Status of medication deviation in hospital-home transition period in elderly patients with chronic heart failure and its influencing factors
- VernacularTitle:老年慢性心力衰竭患者医院-家庭过渡期用药偏差现状及其影响因素
- Author:
Lu WANG
1
;
Qimei ZHAO
;
Henan XIE
;
Lu CHANG
;
Zheng XIE
Author Information
- Keywords: congestive heart failure; medication compliance; family APGAR index; hospital-home transition period; medication deviation
- From: Journal of Clinical Medicine in Practice 2024;28(9):109-114
- CountryChina
- Language:Chinese
- Abstract: Objective To analyze the current situation and influencing factors of medication devia-tion in hospital-home transition period in elderly patients with chronic heart failure(CHF).Methods A total of 178 elderly patients with chronic heart failure were selected as the study objects.General infor-mation of patients was collected.The 8-item Morisky Medication Adherence Scale(MMAS-8),Self-Efficacy for Appropriate Medication Use Scale(SEAMS)and family APGAR index questionnaire were analyzed.The occurrence of medication deviation was recorded one week after discharge.The influen-cing factors of medication deviation in elderly patients with CHF were analyzed.Results Fifty pa-tients(28.09％)had at least one medication deviation within one week after discharge.A total of 108 cases of medication deviation occurred in 178 patients.The main type of medication deviation was pa-tient-derived causes.Age,quantity of medication in discharge order,medication compliance and fami-ly care index were the influencing factors of medication deviation(P＜0.05).Conclusion The oc-currence of medication bias in the hospital-family transition period of elderly CHF patients is not opti-mistic.Medical staff should pay more attention to patients with older-age,a large number of drugs pre-scribed by discharged doctors,poor medication compliance as well as poor family functions,and take timely targeted measures to ensure medication safety.
