社区慢性病患者安全用药管理地图的构建与应用
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女,本科,主管护师

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贵州省卫生健康委科技基金项目(2025GZWJKJXM0883)


Construction and application of safe medication management map for community chronic disease patients
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    目的 基于旅行者地图理念构建社区慢性病患者安全用药管理地图并验证其有效性和可行性,以进一步规范社区慢性病患者的服药行为,提升其服药依从性。方法 将贵阳市2所社区的40例慢性病患者随机分为对照组与观察组各20例。对照组采用常规安全用药管理措施。研究团队讨论、修订、设定旅行者地图的开发场景和用户角色,形成可视化的安全用药管理旅行者地图,并在观察组患者用药管理中使用旅行者地图。干预时长3个月。比较两组患者服药依从性、合理服药自我效能、安全用药知识得分。结果 对照组20例、观察组19例完成研究。观察组服药依从性、合理服药自我效能、安全用药知识评分显著优于对照组(均P<0.05)。结论 基于旅行者地图的安全用药管理地图通过设定患者为“核心玩家”的可视化呈现方式,发挥患者主观能动性,促使其积极参与用药管理,在一定程度上提升患者的服药依从性、增加合理服药自我效能和促进安全用药知识的掌握。

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    Objective To construct a safe medication management map for chronic disease patients in the community based on the concept of traveler′s map and verify its validity and feasibility, so as to further standardize the medication-taking behavior of chronic disease patients in the community, improve their medication adherence, and reduce the incidence of adverse medication events. Methods A total of 40 chronic disease patients from 2 communities in Guiyang city were randomly divided into 20 cases each in the control group and the observation group. The control group received conventional safe medication management. The research team formed a visualized safe medication management traveler map by discussing, revising, and setting the development scenario and user roles of the traveler map, and used the traveler map in the observation group patients′ medication management. The intervention lasted for 3 months. The scores of medication adherence, rational medication self-efficacy, and knowledge of safe medication use between the two groups were compared. Results Twenty cases in the control group and 19 cases in the observation group completed the study. The scores of medication adherence, rational medication self-efficacy, and knowledge of safe medication use in the observation group were significantly better than those of the control group (all P<0.05). Conclusion The safe medication management map based on the traveler′s map, through the visual presentation of the patient as the "core player", leverages patients′ proactivity to actively engage in the medication management, which to a certain extent improves patients′ medication adherence, increases self-efficacy of rational medication-taking and promotes mastery of knowledge of safe medication-taking.

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龙琴,周婷婷,龚萍,罗尚荣,乔国瑾.社区慢性病患者安全用药管理地图的构建与应用[J].护理学杂志,2024,39(22):107-111

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  • 收稿日期:2024-06-16
  • 最后修改日期:2024-08-26
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  • 在线发布日期: 2024-12-28