某院门诊癌痛患者麻醉药品用药的回访分析
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摘要
目的:分析癌痛患者麻醉药品的合理使用状况,以及对麻醉药品的回收和回访患者用药的合理性及其对治疗的满意度。方法:抽取2017年1—12月间在门诊建立癌痛患者68例镇痛病历资料,分析其在医院门诊调配麻醉药品的患者通过电话回访患者遵医嘱用药和不良反应的发生情况。结果:68患者中,年回访46例占67.65%,调查内容显示患者在家使用麻醉药品,未合理用药的原因颇多,定期有效地回访可了解患者不合理用药的原因并指导其合理用药;对缓解癌症患者疼痛、减少不良反应、提高用药依从性以及提升对医务工作者的信任度均起到积极促进的作用。结论:定期有效地回访提高了患者用药的依从性,在用药知识普及的同时,间接提高了癌痛患者的生存质量,促进了麻醉药品的管理及其回收,加强了麻醉药品的管理,严防麻醉药品流入不法渠道。
Objective: To analyze the rational use of narcotic analgesics in cancer pain patients, as well as the rationality of the return visit of narcotic analgesics and the patients' satisfaction with the treatment. Methods: The medical records of 68 analgesic patients with cancer pain who were extracted from in the outpatient department from January to December, 2017 were selected to analyze the occurrence of the prescribed drugs and adverse reactions of the patients who used narcotic drugs in the outpatient department of the hospital through telephone return visit. Results: Among the68 patients, the annual return visit was in 46 cases, accounting for 67.65%. The investigation showed that there were many reasons for the patients' use of narcotic drugs at home without reasonable use of narcotic drugs. It plays a positive role in alleviating the pain of cancer patients, reducing adverse reactions, improving drug compliance and enhancing the trust of medical workers. Conclusions: Regular and effective return visit improves the patient's medication compliance,while popularizing medication knowledge, indirectly improves the quality of life of patients with cancer pain, and promotes the management and recycling of narcotic drugs. We strengthened the administration of narcotic drugs and strictly prevented them from flowing into illegal channels.
Objective: To analyze the rational use of narcotic analgesics in cancer pain patients, as well as the rationality of the return visit of narcotic analgesics and the patients' satisfaction with the treatment. Methods: The medical records of 68 analgesic patients with cancer pain who were extracted from in the outpatient department from January to December, 2017 were selected to analyze the occurrence of the prescribed drugs and adverse reactions of the patients who used narcotic drugs in the outpatient department of the hospital through telephone return visit. Results: Among the68 patients, the annual return visit was in 46 cases, accounting for 67.65%. The investigation showed that there were many reasons for the patients' use of narcotic drugs at home without reasonable use of narcotic drugs. It plays a positive role in alleviating the pain of cancer patients, reducing adverse reactions, improving drug compliance and enhancing the trust of medical workers. Conclusions: Regular and effective return visit improves the patient's medication compliance,while popularizing medication knowledge, indirectly improves the quality of life of patients with cancer pain, and promotes the management and recycling of narcotic drugs. We strengthened the administration of narcotic drugs and strictly prevented them from flowing into illegal channels.
引文
[1]张友干,谢顶仁.癌痛麻醉药品使用手册[M].北京:人民军医出版社,2011.
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[4]夏淑莲,李先馨.延续性护理干预提高出院高血压患者口服降压药依从性观察[J].现代中西医结合杂志,2013,22(33):3756-3757.
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[6]莫娟梅,崔建东,宋向群.盐酸吗啡缓释片不同给药途径对缓解癌症疼痛的分析研究[J].中国医学装备,2014,11(4):49-52.
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[8]杨月彩,陆燕琼.电话回访在出院癌痛患者规范化治疗中的应用[J].世界最新医学信息文摘,2013,13(12):275.
[9]陈清环.回访调查羟考酮治疗晚期癌痛的不良反应率及护理体会[J].中国医药指南,2013,11(19):409-410.
[10]蓝桂彬,李凤仪.医院麻醉药品与精神药品管理存在问题与对策[J].现代医院,2012,12(1):98-100.
[2]曾健芬,陈沛亨.利用电话回访延伸门诊药房的药学服务[J].临床合理用药,2014,7(11):164-165.
[3]程贤敏,陈克琼.癌痛知识普及率对癌痛治疗效果的影响[J].医药前沿,2017,7(31):39-41.
[4]夏淑莲,李先馨.延续性护理干预提高出院高血压患者口服降压药依从性观察[J].现代中西医结合杂志,2013,22(33):3756-3757.
[5]阚全程.麻醉药品和精神药品的管理与临床应用[M].北京:人民卫生出版社,2015.
[6]莫娟梅,崔建东,宋向群.盐酸吗啡缓释片不同给药途径对缓解癌症疼痛的分析研究[J].中国医学装备,2014,11(4):49-52.
[7]华松.盐酸羟考酮缓解晚期癌症疼痛临床研究[J].临床合理用药,2013,6(11C):27-28.
[8]杨月彩,陆燕琼.电话回访在出院癌痛患者规范化治疗中的应用[J].世界最新医学信息文摘,2013,13(12):275.
[9]陈清环.回访调查羟考酮治疗晚期癌痛的不良反应率及护理体会[J].中国医药指南,2013,11(19):409-410.
[10]蓝桂彬,李凤仪.医院麻醉药品与精神药品管理存在问题与对策[J].现代医院,2012,12(1):98-100.