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目的:探究住院老年痴呆患者服药安全的影响因素,并提出护理干预对策。方法:研究对象选取为2014年10月~2015年9月之间的90例住院老年痴呆患者,采用问卷调查形式了解以上患者服药安全的影响因素,考虑到患者的意识与认知情况,调查由患者与其责任护士共同完成,如果患者不能对自己的用药情况作出正确回答,则由责任护士代为回答。结果:调查结果显示老年痴呆患者因自身因素所致的服药安全隐患主要包括呛咳、漏服、拒服、误服,其中呛咳最为常见,占31.1%;护士相关因素导致的安全隐患主要包括未能送药到口、未做好充分解释说明、没有帮忙拆除包装袋等,其中未能送药到口导致漏服最为常见,占46.7%。结论:住院老年痴呆患者服药安全的影响因素主要包括患者和护理因素两方面,要加强护士的服药安全教育,提高风险防范意识,做好患者与家属健康宣教工作,提高患者的用药依从性,加强患者的住院病房管理力度,为患者营造一个良好的住院环境,提高患者的服药安全性。
Objective: To explore the influencing factors of medication safety in hospitalized patients with dementia and to propose nursing interventions. Methods: The subjects were selected from 90 hospitalized patients with Alzheimer’s disease between October 2014 and September 2015. The questionnaires were used to understand the influencing factors of drug safety in these patients. Taking into account the patients’ awareness and cognition, Patients and their responsible nurses to complete, if the patient can not be the correct answer to their own medication, the responsible nurse on his behalf to answer. Results: The survey showed that patients with Alzheimer’s disease due to their own factors, including drug-induced safety hazards include cough, missed service, refused to take, mistaken, the most common cough, accounting for 31.1%; nurse-related factors lead to security risks include Failure to deliver the drug to the mouth did not adequately explain and explained that there was no help in removing the bags and the like, of which 46.7% were the most common cause of missed service. Conclusion: The influencing factors of medication safety in hospitalized patients with Alzheimer’s disease mainly include two aspects: patients and nursing factors. They should strengthen nurse’s medication safety education, raise awareness of risk prevention, do well the missionary work of patients and their families, improve the medication adherence of patients, Patient management of hospital wards, to create a good hospital environment for patients to improve the patient’s medication safety.