medicine administration among 165 nurses, the rate of medicine inspection was highest (90. 9%), while the implementation rate of putting medicine into mouth was lowest (33. 3%). Drug regimen and administration time of elderly patients had positive correlation with the implantation level of putting medicine in the mouth by nurses (r=0.407, 0. 335;P < 0. 05). The compliance and posture of medication administration had positive correlation with medicine knowledge education to patients by nurses (r=0. 380, 0. 429;P<0. 05), and the adverse reactions of patients was positively correlated with nurses observed after taking the drug (r=0. 464,P<0. 05). Conclusions We should focus on guiding elderly patients to take medicine correctly and compliance of medicine order, and carry out the training of comprehensive drug knowledge for nurses to decrease the risks of night medicine administration.