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目的为提高华法林临床用药安全性,分析医院实施用药教育、咨询的有效性。方法选取2013年4月-2015年9月医院300例服用华法林患者为对照组,给予常规治疗;同时以2015年10月-2016年5月128例服用华法林患者为观察组,在对照组治疗基础上给予用药教育、用药咨询。对2组患者用药知识进行评估,统计患者不良反应发生情况,对患者用药依从性进行比较。结果观察组用药知识认知评估为(21.8±2.5)分,明显高于对照组的(14.9±2.5)分(P<0.01);用药不良反应率为3.1%低于对照组的10.0%(P<0.05);药物漏服率为4.7%低于对照组的13.0%(P<0.05)。结论通过对使用华法林患者进行用药教育、给予用药咨询,可有效减少药物所致不良反应、提高患者用药应从性。
Objective To improve the clinical safety of warfarin, analyze the effectiveness of hospital education and counseling. Methods From April 2013 to September 2015, 300 patients taking warfarin in the hospital as control group were given routine treatment. At the same time, 128 patients taking warfarin from October 2015 to May 2016 were selected as the observation group, The control group was given medication education and medication counseling on the basis of treatment. The medication knowledge of two groups of patients was evaluated, the incidence of adverse reactions in patients was counted, and the compliance of patients with drugs was compared. Results The cognitive assessment of medication knowledge in observation group was (21.8 ± 2.5) points, which was significantly higher than that in control group (14.9 ± 2.5) (P <0.01). Adverse reaction rate was 3.1% <0.05). The missed drug delivery rate was 4.7% lower than that of the control group (13.0%, P <0.05). Conclusion Through the use of warfarin medication education, giving medication advice, can effectively reduce the adverse drug reactions and improve patient medication should be from the nature.