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17个省（区、市）56家“三甲”医院医务人员及患者对临床药师的需求及评价调查
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| 篇名： | 17个省（区、市）56家“三甲”医院医务人员及患者对临床药师的需求及评价调查 |
| TITLE： | |
| 摘要： | 目的：为临床药师明确工作定位、改进工作模式、提升药学服务水平提供参考。方法：采用问卷调查方法，对国内18个省（区、市）的65家“三甲”医院的医护人员、药师及患者进行抽样调查，并就调查数据进行统计和分析，进而提出建议。结果：共发放问卷3 840份，回收有效问卷3 045份[涉及17个省（区、市）的56家“三甲”医院]，有效回收率为79.30％；其中，受访医护人员填写的问卷1 001份，受访药师填写的问卷1 013份，受访患者填写的问卷1 031份。受访医护人员中有88.45％认为其所在科室非常有必要或有必要配备临床药师；最需要临床药师提供的药学服务是积极参与临床查房、患者管理、疑难病例讨论、会诊等（77.32％）；有64.54％认为临床药师基本能参加临床工作、解决简单用药问题，有27.17％认为其有时无法回答或解决临床用药相关问题，有14.59％认为其临床思维缺乏、无法与医护人员沟通；经常遇见的涉药问题主要是药物产生的不良反应（78.02％）、用法用量（72.83％）、配伍禁忌（72.63％）、药物适应证（63.14％）、溶剂选择（61.74％）等。受访药师对于临床药师参加临床治疗工作的时间比例选择最多的是50％以上（35.55％）和30％以上（23.46％），还有13.19％认为其基本不参与临床治疗工作；认为临床药师的知识结构缺陷主要表现在临床医学与治疗学知识（92.50％）、交流沟通知识（47.19％）、药学专业知识（46.10％）等方面。受访患者中有87.90％表示愿意接受临床药师提供的用药指导；最需要临床药师提供的药学服务是用药告知和指导（79.92％）、观察用药情况和发现用药问题（71.00％）。结论：医务人员及患者对临床药师有着与临床治疗工作及合理用药相关的多方面药学服务需求，而从评价看临床药师还未达到医务人员及患者的要求。建议临床药师应明确工作定位，改进工作模式、专职参与临床治疗工作，完善知识结构、提升药学服务水平。 |
| ABSTRACT： | OBJECTIVE： To provide reference for the clinical pharmacists to determine their work orientation， and improve their work mode and pharmaceutical care level. METHODS： The questionnaire survey was conducted among doctors， nurses， patients and pharmacists from 65 third grade class A hospitals of 18 provinces （regions， cities） in China. The collected data were analyzed statistically and suggestions were presented. RESULTS： Totally 3 840 questionnaires were sent out， 3 045 were effectively received with a recovery of 79.30％[involving 56 third grade class A hospitals of 17 provinces （regions， cities）]. Of 3 045 valid questionnaires， 1 001 questionnaires were filled out by the doctors and nurses， 1 013 questionnaires were filled by the pharmacists and 1 031 questionnaires were filled out by the patients. 88.45％ of the survey doctors and nurses thought that clinical pharmacists were needed in their wards. The major clinical pharmaceutical care they needed were the participation of clinical pharmacists in the clinical ward round， patients management， difficult case discussions， consultation （77.32％）， etc. 64.54％ of the survey doctors and nurses thought that clinical pharmacists could participate the clinical work and solve some simple medicine-related problems， and 27.17％ of the survey doctors and nurses thought that clinical pharmacists could resolve clinical medicine-related problems. 14.59％ of the survey doctors and nurses believed that clinical pharmacists lacked clinical thinking and could not communicate with medical staff. The most common problems the survey medical staff met were as follows： ADR （78.02％）， usage and dosage （72.83％）， contraindications （72.63％）， drug indication （63.14％） and solvent selection （61.74％）， etc. As regards the ratio of working time which clinical pharmacists spent on their clinical work， over 50％（35.55％） and 30％（23.46％） were most chosen by the survey pharmacists， while 13.19％ of the survey pharmacists thought clinical pharmacists almost did not participate in clinical work. The survey pharmacists thought that there were some deficiencies in the knowledge structure of clinical pharmacists， such as clinical medical science and therapeutics （92.50％）， communication skills （47.19％） ， professional knowledge of pharmacy（46.10％）， etc. 87.90％ of the survey patients were willing to accept the medication guidance provided by clinical pharmacists. The services they required were as follows：medication guidance（79.92％）， observation and discovery of medication problem（71.00％）， etc. CONCLUSIONS： Medical staff and patients have demands in many ways associated with clinical work and rational drug use provided by clinical pharmacists， while the clinical pharmacists have yet not reached the demands of medical staff and patients in regard to their evaluation. It is suggested that the clinical pharmacists should ascertain their work orientation， improve their work mode， participate the clinical work in full-time， complete their knowledge structure and ascent their pharmaceutical service level. |
| 期刊： | 2018年第29卷第8期 |
| 作者： | 李娟，张成志，陈庆宪，杨佳丹，龙锐，蒙龙，邱峰 |
| AUTHORS： | LI Juan，ZHANG Chengzhi，CHEN Qingxian，YANG Jiadan，LONG Rui，MENG Long，QIU Feng |
| 关键字： | 临床药师；药学服务；医务人员；患者；需求；评价；调查 |
| KEYWORDS： | Clinical pharmacist； Pharmaceutical care； Medical staff； Patient； Demand； Evaluation； Survey |
| 阅读数： | 470 次 |
| 本月下载数： | 44 次 |
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