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研究生:黃鏡樺
研究生(外文):Ching-Hua Huang
論文名稱:藉由QR code導入藥品衛教資訊之成效分析
論文名稱(外文):Effectiveness Analysis of Drug Health Education Information by QR Code Importation
指導教授:蔡崇弘蔡崇弘引用關係
指導教授(外文):Chung-Hung Tsai
學位類別:碩士
校院名稱:中山醫學大學
系所名稱:醫學研究所
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:115
中文關鍵詞:QR code藥品衛教醫療品質病人用藥安全
外文關鍵詞:QR codeDrugs health educationQuality of carePatient medication safety
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  • 被引用被引用:2
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研究背景:現今的醫療環境,講求能提供病人更完善的醫療品質。在專研疾病的治療之外,也應站在病人的角度,重視病人安全,並提供更周延的醫療服務。因此,希望藉由QR code的設計,能無時無刻提供病人藥品使用方面的衛教與資訊,提升病人的用藥安全。研究方法:計劃在藥袋上印製藥品資訊QR code,內建置連結指導藥品使用的衛教短片或單張等,讓病人可以在離院後,仍能藉由智慧型手機或平板電腦,讀取所使用的藥品資訊,達到正確用藥指導的目的。以使用者問卷調查做為評估QR code建置成效之方式,研究過程包含前後測成效評估、藥品資訊QR code使用衛教與滿意度調查,藉此作為改善之參考。研究結果:分析受訪者在接受藥品資訊QR code衛教前後的差異,整體平均分數:前測為2.75 + 0.82,後測為3.42 + 0.76,數據呈現增加,顯示受訪者在操作使用上QR code有明顯正向的改變與認知增加的趨勢。整體滿意度部分:非常滿意59%、滿意36%、尚可5%、不滿意0%、非常不滿意0%,平均分數為4.54 + 0.59。結論:藉由藥品資訊QR code的設計,透過智慧型手機的普遍性與即時性,可輔助病人正確用藥,增加服藥順從性,避免因資訊不完整而造成病人安全的隱憂,從而提升醫療品質,達到雲端醫療的願景。

Background:We are seeking to provide patients with better quality of care in health care environment nowadays. Not only for specializing in treating diseases, but we should also stand in the patient''s point of view to get more attention to patients safety, and to provide medical services more circumspectly. Therefore, in hoping that QR code design can all the time to provide patient health education aspects of the use of medicines and information to improve patient medication safety. Method:Drug information QR code plan printed on medicine paper bags which is to build the connection of health education in the films or on a single web page to the guidance of drugs information, so that the patient can read drug information by smartphones or tablets to achieve the purpose of the correct medication guiding after leaving the hospital. In a user survey to assess QR code as a way to build the effectiveness. The research process includes measurement before and after the effectiveness evaluation, drug information QR code of users health education and satisfaction surveys which here are taken as a reference for improvement. Result:Analysis of the respondents in accepting differences and Drug Information QR code before and after the health education, the overall average score: 2.75 + 0.82 pretest, posttest was 3.42 + 0.76, data increased indicate respondents in operational use on the QR code significantly positive change and cognitive increasing trend. Overall satisfaction with parts: 59% very satisfied, 36% satisfied, still 5%, 0% dissatisfied, very dissatisfied 0%, with an average score of 4.54 + 0.59. Conclusion:Drug information QR code by design, can assist the patient take medicine correctly, increase medication compliance, and avoid incomplete information caused by patient safety worries through smartphone and other digital divces with its universality and immediacy, so as to enhance the quality of care and to achieve the cloud medical vision.

第一章 緒論 ................................ ................................ ........................... 1
第一節 研究動機 ................................................................................ 1
第二節 研究目的 ................................................................................ 2
第三節 研究背景 ................................................................................ 3
第二章 文獻探討 ................................ ................................ ................... 5
第一節 病人安全 ................................................................................ 5
壹、 定義、目的與起源 ................................ ................................. 5
貳、 潛藏的嚴重性 ................................ ......................................... 6
叁、 影響病人安全的可能因素 ................................ ..................... 7
肆、 病人安全異常事件的分類 ................................ ..................... 9
伍、 提升病人安全的對策 ................................ ........................... 10
第二節 用藥疏失 .............................................................................. 11
壹、 定義 ................................ ................................ ...................... 11
貳、 用藥疏失的嚴重性 與威脅................................ ............... 11
叁、 用藥疏失的類型 ................................ ................................ ... 13
肆、 改善 用藥疏失的措施 ................................ ........................... 13
第三節 病人藥品諮詢衛教 ............................................................... 14
IX
壹、正確用藥指導 ................................ ................................ ......... 14
貳、服藥順從性 ................................ ................................ ............. 15
叁、實際執行層面 ................................ ................................ ......... 16
第四節 藥事服務條碼化管理 ........................................................... 16
壹、條碼 ................................ ................................ ........................ 17
貳、 QR codeQR codeQR codeQR code QR code ................................ ................................ .................. 18
叁、條碼化管理運用於藥事服務 ................................ ................. 19
第三章 研究方法 ................................ ................................ ................. 21
第一節 研究設計 .............................................................................. 21
第二節 名詞解釋 .............................................................................. 22
壹、 QR codeQR codeQR codeQR code QR code 條碼導入 ................................ ................................ 22
貳、 介入型研究 ................................ ................................ ........... 22
叁、 問卷調查法 ................................ ................................ ........... 23
第三節 研究對象與場所 ................................................................... 23
壹、 研究對象 ................................ ................................ ............... 23
貳、 排除條件 ................................ ................................ ............... 24
第四節 倫理考量 .............................................................................. 24
第五節 研究工具與信效度 ............................................................... 25
壹、 問卷設計 ................................ ................................ ............... 25
X
貳、 內容效度 ................................ ................................ ............... 27
叁、 信度 ................................ ................................ ...................... 28
第六節 研究步驟 .............................................................................. 28
壹、 藥品資訊面 ................................ ................................ .......... 29
貳、 系統設計面 ................................ ................................ .......... 29
叁、 成效分析面 ................................ ................................ .......... 30
第七節 資料處理與分析 ................................................................... 31
第四章 結果 ................................ ................................ ......................... 32
第一節 研究對象之基本資料 ........................................................... 32
第二節 研究對象對正確用藥之認知與用藥劑型分析 .................... 33
第三節 研究對象前後測的差異比較分析........................................ 35
第四節 滿意度調查分析 ................................................................... 38
第五章 討論 ................................ ................................ ....................... 40
第一節 病人安全 .............................................................................. 40
第二節 用藥疏失 .............................................................................. 40
第三節 病人用藥諮詢衛教 ............................................................... 42
第四節 藥事服務條碼化 ................................................................... 43
第五節 研究對象之問卷成效 ................................ ............................ 44
XI
壹、 受訪者之基本資料 ................................ .............................. 44
貳、 受訪者正確使用藥物之行為 受訪者正確使用藥物之行為 ................................ .............. 45
叁、 操作使用 QR CODEQR CODEQR CODEQR CODEQR CODEQR CODEQR CODE前後測的差異 前後測的差異 ................................ ... 45
肆、 對於藥品資訊來源前後測的差異 對於藥品資訊來源前後測的差異 ................................ ....... 46
伍、 受訪者之滿意度呈現 ................................ .......................... 46
第六節 研究限制與建議 ................................................................... 47
參考文獻 ................................ ................................ ............................... 48
附錄一 印有藥品資訊QR CODE之中部某醫學中心藥袋 ............... 55
附錄二 藉由 QR CODEQR CODEQR CODEQR CODEQR CODEQR CODEQR CODE導入藥品衛教資訊前後測評估問卷 導入藥品衛教資訊前後測評估問卷 .......... 56
附錄三 人體研究倫理審查委員會計畫許可書 人體研究倫理審查委員會計畫許可書 ......................... 59
附錄四 個人資料同意書 ................................ ................................ .... 60
附錄五 提供就醫紀錄與結果資訊同意書 提供就醫紀錄與結果資訊同意書 ................................ ........ 61
附錄六 「社、行為人文科學同意書 「社、行為人文科學同意書 (問卷專用 )」 ...................... 62

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