张凯艳 吴淑芳 朱静露

【摘要】 目的：探討儿童口服给药安全路径表单应用于住院患儿口服用药的效果。方法：选取2017年2月-2018年2月在笔者所在医院口服用药的住院患儿412例为研究对象，采用随机数字表法将其分为研究组与对照组，各206例。对照组给予常规口服给药方式，研究组给予儿童口服给药安全路径表单进行给药。比较两组家属辅助用药依从性、正确用药情况、医嘱正确执行率及患儿家属药物知识掌握程度及家属护理满意度。结果：研究组家属辅助用药依从性明显高于对照组，差异有统计学意义（P<0.05）。研究组正确用药率、医嘱正确执行率及患儿家属药物知识掌握程度均优于对照组，差异有统计学意义（P<0.05）。研究组家属护理总满意度明显高于对照组，差异有统计学意义（P<0.05）。结论：儿童口服给药安全路径表单的应用可有效提高家属辅助用药依从性，提高用药准确率、医嘱正确执行率及家属对药物知识的掌握程度，并可提升患儿家属的护理满意度，值得临床推广。

【关键词】 临床护理路径 口服用药 儿童口服给药安全路径表单 应用效果

doi：10.14033/j.cnki.cfmr.2020.26.034 文献标识码 B 文章编号 1674-6805（2020）26-00-03

Application and Effect Evaluation of the Safe Route form for Childrens Oral Administration/ZHANG Kaiyan， WU Shufang， ZHU Jinglu. //Chinese and Foreign Medical Research， 2020， 18（26）： -93

[Abstract] Objective： To investigate the effect of the safe route form for childrens oral administration in hospitalized childrens oral administration. Method： A total of 412 hospitalized children who received oral administration in our hospital from February 2017 to February 2018 were selected as the study subjects， and they were divided into the study group and the control group by the random number table method， with 206 cases in each group. The control group was given the conventional oral administration method， while the study group was given the safe route form for childrens oral administration. The compliance of adjuvant medication of family members， the situation of correct medication， the rate of correct implementation of medical orders， the mastery degree of medication knowledge of childrens family members and nursing satisfaction of family members were compared between the two groups. Result： The compliance of adjuvant medication of family members in the study group was significantly higher than that in the control group， and the difference was statistically significant （P<0.05）. The rate of correct medication， the rate of correct implementation of medical orders and the mastery degree of medication knowledge of childrens family members in the study group were all better than those in the control group， and the differences were statistically significant （P<0.05）. The total nursing satisfaction of family members in the study group was significantly higher than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion： The application of the safe route form for children's oral administration can effectively improve the compliance of adjuvant medication of family member， improve the rate of correct medication and correct implementation of medical orders and the mastery degree of medication knowledge of childrens family members， and improve the nursing satisfaction of the family members of children， which is worthy of clinical promotion.

[Key words] Clinical nursing pathway Oral administration Safety route form for childrens oral administration Application effect

First-authors address： Fuzhou Childrens Hospital， Fuzhou 350001， China

口服给药是指药物经口服后被胃肠道吸收入血，从而达到防治和诊断疾病的目的的给药方法，是护理人员的基础操作[1]。由于药物错误导致的后果远远高于其他护理不良事件，严重威胁患者安全，需要耗费大量人力、物力及财力进行善后处理[2]。无痛、无创的口服给药更适用于儿童，因此如何提高口服给药安全性是临床工作者关注的重点。临床护理路径（CNP）是一种制定好的计划，其功能是用图表的形式提供有时间要求的照顾计划，使诊疗、护理有序，减少漏项，提高护理质量[3]。笔者通过儿童口服给药安全路径表单，标准化、最优化护士的口服给药流程，提高临床口服给药的安全性，使患者获得最佳的护理服务质量，现报道如下。

1 资料与方法

1.1 一般资料