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护理学报 ›› 2022, Vol. 29 ›› Issue (21): 74-78.doi: 10.16460/j.issn1008-9969.2022.21.074

• 护理创新 • 上一篇    

智能药物管理系统在老年慢性病患者住院-居家过渡期的应用

毛佳伊1a, 黄欢欢1a, 周婷婷2, 谢莉玲1b, 陈宇露2, 赵庆华1a   

  1. 1.重庆医科大学附属第一医院 a.护理部;b.第一分院,重庆 400016;
    2.重庆医科大学,重庆 400016
  • 收稿日期:2022-08-04 出版日期:2022-11-10 发布日期:2022-12-07
  • 通讯作者: 谢莉玲（1964-）,女,重庆人,本科学历,主任护师。E-mail：582570124@qq.com
  • 作者简介:毛佳伊（1997-）,女,重庆人,硕士,护师。
  • 基金资助:
    重庆市社会科学规划英才计划项目（2021YC053）; 成渝地区双城经济圈建设科技创新项目（KJCX2020018）; 中华医学会护理发展课题（CMAPD-NRD2021004）

Optimization of Intelligent Medication Administration System and Its Application in Elderly Chronic Patients during Transition from Hospitalization to Home

MAO Jia-yi1a, HUANG Huan-huan1a, ZHOU Ting-ting2, XIE Li-ling1b, CHEN Yu-lu2, ZHAO Qing-hua1a   

  1. 1a. Dept. of Nursing Administration; 1b. The First Branch, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China;
    2. Chongqing Medical University, Chongqing 400016, China
  • Received:2022-08-04 Online:2022-11-10 Published:2022-12-07

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摘要： 目的 研发智能药物管理系统,并探讨该系统在老年慢性病患者住院-居家过渡期中的应用效果。方法 基于协同设计理论,结合前期需求调研,于2021年6-9月,选取某公立医院的老年慢性病住院患者作为研究对象,采用随机数字法进行分组,干预组49例,对照组45例。对照组采用口服药的常规管理模式,干预组采用智能药物管理系统进行用药管理。干预前后调查2组的用药依从性、用药知识和合理用药自我效能得分,干预后收集干预组对系统的评价量表。结果 干预组患者的用药依从性、合理用药自我效能得分及均高于对照组（P<0.05）;是否使用微信小程序对用药知识得分及差值比较差异无统计学意义（P>0.05）;92%的患者对智能药物管理系统具有较高的满意度。结论 智能药物管理系统能有效提高老年慢性病患者的用药依从性及合理用药自我效能,且具有较好的适老性和可行性,拓展了用药安全管理的服务范畴,值得进一步推广。

关键词: 慢性病, 老年人, 用药安全, 用药管理, 信息技术

Abstract: Objective To optimize the intelligent medication administration system and evaluate its feasibility in elderly chronic patients during transition from hospitalization to home. Methods The intelligent medication administration system was optimized based on co-design theory and demands analysis. From June to September 2021, elderly chronic patients were selected and randomly divided into intervention group (n=49) and control group (n=45). Optimized intelligent medication administration system was used the intervention group, while routine medication management was performed in the control group. Medication adherence, medication knowledge, and the score of self-efficacy of medication administration were collected and a system evaluation scale was used in the intervention group to analyze the intervention effect. Results The score of medication adherence, and that of self-efficacy of medication administration were higher in intervention group than the control group (P<0.05). There was no statistical significance in medication knowledge score in the patients whether used WeChat mini program or not (P>0.05) and 92% of the subjects were satisfied with the optimized system. Conclusion The optimized system can effectively improve the medication adherence and self-efficacy of medication administration of elderly patients, and it is feasible and practical thus to expand the scope of medication safety, which is worthy to be promoted.

Key words: chronic diseases, elderly patient, medication safety, medication management, information technology

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[1] Coleman EA,Berenson RA.Lost in Transition: Challenges and Opportunities for Improving the Quality of Transitional Care[J]. Ann Intern Med,2014,141(7):533-536.DOI:10.7326/0003-4819-141-7-200410050-00009.
[2] 潘凌蕴. 老年慢性肾脏病患者医院-家庭过渡期用药偏差的发生情况及相关因素研究[D].南京:南京大学,2018.
[3] 陈丽鸥,应波,闫素英,等.多学科管理模式下口服给药流程再造效果评价[J]. 护理学报, 2020,27(8):16-19.DOI:10.16460/j.issn1008-9969.2020.08.016.
[4] Bostrom J, Sweeney G,Whiteson J,et al.Mobile Health and Cardiac Rehabilitation in Older Adults[J]. Clin Cardiol, 2020,43(2):118-126.DOI:10.1002/clc.23306.
[5] 彭一航. 智能药物管理系统在养老机构老年人中的应用效果研究[D].重庆:重庆医科大学,2020.
[6] Mao J,Xie L,Zhao Q,et al.Demand Analysis of an Intelligent Medication Administration System for Older Adults with Chronic Diseases Based on the Kano Model[J]. Int J Nurs Sci,2022,9(1):63-70.DOI:10.1016/j.ijnss.2021.12.012.
[7] Morisky DE,Ang A,Krousel-wood M,et al.Predictive Validity of a Medication Adherence Measure in an Outpatient Setting[J]. J Clin Hypertens (Greenwich),2008,10(5):348-354.DOI:10.1111/j.1751-7176.2008.07572.x.
[8] 马向芹. 我国老年慢性病患者患病及用药状况研究[D].郑州:河南大学,2015.
[9] Risser J, Jacobson TA,Kripalani S.Development and Psychometric Evaluation of the Self-efficacy for Appropriate Medication Use Scale(SEAMS) in Low-literacy Patients with Chronic Disease[J]. J Nurs Meas,2007,15(3):203-219.DOI:10.1891/106137407783095757.
[10] Peng Y,Wang H,Fang Q,et al.Effectiveness of Mobile Applications on Medication Adherence in Adults with Chronic Diseases: A Systematic Review and Meta-analysis[J]. J Manag Care Spec Pharm,2020,26(4):550-561.DOI:10.18553/jmcp.2020.26.4.550.
[11] Wonggom P, Kourbelis C,Newman P,et al.Effectiveness of Avatar-based Technology in Patient Education for Improving Chronic Disease Knowledge and Self-care Behavior:A Systematic Review[J]. JBI Database System Rev Implement Rep,2019,17(6):1101-1129.DOI:10.11124/JBISRIR-2017-003905.
[12] 沈志莹,钟竹青,丁四清.高血压患者服药自我效能的研究现状[J]. 护理学杂志,2018,33(17):102-105.DOI:10.3870/j.issn.1001-4152.2018.17.102.
[13] Nirayo YL, Mamo A, Gidey K,et al.Medication Belief and Adherence among Patients with Epilepsy[J]. Behav Neurol,2019:2806341.DOI:10.1155/2019/2806341.
[14] 姜佟琳. 信息大爆炸:微博碎片化传播方式是否让人们变得更浅薄?[D].北京:北京大学,2014.
[15] Huang H,Chen Z,Cao S, et al.Adoption Intention and Factors Influencing the Use of Gerontechnology in Chinese Community-Dwelling Older Adults:A Mixed-methodsStudy[J]. Front Public Health,2021,9:687048.DOI:10.3389/fpubh.2021.687048.
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