【摘要】：目的:探討微信平臺在線服務(wù)對兒童家庭安全用藥及藥學(xué)服務(wù)質(zhì)量的影響。方法:匯總我院"兒童用藥問答"微信平臺(微信號:etyywd)2014年6月1日-2015年12月31日的在線咨詢記錄,對咨詢時間段、有咨詢需求的患兒的年齡段、用藥咨詢所涉及的系統(tǒng)以及差錯類型等進(jìn)行統(tǒng)計分析。結(jié)果:共收集到微信平臺問答記錄29 850條,其中與用藥相關(guān)的有13 315條(占44.61%)。用藥咨詢的高峰時間段為上午9:00-10:00,累計咨詢總量達(dá)1 840條(占13.82%);咨詢最少的時間段為凌晨4:00-5:00,僅有13條(占0.10%)。有咨詢需求的患兒以1~6歲年齡段居多,集中在學(xué)齡前期(占31.20%)和幼兒期(占26.32%)。涉及的系統(tǒng)主要包括呼吸系統(tǒng)、免疫系統(tǒng)、消化系統(tǒng),其中呼吸系統(tǒng)最多(占60.28%)。已經(jīng)發(fā)生和可能發(fā)生且被及時糾正的用藥差錯問答記錄有1 508條(占11.33%),其中用藥差錯類型主要為不合理使用退燒藥(占3.91%)、濫用抗菌藥物(占3.14%)、隨意聯(lián)合或過度用藥(占3.04%)、劑量過大或過小(占0.69%)、霧化吸入劑出院帶藥使用不當(dāng)(占0.41%)、維生素類服用過量(占0.14%)等。結(jié)論:通過微信平臺,可擴(kuò)大臨床藥師的服務(wù)范圍。作為醫(yī)院藥學(xué)服務(wù)的延伸,這可在一定程度上降低因患者或家屬的錯誤認(rèn)知而導(dǎo)致的兒童家庭用藥差錯風(fēng)險;同時還可加強(qiáng)醫(yī)患溝通,改善醫(yī)療服務(wù)體驗。
[Abstract]:Objective: to explore the effect of online service on children's family safety drug use and quality of pharmaceutical service on WeChat platform. Methods: the online counseling records of "Children's Drug Question-Questionation" (: etyywd) were collected from June 1, 2014 to December 31, 2015, and the age of the children with counseling needs were analyzed. The system and error types involved in drug counseling were statistically analyzed. Results: a total of 29 850 questions and answers were recorded on WeChat platform, of which 13 315 (44.61%) were related to drug use. The peak time of drug consultation was 9: 00-10: 00 in the morning, the total amount of consultation was 1 840 (13.82%), and the least consultation period was 4: 00-5: 00 in the morning, only 13 (0.10%). The majority of children with counseling needs were in the age of 1 to 6 years old, mainly in preschool (31.20%) and early childhood (26.32%). The main systems involved include respiratory system, immune system and digestive system, of which the respiratory system is the most (60.28%). There were 1 508 questions and answers (11.33%) of drug errors that had occurred or were likely to occur and were corrected in time. The main types of drug errors were irrational use of antifebrile drugs (3.91%), abuse of antibiotics (3.14%), Random combination or overdose (3.04%), excessive dosage (0.69%), improper use of aerosol inhalation (0.41%), excessive use of vitamins (0.14%), etc. Conclusion: the service range of clinical pharmacists can be expanded by WeChat platform. As an extension of hospital pharmaceutical care, it can reduce the risk of drug errors in children caused by the wrong cognition of patients or family members to a certain extent, strengthen doctor-patient communication, and improve the experience of medical service.
【作者單位】： 上海市兒童醫(yī)院/上海交通大學(xué)附屬兒童醫(yī)院藥劑科;
【基金】：上海市科學(xué)技術(shù)委員會科研計劃項目(No.15dz2354300) 上海交通大學(xué)醫(yī)學(xué)院醫(yī)院藥學(xué)科研基金青年項目(No.JDYX2016QN018)
【分類號】：R95

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