本文關(guān)鍵詞： 用藥教育 調(diào)查研究 公眾 藥師 教育模式　出處：《廣東藥學(xué)院》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：用藥教育起源于國(guó)外19世紀(jì)中后期，它作為藥學(xué)服務(wù)的重要一環(huán)在國(guó)外已經(jīng)得到較為完善得發(fā)展。而我國(guó)在90年代才開(kāi)始全國(guó)范圍內(nèi)開(kāi)展，到目前為止，我國(guó)依舊停留在用藥教育的起步階段。因此本課題通過(guò)系統(tǒng)規(guī)范的調(diào)查研究，以廣東省為主體（華南）結(jié)合黑龍江（東北）、河南（中部）、浙江（華東）和貴州（西南地區(qū)）另外四省公眾以及廣東省醫(yī)院藥房和藥店藥師為調(diào)查對(duì)象，全面系統(tǒng)地了解用藥教育的普及程度和公眾對(duì)用藥教育的認(rèn)知度以及用藥教育在實(shí)施過(guò)程中的障礙和困難，并對(duì)調(diào)研結(jié)果進(jìn)行統(tǒng)計(jì)分析，根據(jù)結(jié)果初步構(gòu)建出適合我國(guó)的用藥教育模式。 方法：查閱文獻(xiàn)發(fā)現(xiàn)國(guó)內(nèi)外有關(guān)用藥教育的調(diào)查范圍基本都是在醫(yī)院或是某個(gè)社區(qū)，調(diào)查對(duì)象則是患者或者社區(qū)居民，范圍比較窄。而本次調(diào)查研究不僅是患者，還包括普通公眾和藥師，，調(diào)查范圍則涉及到五個(gè)省份。本次調(diào)研于2013年1月-2013年7月之間進(jìn)行，采用自制調(diào)查問(wèn)卷，由經(jīng)過(guò)篩選與培訓(xùn)、具有藥學(xué)知識(shí)背景的調(diào)查員到各地區(qū)進(jìn)行現(xiàn)場(chǎng)調(diào)查，以不記名方式填寫(xiě)，填寫(xiě)完畢后當(dāng)場(chǎng)收回。對(duì)回收的問(wèn)卷進(jìn)行仔細(xì)檢查，剔除無(wú)效問(wèn)卷。采用Excel2003輸入數(shù)據(jù)并做初步處理，采用統(tǒng)計(jì)軟件SPSSl9.0進(jìn)行統(tǒng)計(jì)分析。 結(jié)果：本次調(diào)研樣本發(fā)放量大，涵蓋范圍較廣。公眾問(wèn)卷部分：廣東省內(nèi)共發(fā)放問(wèn)卷3250份，回收3184份，無(wú)效問(wèn)卷325份，有效回收率為87.97%；另外四省共發(fā)放問(wèn)卷1620份，回收1601份，無(wú)效問(wèn)卷136份，有效回收率為90.43%。知道用藥教育的公眾均不超過(guò)10%，另外四省公眾的知曉率高于廣東省內(nèi)公眾；省內(nèi)和省外公眾參加過(guò)部分除了用藥教育的實(shí)施主體無(wú)統(tǒng)計(jì)學(xué)差異外，其他題項(xiàng)均有顯著性差異（P0.05）；省內(nèi)和省外未參加公眾部分則所有題項(xiàng)均具有顯著性差異（P0.05）；省內(nèi)和省外公眾在必填題項(xiàng)部分差異都非常大（P0.0001）。 藥師問(wèn)卷部分：廣東省內(nèi)共發(fā)放藥師問(wèn)卷680份，回收673份，無(wú)效問(wèn)卷131份問(wèn)卷，有效回收率為79.71%。用藥教育內(nèi)容的量表評(píng)分為4.22，表明藥師對(duì)量表里的內(nèi)容都比較認(rèn)同；所有題項(xiàng)得分的標(biāo)準(zhǔn)差均小于1，說(shuō)明藥師對(duì)選擇哪些作為用藥教育內(nèi)容的差異比較�。粚�(duì)實(shí)施用藥教育的意義、障礙和困難，醫(yī)院和藥店藥師無(wú)統(tǒng)計(jì)學(xué)差異（P0.05）。 結(jié)論：用藥教育普及程度低，公眾對(duì)“用藥教育”知曉度和接受率低，接受用藥教育意識(shí)薄弱，并且大多數(shù)公眾表示更愿意接受醫(yī)護(hù)人員提供的用藥教育，對(duì)藥師的信任度低。建立藥歷和定期隨訪患者是用藥教育中最重要的環(huán)節(jié)，而藥師則對(duì)這兩項(xiàng)支持率普遍較低。所以政府應(yīng)當(dāng)盡快出臺(tái)相關(guān)政策法規(guī)，推進(jìn)用藥教育的實(shí)施，同時(shí)加強(qiáng)用藥教育的宣傳，提高公眾用藥教育的認(rèn)知度和接受度；藥師應(yīng)提高自身綜合業(yè)務(wù)能力，加強(qiáng)醫(yī)學(xué)藥學(xué)知識(shí)的學(xué)習(xí)，同時(shí)也應(yīng)重視與公眾的溝通技巧；高校也應(yīng)轉(zhuǎn)變藥學(xué)教育模式，提高藥學(xué)學(xué)生實(shí)踐能力。根據(jù)本次調(diào)研結(jié)果以及在研究過(guò)程中結(jié)合公眾、藥師及藥學(xué)相關(guān)專家的意見(jiàn)，共構(gòu)建了三種不同的用藥教育模式，為我國(guó)用藥教育順利實(shí)施提供相關(guān)參考。
[Abstract]:Objective: medication education originated abroad in late nineteenth Century, it as an important part of pharmaceutical services in foreign countries has been relatively perfect development. China began in 90s nationwide, up to now, our country is still in the initial stage. Therefore the issue of medication education through the investigation and study of the system specification as the main body, in Guangdong province (Southern China) with Heilongjiang (northeast), Henan (central), Zhejiang (East) and Guizhou (southwest) in four provinces and Guangdong province public hospital pharmacy and pharmacist for the survey, a comprehensive and systematic understanding of barriers to medication education popularity and public awareness of medication and education medication education in the implementation process and difficulties, and the research results of statistical analysis, constructs a suitable for China's drug education model according to the results.
Methods: the literature found about medication education at home and abroad survey are basically in a hospital or a community, the survey is the patients and community residents, the relatively narrow scope. And this research is not only the patient, also includes the general public and the pharmacist, survey scope will involve five provinces. The research was conducted between January 2013 -2013 July, using self-made questionnaire, by screening and training with pharmacy investigators into various regions to conduct on-site survey, fill in anonymous way, after completing the spot recovery. Careful examination of the returned questionnaires, excluding invalid input data and using Excel2003 questionnaire. Do the preliminary treatment, using statistical software SPSSl9.0 for statistical analysis.
Results: the survey sample distribution amount is large, covers a wide range. The public part of the questionnaire: Guangdong Province, a total of 3250 questionnaires, 3184 were recovered, 325 invalid questionnaires, the effective recovery rate was 87.97%; in four, a total of 1620 questionnaires, 1601 were recovered, 136 invalid questionnaires, the effective recovery rate 90.43%. know the education of medication for the public are not more than 10%, the other four provincial public awareness rate is higher than that of Guangdong province outside the province and the public; the public participated in the implementation of the main part in the education of medication have no significant difference, the other items had significant difference (P0.05); the province and the province did not participate in the public part of all items there were significant differences (P0.05); outside the province and the public in the required items are part of the difference is very large (P0.0001).
Pharmacist: part of the questionnaire in Guangdong Province issued a total of 680 questionnaires of pharmacists, recovery of 673, invalid questionnaires 131 questionnaires, the effective recovery rate was 79.71%. medication education content scale score was 4.22, showed that the content of pharmacists on scale are identity; all items score standard deviation was less than 1, the pharmacist to choose what is the difference between the content of medication education is relatively small; the implementation of medication education significance, obstacles and difficulties, no significant difference between hospitals and pharmacies pharmacists (P0.05).
Conclusion: medication education penetration is low, the public on the "drug education" awareness and acceptance rate is low, accept medication education consciousness is weak, and the majority of the public expressed a willingness to accept the education of medication for medical personnel to provide the low trust of pharmacists. Establish a medication and regular follow-up of patients is the most important part in the education of medication the pharmacist is, on the two support rate is generally low. So the government should as soon as possible to promote the implementation of policies and regulations, and strengthen the education of medication, medication education propaganda, raise awareness of the public administration education and acceptance; pharmacists should improve their comprehensive professional ability, strengthen medical and pharmaceutical knowledge, at the same time the public should pay attention to and communication skills; colleges should also change pharmaceutical education, improve pharmacy students practical ability. According to the research results, combined with the public in the process of research, The opinions of pharmacists and pharmaceutical experts have constructed three different modes of medication education to provide reference for the successful implementation of drug education in China.

【學(xué)位授予單位】：廣東藥學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R95

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 劉佐仁;李嘉偉;;珠三角地區(qū)公眾用藥安全意識(shí)與行為分析探討[J];廣東藥學(xué)院學(xué)報(bào);2012年06期

2 錢(qián)揚(yáng);劉佐仁;;廣東省公眾安全用藥認(rèn)知情況分析[J];山東醫(yī)藥;2013年06期

本文編號(hào)：1513681