本文選題：患者 + 用藥習(xí)慣��； 參考：《中國(guó)藥房》2017年12期

【摘要】：目的:為有針對(duì)性地開(kāi)展和完善我院的藥學(xué)服務(wù)工作提供參考。方法:采用問(wèn)卷調(diào)查的形式,隨機(jī)選取我院患者面對(duì)面或通過(guò)網(wǎng)絡(luò)平臺(tái)就其用藥習(xí)慣及對(duì)用藥知識(shí)的了解現(xiàn)狀與需求進(jìn)行調(diào)查,并對(duì)結(jié)果進(jìn)行統(tǒng)計(jì)和分析。結(jié)果:本調(diào)查面對(duì)面發(fā)放問(wèn)卷289份,回收有效問(wèn)卷282份,有效回收率為97.58%;通過(guò)網(wǎng)絡(luò)平臺(tái)回收有效問(wèn)卷51份,兩種途徑共回收有效問(wèn)卷333份。問(wèn)卷調(diào)查結(jié)果顯示,44.14%的受訪患者會(huì)在服藥前仔細(xì)閱讀藥品說(shuō)明書(shū);41.14%的受訪患者會(huì)特別關(guān)注藥品說(shuō)明書(shū)上標(biāo)注的不良反應(yīng)及注意事項(xiàng);超過(guò)60%的受訪患者出現(xiàn)過(guò)各種不良服藥方式;病情好轉(zhuǎn)后66.07%的受訪患者會(huì)自行停藥或減量;病情未好轉(zhuǎn)時(shí)26.73%的受訪患者會(huì)自行換藥或加量。"向醫(yī)護(hù)人員咨詢"是受訪患者最主要的(69.07%)也是信任度最高的(84.08%)的用藥知識(shí)來(lái)源。受訪患者最希望了解的用藥知識(shí)是"不良反應(yīng)和副作用"(65.46%),且"適應(yīng)證和適用人群""注意事項(xiàng)""服用多種藥物時(shí)藥物的相互作用""用法用量"等的選擇率也較高;其中年齡和學(xué)歷等人群特征對(duì)于患者某些選項(xiàng)的選擇存在顯著影響(P0.05)。"當(dāng)面咨詢"是受訪患者期望獲取用藥知識(shí)的最主要的渠道(72.97%),其余還有"電話咨詢""網(wǎng)絡(luò)咨詢"等,且年齡和學(xué)歷等人群特征對(duì)于患者某些選項(xiàng)的選擇均存在顯著影響(P0.05)。結(jié)論:我院患者對(duì)藥品說(shuō)明書(shū)及其內(nèi)容關(guān)注度還不夠高,不良用藥習(xí)慣仍普遍存在;其用藥知識(shí)來(lái)源多樣,但對(duì)于除醫(yī)護(hù)人員外的其余來(lái)源信任度均不高;其對(duì)于用藥知識(shí)需求呈多樣性,而我院目前提供的藥學(xué)服務(wù)形式及內(nèi)容還不能充分滿足患者的需要。
[Abstract]:Objective: to provide reference for the development and improvement of pharmaceutical care in our hospital.Methods: by means of questionnaire survey, we selected the patients face to face or through the network platform to investigate the current situation and demand of drug use habits and knowledge of drug use, and analyzed the results.Results: 289 questionnaires were sent out face to face, 282 valid questionnaires were collected, the effective recovery rate was 97.58, 51 valid questionnaires were collected through network platform, 333 valid questionnaires were recovered by two ways.The results of the questionnaire survey showed that 44.14% of the patients would read the drug instructions carefully before taking the drug and 41.14% of the patients would pay special attention to the adverse reactions and matters needing attention.More than 60 percent of the patients surveyed had all kinds of bad methods of taking medicine; 66.07 percent of the patients would stop or reduce the amount of drugs on their own when their condition improved; 26.73 percent of the patients would change their own medicine or increase their dosage when their condition did not improve. "Consulting with medical staff is the most important source of knowledge about drug use in the patients interviewed (69.07) and 84.08 (the highest degree of trust).The most desirable knowledge of drug use was "adverse reactions and side effects" (65.46%), and the selection rate of "indications and applicable population", "matters needing attention" and "interaction of drugs" and "usage dosage" were also higher.Among them, age and educational background have a significant effect on the choice of certain options for patients (P 0.05). "Face-to-face consultation was the most important channel for patients to acquire knowledge of drug use, while others included "telephone consultation" and "Internet consultation", and age and educational background had a significant impact on the choice of certain options for patients.Conclusion: patients in our hospital have not paid enough attention to the drug instruction and its contents, and the bad drug use habits are still common, the knowledge of drug use is diverse, but the trust of the other sources is not high except for the medical staff.The demand for knowledge of drug use is diverse, but the forms and contents of pharmaceutical services provided by our hospital can not fully meet the needs of patients.
【作者單位】： 四川大學(xué)華西第四醫(yī)院;
【基金】：四川大學(xué)華西第四醫(yī)院科研啟動(dòng)基金(No.2014syqd006)
【分類號(hào)】：R95

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