中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2015年
8期
75-76,77
,共3页
特殊人群%用药安全%药师
特殊人群%用藥安全%藥師
특수인군%용약안전%약사
special populations%medication safety%pharmacist
目的：探讨特殊人群用药安全影响因素并评价药师干预作用的效果。方法分析医院178种常用药品说明书，了解针对特殊人群用药注意事项等项目的标注情况。纳入2542例特殊人群患者，开展问卷调查，了解其对用药安全的认识情况并分析特殊人群用药安全的影响因素。将受试患者随机分为对照组和观察组，各1271例。观察组采用药师干预。比较两组患者住院时间、住院费用及抗菌药物费用差异。结果临床常用药品说明书对特殊人群用药安全项的标注率较低；监护人态度、家庭因素、患者（或监护人）文化水平、对药物说明的认识、医嘱执行情况与患者用药安全相关，其中监护人态度、对药物说明的认识、医嘱执行情况是主要影响因素；与干预前相比，干预后患者住院时间明显缩短，抗菌药物费用明显降低，患者住院费用明显减少（ P＜0.05）。结论特殊人群用药安全影响因素众多，其中监护人态度、对药物说明的认识、医嘱执行情况的影响较明显。通过临床药师专业、系统地干预，可明显提高特殊人群患者的用药安全水平。
目的：探討特殊人群用藥安全影響因素併評價藥師榦預作用的效果。方法分析醫院178種常用藥品說明書，瞭解針對特殊人群用藥註意事項等項目的標註情況。納入2542例特殊人群患者，開展問捲調查，瞭解其對用藥安全的認識情況併分析特殊人群用藥安全的影響因素。將受試患者隨機分為對照組和觀察組，各1271例。觀察組採用藥師榦預。比較兩組患者住院時間、住院費用及抗菌藥物費用差異。結果臨床常用藥品說明書對特殊人群用藥安全項的標註率較低；鑑護人態度、傢庭因素、患者（或鑑護人）文化水平、對藥物說明的認識、醫囑執行情況與患者用藥安全相關，其中鑑護人態度、對藥物說明的認識、醫囑執行情況是主要影響因素；與榦預前相比，榦預後患者住院時間明顯縮短，抗菌藥物費用明顯降低，患者住院費用明顯減少（ P＜0.05）。結論特殊人群用藥安全影響因素衆多，其中鑑護人態度、對藥物說明的認識、醫囑執行情況的影響較明顯。通過臨床藥師專業、繫統地榦預，可明顯提高特殊人群患者的用藥安全水平。
목적：탐토특수인군용약안전영향인소병평개약사간예작용적효과。방법분석의원178충상용약품설명서，료해침대특수인군용약주의사항등항목적표주정황。납입2542례특수인군환자，개전문권조사，료해기대용약안전적인식정황병분석특수인군용약안전적영향인소。장수시환자수궤분위대조조화관찰조，각1271례。관찰조채용약사간예。비교량조환자주원시간、주원비용급항균약물비용차이。결과림상상용약품설명서대특수인군용약안전항적표주솔교저；감호인태도、가정인소、환자（혹감호인）문화수평、대약물설명적인식、의촉집행정황여환자용약안전상관，기중감호인태도、대약물설명적인식、의촉집행정황시주요영향인소；여간예전상비，간예후환자주원시간명현축단，항균약물비용명현강저，환자주원비용명현감소（ P＜0.05）。결론특수인군용약안전영향인소음다，기중감호인태도、대약물설명적인식、의촉집행정황적영향교명현。통과림상약사전업、계통지간예，가명현제고특수인군환자적용약안전수평。
Objective To study the influence factors of medication safety in special populations and to evaluate the pharmacist interven-tion effect. Methods The instructions of 178 kinds of commonly used drugs in hospital were analyzed for understanding the label situ-ation aiming at the medication precautions for special populations. Then the questionnaire investigation was performed on 2 542 included special crowd patients for understanding the cognition situation on medication safety and analyzing the influence factors of medication safety in special populations. The patients were randomly divided into the control group and the observation group,1 271 cases in each group. The observation group adopted the pharmacist intervention. The hospitalization duration,hospitalization expenses and antibacterial drugs costs were compared between the two groups. Results The label rate of medication safety for the special populations in the drug instructions was lower. The guardian attitude,family factors,patient(or gardian)cultural level,cognition on drug instruction and executive condition of medical orders were related with the medication of patients,in which the guardian attitude,cognition on drug instruction and executive condition of medical orders were the main influence factors. Compared with before intervention,the hospitalization duration was significantly shortened,the antibacterial drugs expenses were significantly dropped and the hospitalization expenses were significantly de-creased( P < 0. 05). Conclusion The medication safety in special populations has many influence factors,in which the guardian atti-tude,cognition on drug instruction and executive condition of medical orders have especially obvious effect. The professional and system-atic intervention by clinical pharmacists can significantly improve the medication safety level of special population patients.
