新型药学服务模式对患者用药安全及依从性的干预效果
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摘要
目的考察施行新型药学服务模式对患者用药的影响。方法 2018年6—8月在绍兴市立医院门诊共纳入200例需要用药治疗的患者进行临床观察。年龄18～75岁,男女不限。将全部患者按随机数字表法分为传统模式组和新型模式组,每组100例,2组的年龄、性别比例、文化程度等基线资料比较差异均无统计学意义(均P>0.05),具有可比性。传统模式组:应用传统药学服务模式为患者施行临床药学服务,主要是根据医生的处方内容进行配药、发药,审核特殊处方,指导患者谨遵医嘱或按照药品说明书正确用药,为咨询患者提供用药指导,及对门诊特殊患者进行药学监护。新型模式组:应用新型药学服务模式施行临床药学服务,主要工作内容是在配药、发药等传统药学服务内容之外,还要求临床药师为患者提供临床用药咨询等药学服务。比较2组患者的用药依从率,药品差错事件发生率,药物不良反应发生率。结果新型模式组患者的用药依从率为100.0%,显著高于传统模式组的92.0%(χ~2=11.020,P=0.001)。新型模式组的药品差错事件发生率为2.0%,显著低于传统模式组的9.0%(χ~2=8.320,P=0.004)。新型模式组(11.0%)和传统模式组(28.0%)药物不良反应发生率比较,差异无统计学意义(χ~2=0.090,P=0.762)。结论施行新型药学服务模式可以提高患者的用药依从性,较少药品差错事件发生率,在临床具有积极的推广意义。
Objective To investigate the effect of the implementation of new pharmaceutical care model on drug use in patients. Methods From June to August 2018, 200 patients in Shaoxing Municipal Hospital were enrolled for clinical observation. Ages ranged from 18 to 75. Men and women were not limited. All patients were divided into Traditional Model Group and New Model Group according to random number table method. There were 100 cases in each group. There was no statistical difference in baseline data such as age, sex ratio and education level between the two groups(P>0.05). For the Traditional Model Group, clinical pharmaceutical care for patients is mainly based on the prescription content of doctors, dispensing drugs, auditing special prescriptions, guiding patients to follow doctor' s instructions or use drugs correctly according to drug instructions, providing drug guidance for consulting patients, and carrying out pharmaceutical care for special patients in outpatient clinics. For the New Model Group, applying new pharmaceutical care mode to carry out clinical pharmaceutical care, the main content of which is not only traditional pharmaceutical care, such as dispensing drugs, dispensing drugs, but also requiring clinical drug noise to provide patients with clinical drug counseling and other pharmaceutical care. Comparison was made regarding to the drug compliance rate, the incidence of drug errors and adverse drug reactions between the two groups. Results The compliance rate of the observation group was 100.0%,which was significantly higher than that of the control group(92.0%, χ~2=11.020,P=0.001). The incidence of drug errors in the observation group(2.0%) was significantly lower than that in the control group(9.0%, χ~2=8.320, P=0.004). There was no significant difference in the incidence of adverse drug reactions between the observation group(11.0%) and the control group(28.0%, χ~2=0.090, P=0.762). Conclusion The implementation of the new pharmaceutical care model can improve the drug compliance of patients and reduce the incidence of drug errors. It has a positive significance in clinical practice.
Objective To investigate the effect of the implementation of new pharmaceutical care model on drug use in patients. Methods From June to August 2018, 200 patients in Shaoxing Municipal Hospital were enrolled for clinical observation. Ages ranged from 18 to 75. Men and women were not limited. All patients were divided into Traditional Model Group and New Model Group according to random number table method. There were 100 cases in each group. There was no statistical difference in baseline data such as age, sex ratio and education level between the two groups(P>0.05). For the Traditional Model Group, clinical pharmaceutical care for patients is mainly based on the prescription content of doctors, dispensing drugs, auditing special prescriptions, guiding patients to follow doctor' s instructions or use drugs correctly according to drug instructions, providing drug guidance for consulting patients, and carrying out pharmaceutical care for special patients in outpatient clinics. For the New Model Group, applying new pharmaceutical care mode to carry out clinical pharmaceutical care, the main content of which is not only traditional pharmaceutical care, such as dispensing drugs, dispensing drugs, but also requiring clinical drug noise to provide patients with clinical drug counseling and other pharmaceutical care. Comparison was made regarding to the drug compliance rate, the incidence of drug errors and adverse drug reactions between the two groups. Results The compliance rate of the observation group was 100.0%,which was significantly higher than that of the control group(92.0%, χ~2=11.020,P=0.001). The incidence of drug errors in the observation group(2.0%) was significantly lower than that in the control group(9.0%, χ~2=8.320, P=0.004). There was no significant difference in the incidence of adverse drug reactions between the observation group(11.0%) and the control group(28.0%, χ~2=0.090, P=0.762). Conclusion The implementation of the new pharmaceutical care model can improve the drug compliance of patients and reduce the incidence of drug errors. It has a positive significance in clinical practice.
引文
[1] 彭绍贤,刘丛海,鲁侠,等.患者用药依从性与药师相关因素的调查研究[J].中国药房,2015,26(5):689-691.
[2] 李海燕,陈世财.糖尿病患者依从性调查及全程化药学服务对依从性的影响[J].中国药房,2015,26(2):257-259.
[3] 朱灿阳,吴平平,邓淑琴,等.3种新型用药宣教干预方式对妇产科门诊患者合理用药知识认知度和依从性影响的调查分析[J].中国药房,2017,28(27):3759-3763.
[4] 庞艳玉,王萌萌,王先利,等.妊娠合并糖尿病患者药学监护流程的建立与实践[J].中国医院药学杂志,2018,38(7):769-773.
[5] 杨琴琴,林玮玮,王长连,等.临床药学服务模式在癫痫治疗中的实践与评价[J].中国临床药理学杂志,2015,31(16):1668-1670.
[6] 梁晓宇,宋燕青,李艳妍,等.临床药师干预466例呼吸科住院患者用药的效果评价[J].中国药房,2016,27(11):1568-1570.
[7] 姜德春,王海莲,朱溢勇,等.创建用药咨询中心药学服务模式的探讨[J].中国药房,2015,26(16):2293-2294.
[8] 周楠,张惠琴,丰航,等.开展神经内科老年患者药学服务的案例分析[J].中国医院药学杂志,2018,38(1):85-87.
[9] 王进,霍颖浩,李德强,等.临床药师干预对急性脑梗死介入术后患者用药依从性及疗效的影响[J].中国临床药理学杂志,2017,33(10):939-941.
[10] 陆华.药师在不同学科/环境下开展药学服务效果的系统评价[J].中国药房,2016,27(6):862-864.
[11] 李维.门诊药房用药咨询及体会[J].中国组织工程研究,2015,19(b05):153.
[12] 张彤,王萍,王俊,等.机关离退休工作人员用药依从性情况调查[J].中国临床保健杂志,2012,15(1):55-56.
[13] 李连瑞,陈志勇,刘婕.临床药师对原发性高血压住院患者的用药调查与分析[J].中国药房,2017,28(5):686-689.
[14] 赵越,戚玮琳,杨爱芳,等.高血压患者的药物治疗依从性现状及危险因素研究[J].中国药学杂志,2015,50(6):559-562.
[15] 赵淑娟,赵红卫,王丽霞,等.冠心病患者服药依从性及其影响因素分析[J].中国医院药学杂志,2015,35(6):543-547.
[2] 李海燕,陈世财.糖尿病患者依从性调查及全程化药学服务对依从性的影响[J].中国药房,2015,26(2):257-259.
[3] 朱灿阳,吴平平,邓淑琴,等.3种新型用药宣教干预方式对妇产科门诊患者合理用药知识认知度和依从性影响的调查分析[J].中国药房,2017,28(27):3759-3763.
[4] 庞艳玉,王萌萌,王先利,等.妊娠合并糖尿病患者药学监护流程的建立与实践[J].中国医院药学杂志,2018,38(7):769-773.
[5] 杨琴琴,林玮玮,王长连,等.临床药学服务模式在癫痫治疗中的实践与评价[J].中国临床药理学杂志,2015,31(16):1668-1670.
[6] 梁晓宇,宋燕青,李艳妍,等.临床药师干预466例呼吸科住院患者用药的效果评价[J].中国药房,2016,27(11):1568-1570.
[7] 姜德春,王海莲,朱溢勇,等.创建用药咨询中心药学服务模式的探讨[J].中国药房,2015,26(16):2293-2294.
[8] 周楠,张惠琴,丰航,等.开展神经内科老年患者药学服务的案例分析[J].中国医院药学杂志,2018,38(1):85-87.
[9] 王进,霍颖浩,李德强,等.临床药师干预对急性脑梗死介入术后患者用药依从性及疗效的影响[J].中国临床药理学杂志,2017,33(10):939-941.
[10] 陆华.药师在不同学科/环境下开展药学服务效果的系统评价[J].中国药房,2016,27(6):862-864.
[11] 李维.门诊药房用药咨询及体会[J].中国组织工程研究,2015,19(b05):153.
[12] 张彤,王萍,王俊,等.机关离退休工作人员用药依从性情况调查[J].中国临床保健杂志,2012,15(1):55-56.
[13] 李连瑞,陈志勇,刘婕.临床药师对原发性高血压住院患者的用药调查与分析[J].中国药房,2017,28(5):686-689.
[14] 赵越,戚玮琳,杨爱芳,等.高血压患者的药物治疗依从性现状及危险因素研究[J].中国药学杂志,2015,50(6):559-562.
[15] 赵淑娟,赵红卫,王丽霞,等.冠心病患者服药依从性及其影响因素分析[J].中国医院药学杂志,2015,35(6):543-547.