摘要
目的基于用药安全“5个时刻”,了解糖尿病患者用药安全现状及其影响因素。方法2021年6月至9月,采用便利抽样法抽取湖南省人民医院内分泌科的185例糖尿病患者为调查对象,通过自行设计的一般资料调查问卷和用药安全“5个时刻”问卷进行调查。结果糖尿病患者用药安全总分为(64.76±10.65)分。不同文化程度、职业、月收入、医保类型、医疗负担、长期居住地、规律监测血糖及对糖尿病药物治疗的重视程度的糖尿病患者用药安全得分比较,差异有统计学意义(P<0.05)。多重线性回归显示,文化程度、职业、医疗负担和对糖尿病药物治疗的重视程度是糖尿病患者用药安全的影响因素(P<0.05),上述变量共解释糖尿病患者用药安全总变异的44.7%。结论基于用药安全“5个时刻”,糖尿病患者用药安全水平较低,可能受多种因素影响,医务人员可据此开展针对性用药指导。
Objective Based on the“5 moments”of drug safety,to understand the current situation and influencing factors of medication safety in patients with diabetes.Methods From June to September 2021,a convenience sampling method was used to select 185 diabetic patients from the Department of Endocrinology of Hunan Provincial People’s Hospital as the survey subjects.The self-designed general information questionnaire and medication safety“5 moments”questionnaire were used to investigated.Results The total score of medication safety in diabetic patients was(64.76±10.65)point.There were statistically significant differences in the medication safety scores of diabetic patients with different educational levels,occupation,monthly income,medical insurance type,medical burden,long-term residence,regular monitoring of blood sugar,and emphasis on diabetes drug treatment(P<0.05).Multiple linear regression showed that educational level,occupation,medical burden,and emphasis on diabetes medication were the influencing factors of medication safety in diabetic patients(P<0.05).The above variables explained 44.7%of the total variation of medication safety in diabetic patients.Conclusion Based on the“5 moments”of medication safety,the medication safety level of diabetic patients is relatively low,which may be affected by various factors,and medical staff can carry out targeted medication guidance accordingly.
作者
陈娜
李珍
袁平
秦月兰
刘彤碧
CHEN Na;LI Zhen;YUAN Ping;QIN Yuelan;LIU Tongbi(Department of Nursing,Hunan Provincial People’s Hospitalthe First Affiliated Hospital of Hunan Normal University,Hunan Province,Changsha 410005,China;the First Department of Geriatrics,Hunan Provincial People’s Hospitalthe First Affiliated Hospital of Hunan Normal University,Hunan Province,Changsha 410005,China;Department of Endocrinology,Hunan Provincial People’s Hospitalthe First Affiliated Hospital of Hunan Normal University,Hunan Province,Changsha 410005,China;Department of Hospital Office,Hunan Provincial People’s Hospitalthe First Affiliated Hospital of Hunan Normal University,Hunan Province,Changsha 410005,China)
出处
《中国医药导报》
CAS
2022年第14期48-51,64,共5页
China Medical Herald
基金
湖南省卫生健康委科研计划项目(202114052157)
湖南省卫生计生委科研计划课题项目(B20180977)
湖南创新型省份建设专项经费资助(2019SK2142)。
关键词
糖尿病
用药安全
“5个时刻”
现状
影响因素
Diabetes
Medication safety
“5 moments”
Current situation
Influencing factors