CAJ | 학술논문

目的：探讨目视管理在老年患者正确服药中的实践与效果。方法采用方便抽样法，选取开展品管活动前1个月（2013年11月）入住遵义医学院附属医院干部保健科的老年患者50例为对照组，开展品管活动4个月后（2014年4月）入住本科的老年患者50例为观察组。对照组患者采用口服药常规管理；观察组患者在对照组基础上采取目视管理，包括自行研制可视化床旁药品存放盒、制订口服药目视管理制度、制作口服药健康宣教 ABC 图文手册、组织护理人员学习药理知识及制作药品用法、用量可视化图形标识。比较两组患者基本情况及服药错误率。结果两组患者性别、年龄、文化程度、服药次数、服药种类间差异均无统计学意义（P ＞0.05），具有可比性。观察组患者漏服药率〔8.0％（4/50）比16.0％（8/50）〕、错服药率〔2.0％（1/50）比12.0％（6/50）〕及总错误率〔12.0％（6/50）比36.0％（18/50）〕均低于对照组，差异有统计学意义（P ＜0.05）。结论对老年患者服药实施目视管理，能够有效提高其服药正确率，促进用药安全、保证用药疗效。
목적：탐토목시관리재노년환자정학복약중적실천여효과。방법채용방편추양법，선취개전품관활동전1개월（2013년11월）입주준의의학원부속의원간부보건과적노년환자50례위대조조，개전품관활동4개월후（2014년4월）입주본과적노년환자50례위관찰조。대조조환자채용구복약상규관리；관찰조환자재대조조기출상채취목시관리，포괄자행연제가시화상방약품존방합、제정구복약목시관리제도、제작구복약건강선교 ABC 도문수책、조직호리인원학습약리지식급제작약품용법、용량가시화도형표식。비교량조환자기본정황급복약착오솔。결과량조환자성별、년령、문화정도、복약차수、복약충류간차이균무통계학의의（P ＞0.05），구유가비성。관찰조환자루복약솔〔8.0％（4/50）비16.0％（8/50）〕、착복약솔〔2.0％（1/50）비12.0％（6/50）〕급총착오솔〔12.0％（6/50）비36.0％（18/50）〕균저우대조조，차이유통계학의의（P ＜0.05）。결론대노년환자복약실시목시관리，능구유효제고기복약정학솔，촉진용약안전、보증용약료효。
Objective To explore the practice and effect of visual management in correct drug administration among elderly patients. Methods Using convenience sampling,we selected 50 elderly patients who were admitted into the Department of Cadre Care of the Affiliated Hospital of Zunyi Medical University 1 month before quality management(November,2013)as control group,and we also enrolled 50 elderly patients who were admitted into the same department 4 months after quality management(April,2014)as observation group. The control group was administrated with conventional management of oral drug administration,and the observation group was also administrated with visual management,including self - developed visual bedside medicine storage box,visual management system of oral drug administration,ABC image - text manual for the education and publicity of oral drug administration,organizing nursing staff to learn the knowledge of pharmacology and the visual icons of medicine usage and dosage. Comparison was made between the two groups in basic information and the error rate of drug administration. Results The two groups were not significantly different in gender,age,educational level,times of medication, categories of medication(P > 0. 05),thus the two groups had comparability. The observation group was lower(P < 0. 05)than the control group in the rate of taking less medicine〔8. 0% (4 / 50)vs. 16. 0% (8 / 50)〕,the rate of taking wrong medicine〔2. 0% (1 / 50)vs. 12. 0% (6 / 50)〕and the total error rate〔12. 0% (6 / 50) vs. 36. 0% (18 / 50)〕. Conclusion Ⅴisual management on elderly patients can improve the correct rate of oral administration,enhance medication safety,and ensure the efficacy of medicine.