中西医结合医院开展合理用药咨询门诊的实践与分析
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篇名: 中西医结合医院开展合理用药咨询门诊的实践与分析
TITLE:
摘要: 目的:提高用药咨询的质量和效率,促进临床合理用药。方法:按随机数字表法选取2015年10月-2016年10月上海中医药大学附属岳阳中西医结合医院合理用药咨询门诊520例患者的咨询记录,按咨询内容、咨询者年龄及类别、咨询科室、咨询药品种类、中西药联用品种数分布情况以及咨询者满意度等内容进行归纳整理和分析。结果:咨询内容主要为药品用法用量(41.92%)、中西药联用(12.88%)等;咨询者年龄以50~70岁(48.27%)为主,且多为患者本人或其家属(95.96%);初诊科室以心内科、内分泌科居多;咨询药品种类排名前3位分别为心血管系统药物、神经系统药物及消化系统药物,中成药种类以调理药及活血化瘀药为主;中西药联用总品种数≤3种的有420例(80.77%);多数患者对门诊用药咨询非常满意(93.65%)。结论:合理用药咨询能提高患者的用药依从性,满足其对安全用药知识的需求,为临床用药的安全、合理提供保障。
ABSTRACT: OBJECTIVE: To improve the quality and efficiency of medication consultation and to promote rational drug use in clinic. METHODS: Totally of 520 cases of medication consultation records from the Affiliated Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM during Oct. 2015-Oct. 2016 were selected according to random number table, and then summarized and analyzed statistically in respects of consultation content, age and type of consultants, department, consulted medicine types, the number of combination of TCM and Western medicine, satisfactory degree of consultants, etc. RESULTS: The main consultation contents included usage and dosage (41.92%), combination of TCM and Western medicine (12.88%), etc. Consultants mainly aged 50-70 years old (48.27%), and were mainly the patients and their family members (95.96%). Consultants were primarily diagnosed in cardiology department and endocrinology department. Top 3 consulted medicine types were cardiovascular system medicines, nervous system medicines, digestive system medicines, and types of Chinese patent medicines were mainly coordinating medicines and activating blood and removing stasis medicines. Types of TCM combined with Western medicine were less than or equal to 3 kinds in 420 cases (80.77%). Most patients were very satisfied with outpatient medication consultation (93.65%). CONCLUSIONS: Rational drug use consultation improves medication compliance of patients, meets the needs of patients on medication safety knowledge, and provides a strong guarantee for safe and rational drug use in clinic.
期刊: 2018年第29卷第4期
作者: 年华,马明华,徐熠,吴铁军,刘静,张婧婷,徐泯
AUTHORS: NIAN Hua,MA Minghua,XU Yi,WU Tiejun,LIU Jing,ZHANG Jingting,XU Min
关键字: 用药咨询;药学服务;合理用药;临床药学
KEYWORDS: Medication consultation; Pharmaceutical care; Rational drug use; Clinical pharmacy
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