儿童个体化分级用药指导模式的构建与应用评价

Application of individualized graded medication guidance model in child medication safety

关键词:  用药指导  个体化规则  语音指导  视频指导  儿童

Key words:  medication guidance, individualized rules, voice guidance, video guidance, children

摘要:

目的 探讨个体化多维用药指导模式在儿童群体中的应用实践,提高正确用药知晓率,保障儿童用药安全。 方法 基于儿童用药指导知识库及药品说明书,设计儿童常用药品的个体化用药指导规则,同时针对特殊用法及剂型药品融合语音及视频用药指导,以二维码为载体传递个体化多维用药指导内容并进行应用评价。 结果 本模式覆盖大多数儿童常用口服及外用药品,其中87种药品个体化用药指导规则累计指导人次19.72万人次；79种药品语音用药指导累计16.46万人次,4种特殊剂型药品视频用药指导累计2.98万人次。干预后药物咨询类型中合理用药及注意事项的占比下降至27.84%和16.19%(P＜0.05)。新模式的知晓率测试显著高于对照组(96.80 VS 85.80,P＜0.01),患者满意度为92.50%。 结论 个体化多维用药指导模式可有效提升患儿/监管者正确用药知晓率,为保障儿童用药安全提供新的思路,可行性高,值得推广。

Abstract:

ABSTRACT: OBJECTIVE To explore the application of individualized multi-dimensional medication guidance model in children, improve the awareness rate of correct medication and ensure the safety of children's medication. METHODS Based on children's medication guidance knowledge base and drug instructions, individualized medication guidance rules for common drugs for children were designed, and voice and video medication guidance were integrated for special usage and dosage form drugs. The two-dimensional code was used as the carrier to deliver individualized multi-dimensional medication guidance content and the application evaluation was conducted. RESULTS This model covered most of the oral and topical drugs commonly used by children, and 197 200 person-times of individualized medication guidance rules for 87 kinds of drugs were guided. There were 164.6 thousand person-times of voice medication guidance for 79 kinds of drugs and 29.8 thousand person-times of video medication guidance for 4 kinds of special dosage forms. After the intervention, the proportion of rational drug use and precautions in the types of drug counseling decreased to 27.84% and 16.19% (P < 0.05). The awareness rate of the new model was significantly higher than that of the control group (96.80 VS 85.80, P < 0.01), and the patient satisfaction was 92.50%. CONCLUSION The individualized multi-dimensional medication guidance model can effectively improve the correct medication awareness rate of children/supervisors, and provide new ideas for ensuring children's medication safety. It is highly feasible and worthy of promotion.