【摘要】：目的：了解新疆維吾爾自治區(qū)基層醫(yī)務(wù)人員對國家基本藥物的認(rèn)知情況及影響因素,為我區(qū)進(jìn)一步推廣使用國家基本藥物并制定符合我區(qū)實(shí)際情況的基本藥物行動計劃提供必要依據(jù)。方法：2011年8月-2012年8月對1842名新疆地區(qū)基層醫(yī)務(wù)人員采用分層抽樣法進(jìn)行國家基本藥物制度認(rèn)知情況問卷調(diào)查,共發(fā)放問卷2000份。數(shù)據(jù)采用EpiData3.1雙人錄入并核對數(shù)據(jù),應(yīng)用SPSS17.0軟件對數(shù)據(jù)進(jìn)行構(gòu)成比,χ2檢驗(yàn),Logistic回歸分析處理等。結(jié)果：(1)基本藥物概念在新疆基層醫(yī)務(wù)人員范圍內(nèi)知曉率為72.1%,但分析發(fā)現(xiàn)大部分醫(yī)務(wù)人員對于國家基本藥物還需進(jìn)一步的了解。(2)基層醫(yī)務(wù)人員基本藥物知曉主要來源是電視／廣播、業(yè)務(wù)培訓(xùn)、報紙／專業(yè)期刊。(3)在所有被調(diào)查的醫(yī)務(wù)人員中,719位醫(yī)務(wù)人員(39.03%)屬于認(rèn)知度高。多因素Logistic回歸結(jié)果表明,民族,學(xué)歷,職業(yè),職稱,年齡,工作年限和科室都與認(rèn)知度高低有統(tǒng)計學(xué)關(guān)聯(lián)。(4)82.8%%的基層醫(yī)生開處方時首選基本藥物(5)基層醫(yī)務(wù)人員中對進(jìn)行基本藥物方面的知識培訓(xùn)認(rèn)為有必要的比例為76.8%。(6)79%的醫(yī)生在開處方時經(jīng)常向病人推薦使用基本藥物。(7)47.9%的基層醫(yī)生認(rèn)為,基本藥物在本地常見和多發(fā)病中基本適用。(8)52.3%醫(yī)務(wù)人員認(rèn)為認(rèn)為使用基本藥物在很大程度上能夠促進(jìn)合理用藥。結(jié)論：國家基本藥物概念在基層醫(yī)務(wù)人員中已經(jīng)在一定程度上得到普及,但是基層醫(yī)務(wù)人員對于國家基本藥物的認(rèn)識水平仍然偏低�；鶎俞t(yī)務(wù)人員接受國家基本藥物知識培訓(xùn)的次數(shù)偏少,時間較短。基層醫(yī)務(wù)人員向患者宣傳國家基本藥物的力度不夠,護(hù)士和藥學(xué)人員在推廣國家基本藥物方面缺乏與醫(yī)生的溝通。建議：進(jìn)一步完善推行國家基本藥物的政策措施,加大國家基本藥物的宣傳、培訓(xùn)和教育力度,注重更新基層醫(yī)務(wù)人員的臨床用藥知識,制訂標(biāo)準(zhǔn)治療指南和良好處方集,完善藥品流通體制,制訂合理的醫(yī)療機(jī)構(gòu)補(bǔ)償政策,推動合理用藥和基本藥物的使用。
[Abstract]:Objective: to investigate the cognition and influencing factors of basic medical staff in Xinjiang Uygur Autonomous region on national essential drugs. It provides the necessary basis for further popularizing the use of national essential drugs and drawing up the action plan of essential drugs in accordance with the actual situation in our region. Methods: from August 2011 to August 2012, a total of 2000 questionnaires were distributed to 1842 primary medical personnel in Xinjiang using stratified sampling method. The data were input and checked by EpiData3.1, and the data were analyzed by SPSS17.0 software, 蠂 2 test, Logistic regression analysis and so on. Results: (1) the awareness rate of the concept of essential drugs was 72.1% among the basic medical personnel in Xinjiang. However, the analysis found that most medical personnel need to know more about national essential drugs. (2) the main sources of basic medical staff's knowledge of essential drugs are television / radio, business training. Newspapers / specialized periodicals. (3) of all the medical staff surveyed, 719 (39.03%) were highly recognized. The results of multivariate Logistic regression showed that nationality, education, occupation, professional title, age, (4) 82.8% of the doctors at the grass-roots level prescribe the first choice of essential drugs (5) basic medical personnel to carry out knowledge training on essential drugs. (6) 79% of doctors often recommend essential drugs to patients when prescribing them. (7) 47.9% of primary doctors believe, (8) 52.3% of the medical staff think that the use of essential drugs can promote rational use of drugs to a large extent. Conclusion: the concept of national essential drugs has been popularized to a certain extent among the basic medical personnel, but the level of understanding of the basic medical personnel about the national essential drugs is still on the low side. The number of basic medical personnel receiving national basic medicine knowledge training is on the low side and the time is short. Grass-roots medical personnel did not communicate with the doctors about the national essential drugs, and nurses and pharmacists did not communicate with the doctors in the promotion of the national essential drugs. Suggestions: to further improve the policies and measures for the implementation of national essential drugs, to increase the propaganda, training and education of national essential drugs, to pay attention to updating the clinical knowledge of medical personnel at the grass-roots level, to formulate standard treatment guidelines and good prescriptions, Improve the drug circulation system, formulate a reasonable compensation policy for medical institutions, and promote rational use of drugs and essential drugs.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R95

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