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家长在家自行喂服口服药。

Administration of oral medication by parents at home.

作者信息

Boztepe Handan, Özdemir Handan, Karababa Çiğdem, Yıldız Özlem

机构信息

Faculty of Nursing, Department of Pediatric Nursing, Hacettepe University, Ankara, Turkey.

İhsan Doğramacı Children's Hospital, Hacettepe University, Ankara, Turkey.

出版信息

J Clin Nurs. 2016 Nov;25(21-22):3345-3353. doi: 10.1111/jocn.13460. Epub 2016 Aug 15.

Abstract

AIMS AND OBJECTIVE

The objective of this study was to determine parents' experiences and problems with administering medication to their children at home.

BACKGROUND

Parents' experiences and access to information for the treatment of their children's illnesses at home is necessary for their children's safety.

DESIGN

A descriptive cross-sectional study.

METHODS

Four hundred parents from children's hospital outpatient clinics were included. A questionnaire was used to determine parents' experiences and problems with administering medication to their children at home. Descriptive statistical analyses were performed using the spss software package (version 22.00).

RESULTS

Antipyretics (59%) and antibiotics (25%) were the most commonly used medicines by parents without prescription. Nearly half of the parents stated that they gave liquid medicine with a household spoon. It was found that 54% of the parents whose children refused to take tablets or liquid medicine mixed these medications into foods. Treatment was delayed in 20·7% of the children who refused to take tablets and in 29·1% of the children who refused to take liquid medicine. As a result of the project, a form and device were developed as a solution to the problems experienced by parents while administering oral medication in the home environment.

CONCLUSION

The results of the study showed that a significant percentage of the parents did not use the correct equipment to administer medications, used non-prescription medicines, did not administer medications at correct intervals and mixed medication into foods.

RELEVANCE TO CLINICAL PRACTICE

Healthcare professionals, especially nurses, should continually evaluate medication administration by parents at home and the readmission rate in the emergency department to further improve children's health.

摘要

目的

本研究的目的是确定家长在家中给孩子用药的经历和问题。

背景

家长在家中治疗孩子疾病的经历和获取信息对于孩子的安全是必要的。

设计

描述性横断面研究。

方法

纳入了儿童医院门诊的400名家长。使用问卷来确定家长在家中给孩子用药的经历和问题。使用SPSS软件包(版本22.00)进行描述性统计分析。

结果

退烧药(59%)和抗生素(25%)是家长最常无处方使用的药物。近一半的家长表示他们用家用勺子喂液体药物。发现54%孩子拒绝服用片剂或液体药物的家长将这些药物混入食物中。拒绝服用片剂的孩子中有20.7%以及拒绝服用液体药物的孩子中有29.1%的治疗被延误。作为该项目的成果,开发了一种表格和装置,以解决家长在家中给予口服药物时遇到的问题。

结论

研究结果表明,相当比例的家长没有使用正确的设备给药,使用非处方药,没有按正确的间隔给药,并且将药物混入食物中。

与临床实践的相关性

医疗保健专业人员,尤其是护士,应持续评估家长在家中的给药情况以及急诊科的再入院率,以进一步改善儿童健康。

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