摘要
目的探讨基于单元的综合安全项目(comprehensive unit-based safety program,CUSP)在冠心病患者口服用药安全的应用效果。方法选取2021年10月—2022年10月纳入130例冠心病患者作为研究对象,依据CUSP制定口服用药安全管理方案并实施。在干预前、干预6个月末,采用患者及照顾者口服用药安全水平问卷、Morisky用药依从性问卷、中文修订版安全态度调查问卷进行效果评价。结果干预后患者及照顾者口服用药安全水平、患者用药依从性得分均高于干预前(P<0.001),用药错误发生例数低于干预前(P<0.001)。干预组的医务人员干预结束后团队合作、安全氛围、管理感知、工作满意、工作条件、压力感知得分平均分及文化氛围得分平均分均高于干预前(P<0.001)。结论基于单元的综合安全项目应用于冠心病患者口服用药安全管理方案,可提高冠心病患者及照顾者口服用药安全水平,提高用药依从性,增强患者治疗效果,同时能够提升医务人员团队安全文化意识。
Objective To explore the effect of comprehensive unit-based safety program(CUSP)in the safety management of oral medication in patients with coronary heart disease(CHD).Methods From October 2021 to October 2022,130 CHD patients were selected as the research objects,and the safety management plan for oral medication was formulated and implemented according to CUSP.Oral Medication Safety Questionnaire for Patients and Caregivers,the Morisky Medication Compliance Questionnaire,and the revised Chinese version of Safety Attitudes Questionnaire were used to evaluate the effect before and at the end of six month of the intervention.Results After the intervention,the score of oral medication safety of patients and caregivers and that of patients’medication compliance were higher than those before the intervention(P<0.001),and the number of cases with medication errors was lower than that before the intervention(P<0.001).The average score of teamwork,safety atmosphere,management perception,job satisfaction,working conditions,stress perception and cultural atmosphere of medical staff in the intervention group was higher than that before the intervention(P<0.001).Conclusion CUSP can improve the safety of oral medication ad medication compliance of CHD patients and their caregivers,enhance the treatment effect of patients,and the safety culture awareness of the medical staff.
作者
谢欣欣
王晓灿
吕冶芳
匡大林
徐阿曼
韩江英
XIE Xin-xin;WANG Xiao-can;LV Ye-fang;KUANG Da-lin;XU A-man;HAN Jiang-ying(The First Affiliated Hospital of Anhui Medical University,Hefei 233000,China)
出处
《护理学报》
北大核心
2023年第13期74-78,共5页
Journal of Nursing（China）
基金
安徽省护理学会科研课题(AHHLa202102)
安徽省重点研究与开发计划(202104j07020029)。
