慢性病患者用药情况及药学服务的研究
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摘要
目的通过调查我院慢性病患者的用药情况,为基层药师如何开展更好的用药教育提供参考依据。方法通过调查问卷方式对2018年7月～2019年2月我院门诊140例慢性病患者的用药情况和药物知识的掌握情况、对药学服务等进行调查。结果本次调查共发放问卷142份,回收有效问卷140份,有效回收率为98.59%。140例慢性病患者中,男性92例,女性48例;其中75.71%表示能按时按量服药,20.00%表示偶有漏服药情况,2.86%表示经常漏服药。对药品基本知识中用法用量了解比例最高为82.14%,其次适应证、饮食影响、注意事项、禁忌证与药物相互作用、不良反应;对药品基本知识中禁忌症与药物相互作用不了解比例最高为48.57,其次为不良反应、注意事项、适应证、饮食影响、用法用量。有82.14%表示获取药品信息的途径是咨询医生,1.43%选择护士,2.86%选择药师,8.57%选择说明书,5.00%选择其它途径。有74.29%希望以后得到的药学服务是通过提供药物咨询窗口及医务人员的定期随访,6.43%希望电话回访,2.86%希望网上咨询,16.43%希望通过多途径得到药学服务。另外,有97.14%表示支持开展药学服务工作,1.42%表示不会支持药学服务工作,1.42%表示不清楚开展的药学服务工作。结论慢性病患者服药依从性较差,对药品基本知识的了解程度不够清楚,获取药物信息的途径比较单一,且对药学服务需求较大。应根据慢性病患者服药特点,制定个性化药学服务工作。
Objective To investigate the use of drugs in patients with chronic diseases in our hospital, and provide reference for how grassroots pharmacists can carry out better medication education.Methods A questionnaire survey was conducted to investigate the drug use and drug knowledge of 140 patients with chronic diseases in our hospital from July 20 to February 2019, and to investigate the pharmaceutical services. Results A total of 142 questionnaires were distributed in this survey, and 140 valid questionnaires were collected. The effective recovery rate was 98.59%. A total of 140 patients with chronic diseases were enrolled, including 92 males and 48 females; 75.71% of them said that they could take the drugs on time, 20.00% said they occasionally missed the drug, and 2.86% said they often missed the drug. The highest proportion of usage and dosage in the basic knowledge of drugs is 82.14%, followed by indications, dietary effects, precautions, contraindications and drug interactions, and adverse reactions. The highest proportion of contraindications and drug interactions in drug basic knowledge is 48.57, followed by adverse reactions,precautions, indications, dietary effects, usage and dosage. 82.14% said that the way to obtain drug information is to consult a doctor, 1.43% choose a nurse, 2.86% choose a pharmacist, 8.57% select a manual, and 5.00% choose another route. 74.29% hope that the pharmacy service will be obtained through the provision of drug consultation window and regular follow-up of medical staff, 6.43% hope to return to the phone, 2.86% hope online consultation, 16.43% hope to get pharmacy service through multiple channels. In addition, 97.14% expressed support for pharmaceutical services,1.42% said they would not support pharmaceutical services, and 1.42% said they did not know about the pharmaceutical services. Conclusion The patients with chronic diseases have poor medication compliance, and the understanding of the basic knowledge of drugs is not clear enough. The way to obtain drug information is relatively simple, and the demand for pharmaceutical services is relatively large. Personalized pharmacy services should be developed according to the characteristics of patients taking chronic diseases.
Objective To investigate the use of drugs in patients with chronic diseases in our hospital, and provide reference for how grassroots pharmacists can carry out better medication education.Methods A questionnaire survey was conducted to investigate the drug use and drug knowledge of 140 patients with chronic diseases in our hospital from July 20 to February 2019, and to investigate the pharmaceutical services. Results A total of 142 questionnaires were distributed in this survey, and 140 valid questionnaires were collected. The effective recovery rate was 98.59%. A total of 140 patients with chronic diseases were enrolled, including 92 males and 48 females; 75.71% of them said that they could take the drugs on time, 20.00% said they occasionally missed the drug, and 2.86% said they often missed the drug. The highest proportion of usage and dosage in the basic knowledge of drugs is 82.14%, followed by indications, dietary effects, precautions, contraindications and drug interactions, and adverse reactions. The highest proportion of contraindications and drug interactions in drug basic knowledge is 48.57, followed by adverse reactions,precautions, indications, dietary effects, usage and dosage. 82.14% said that the way to obtain drug information is to consult a doctor, 1.43% choose a nurse, 2.86% choose a pharmacist, 8.57% select a manual, and 5.00% choose another route. 74.29% hope that the pharmacy service will be obtained through the provision of drug consultation window and regular follow-up of medical staff, 6.43% hope to return to the phone, 2.86% hope online consultation, 16.43% hope to get pharmacy service through multiple channels. In addition, 97.14% expressed support for pharmaceutical services,1.42% said they would not support pharmaceutical services, and 1.42% said they did not know about the pharmaceutical services. Conclusion The patients with chronic diseases have poor medication compliance, and the understanding of the basic knowledge of drugs is not clear enough. The way to obtain drug information is relatively simple, and the demand for pharmaceutical services is relatively large. Personalized pharmacy services should be developed according to the characteristics of patients taking chronic diseases.
引文
[1]中华人民共和国国家卫生和计划生育委员会.中国疾病预防控制工作进展(2015年)报告[J].首都公共卫生,2015,9(3):97-101.
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[5]吴盛友.门诊药房药师如何开展临床药学服务工作[J].临床医药文献电子杂志,2019,6(1):190.
[6]王娜,许恩喜,房树华,等.品管圈在提高慢病患者家庭用药依从性中的应用[J].湖北科技学院学报(医学版),2018,32(5):433-436.
[7]张欣钰,郑云慧,孙梦潇,等.居家老年慢性病患者用药风险及影响因素分析[J].嘉兴学院学报,2017,29(6):115-119.
[8]董杰,李艳娜,尹玉磊,等.不同药学服务模式对患者用药依从性的影响[J].中国医院用药评价与分析,2011,6(1):84-85.
[9]廖润玲.慢性病患者用药情况及药学服务模式研究进展[J].中国卫生产业,2018,15(16):191-192.
[2]罗红梅.药学服务干预对于慢性病患者用药疗效与用药依从性的影响[J].中国医学创新,2014.26(7):98-100.
[3]郑智华,王勇.广东省药学门诊工作的推进[J].今日药学,2018,28(8):576.
[4]刘秀坤,董乃清,伊楠楠,等.213例呼吸科住院患者用药教育的回顾性分析[J].中国医院用药评价与分析,2018,18(8):1134-1139.
[5]吴盛友.门诊药房药师如何开展临床药学服务工作[J].临床医药文献电子杂志,2019,6(1):190.
[6]王娜,许恩喜,房树华,等.品管圈在提高慢病患者家庭用药依从性中的应用[J].湖北科技学院学报(医学版),2018,32(5):433-436.
[7]张欣钰,郑云慧,孙梦潇,等.居家老年慢性病患者用药风险及影响因素分析[J].嘉兴学院学报,2017,29(6):115-119.
[8]董杰,李艳娜,尹玉磊,等.不同药学服务模式对患者用药依从性的影响[J].中国医院用药评价与分析,2011,6(1):84-85.
[9]廖润玲.慢性病患者用药情况及药学服务模式研究进展[J].中国卫生产业,2018,15(16):191-192.