摘要
目的:分析2型糖尿病(T2DM)患者医院-家庭过渡期间用药偏差状况。方法:回顾性选取2020年1月~2022年1月来某院住院的T2DM患者598例进行资料分析,依据患者出院7天电话随访的用药偏差评估工具(MDT)评估结果将其分为偏差组(n=347)和对照组(n=251)。比较两组社会人口学资料和临床资料,Logistic多因素分析T2DM患者医院-家庭过渡期间用药偏差的危险因素,分析T2DM患者医院-家庭过渡期间用药偏差原因。结果:偏差组患者的家庭关怀度指数、Morisliy服药依从性量表(MMAS-8)评分、糖尿病自我管理行为量表(SDSCA)评分、合理用药效能量表(SEAMS)评分均低于对照组。出院医嘱药物数量≥5种、每周监测血糖次数<3次的患者占比高于对照组(P<0.05)。Logistic多因素分析显示,家庭关怀度指数<7、MMAS-8评分<7分、SDSCA评分<40分、SEAMS评分<30分、出院医嘱药物数量≥5种、每周监测血糖次数<3次为T2DM患者医院-家庭过渡期间用药偏差的危险因素(P<0.05)。T2DM患者医院-家庭过渡期间用药偏差的主要原因依次为“无意不依从”“出院药物教育不详细”“有意不依从”。结论:家庭关怀度指数、MMAS-8评分、SDSCA评分、SEAMS评分、出院医嘱药物数量、每周监测血糖次数均会影响T2DM患者医院-家庭过渡期间用药偏差情况,应针对上述因素提供有效干预措施,以降低用药偏差发生率。
Objective:To analyze the medication administration error of patients with diabetes mellitus type 2(T2DM)during the hospital-family transition period.Methods:The data of 598 T2DM patients hospitalized in our hospital from January 2020 to January 2022 were analyzed.According to the results of the medication discrepancy tool(MDT)used for 7-day telephone follow-up after discharge,patients were divided into a deviation group(n=347)and a control group(n=251).The sociodemographic data and clinical data of the two groups were compared.The risk factors of medication administration error in the T2DM patients’hospital-family transition period were analyzed by Logistic multifactor analysis,and the causes of medication administration error in the T2DM patients’hospital-family transition period were analyzed.Results:The family care index,the Morisky medication adherence scale(MMAS-8)score,the summary of diabetes self care activities(SDSCA)score,and the self efficacy for appropriate medication scale(SEAMS)score of patients in the deviation group were lower than those in the control group.The proportion of patients with the types of drugs prescribed at the time of discharge≥5 and frequency of blood glucose monitoring<3 times per week was higher than that in the control group,with a statistical difference(P<0.05).Logistic multivariate analysis showed that the risk factors of medication administration error in T2DM patients during hospital-family transition were family care index<7,MMAS-8 score<7,SDSCA score<40,SEAMS score<30,types of drugs prescribed at the time of discharge≥5,and the frequency of blood glucose monitoring<3 times per week(P<0.05).The main reasons for medication administration error of T2DM patients during the hospital-family transition period were unintentional non-adherence of patients,lack of detailed discharge education,and intentional non-adherence of patients.Conclusion:Family care index,MMAS-8 score,SDSCA score,SEAMSA score,types of drugs prescribed at the time of discharge and weekly monitoring times of blood glucose can all affect medication administration error in patients with T2DM during hospital-family transition,and effective intervention measures should be provided for the above factors to reduce the incidence of medication administration error.
作者
魏宣宣
王文佳
田凯琴
张梦
WEI Xuan-xuan;WANG Wen-jia;TIANKai-qin;ZHANG Meng(Department of Pharmacy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450040,China)
出处
《中国合理用药探索》
CAS
2023年第6期64-70,共7页
Chinese Journal of Rational Drug Use
基金
河南省医学科技攻关计划(联合共建)项目(LHGJ20190812)。
关键词
2型糖尿病
医院
家庭
过渡
用药偏差
diabetes mellitus type 2
hospital
family
transition
medication administration error
