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我院门诊药房药学服务现状调查及建议

     

摘要

目的:为门诊药房更好地开展药学服务工作,保证门诊患者安全、有效、合理地用药提供参考。方法:根据我院门诊药房咨询窗口提供的有关资料并参考有关文献设计调查问卷,随机选取于我院门诊药房取药的患者进行调查,并对调查结果进行统计分析。结果:发出调查问卷450份,收回有效调查问卷417份,有效回收率为92.67%。受访患者最关注的合理用药相关问题是药物的用法用量和注意事项,选择的人数高达254(60.91%)和251(60.19%);其次是功能与主治,选择的人数达234(56.12%);另外,药物疗效、服药时间和老人、儿童、孕产妇用药等也是患者普遍关心的问题。受访患者中,盲目用药的占20.75%,89.45%认为药师的指导对其用药有帮助,但还有21.35%得不到药师的用药指导。结论:调查显示门诊患者合理用药的意识较淡薄且药物知识缺乏,渴望获得药师的专业用药指导,但目前门诊药房的药学服务开展有待改善。建议通过实行要点式用药交待、采用红色蓝色警示标签、提供全方位的用药咨询服务、开展合理用药宣教等措施积极推进药学服务工作。%OBJECTIVE:To better carry out the pharmaceutical services in outpatient pharmacy,and provide reference for the safe,effective and rational drug use of outpatients. METHODS:Questionnaires were designed based on the related information pro-vided by consultation services of outpatient pharmacy in our hospital and referring to the related literatures to randomly select and investigate the patients of outpatient pharmacy in our hospital,and the results were statistically analyzed. RESULTS:There were to-tally 450 questionnaires,involving 417 valid questionnaires with the effective recovery of 92.67%. The questions about pharmaceuti-cal service of surveyed patients were dosage and precautions,respectively with the number of 254(60.91%)and 251(60.19%);followed by functions and indications,with the number of 234 (56.12%);besides,there were also with widespread concerns, such as drugs efficacy,medication time,and medication of elderly,children and pregnant women,etc. Among the surveyed pa-tients,20.75% were blind medication;89.45% thought the pharmacists’guidance was helpful for medication;there were still 21.35% without pharmacists’medication guidance. CONCLUSIONS:The survey shows the poor awareness of rational drug use and lacking knowledge of drugs in outpatients,they are eager for medication guidance from professional pharmacists. However,the pharmaceutical service in outpatient pharmacy needs to be improved. It is suggested to actively promote the pharmacy services by implementing points medication,adopting red and blue for warning labels,providing comprehensive drug counseling services and carrying out rational drug use education,etc.

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