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目的:探讨心血管内科患者应用六西格玛管理模式对提高服药依从性的作用。方法:抽取温州市中心医院心血管内科2015年3月~2016年10月收治的患者192例为研究对象,以国际字母排序法分组:甲组96例行常规管理,乙组96例行六西格玛管理,观察两组干预效果。结果:(1)乙组服药时间错误率3.13%、漏服口服药率2.08%、服药品种方式不准确率2.08%显著低于甲组12.50%、11.46%、9.38%(P<0.05);(2)乙组满意度95.83%显著高于甲组85.42%(P<0.05)。结论:在心血管内科实施六西格玛管理可大大改善患者用药行为,降低不良用药事件的发生风险,对创建良好的护患关系具有积极作用。
Objective: To investigate the effect of six sigma management in cardiovascular patients on the improvement of medication adherence. Methods: A total of 192 patients admitted to Department of Cardiology, Central Hospital of Wenzhou from March 2015 to October 2016 were enrolled in this study. The patients were divided into three groups according to the international alphabetical order: group A received 96 routine management and group B performed 96 management with six sigma , Observe the effect of two groups intervention. Results: (1) The error rate of taking medicine in group B was 3.13%, the rate of taking oral medicine in mouth was 2.08%, the rate of inaccurate in taking medicine was 2.08%, which was significantly lower than that in group A (12.50%, 11.46%, 9.38%, P <0.05) 2) The 95.83% satisfaction rate in group B was significantly higher than 85.42% in group A (P <0.05). CONCLUSIONS: Six-sigma management in cardiovascular medicine can significantly improve patient medication behavior and reduce the risk of adverse drug use events, which has a positive effect on creating a good nurse-patient relationship.