上海市社区慢性阻塞性肺疾病患者的家庭药事情况调查  

Family Pharmacy Administration for Chronic Obstructive Pulmonary Disease Patients in Communities of Shanghai

作　　者：李真[1] 方宗君[1] 葛明建[1] 杨容[1] 祝娅[1] 

机构地区：[1]上海市宝山区张庙街道长江路社区卫生服务中心,200431

出　　处：《中国全科医学》2011年第1期105-106,共2页Chinese General Practice

基　　金：上海市宝山区科学技术委员会发展项目(08-E-38)

摘　　要：目的了解社区慢性阻塞性肺疾病(COPD)患者的家庭药事情况,为进一步开展社区COPD患者药学服务提供依据。方法应用调查问卷对社区内150例COPD患者进行呼吸病用药知识、知识来源、家庭用药、家庭贮存药品管理、药物不良反应等情况的调查。结果用药知识的主要来源为由医生处获得(30.3%),日常用药的来源主要来自医院(88.6%),急性加重期或缓解期抗菌药物的使用率均占首位(36.6%,34.7%)。家庭贮存药品随意存放,缺乏定期检查管理,过期变质药品任意丢弃,药物不良反应发生率为56.7%。结论社区COPD患者家庭药事存在诸多隐患,迫切需要开展社区药学服务。Objective To investigate the conditions of family pharmacy administration for patients with community chronic obstructive pulmonary disease （COPD） in communities of Shanghai so as to provide evidence for further development of pharmacy services for COPD patients. Methods The questionnaire survey was conducted among 150 COPD patients about the medication knowledge, source of the knowledge, medication at home, management on medicines in family store and adverse drug reactions. Results The knowledge on medication was mainly from doctors （30. 3% ）, the drugs for ordinary use were mainly form hospitals （ 88. 6% ）. The utilization rates of antibiotics for acute episode or remission stage took the first place （ accounting for 36.6% and 34. 7% respectively）. The medicines in family was stored at lib, with no periodical examination management, and the prevalence of adverse drug reactions was 56. 7%. Conclusion There were a lot of potential risks of safety in family medication for community COPD patients, so that community pharmacy service is urgently needed.

关 键 词：肺疾病 慢性阻塞性 社区 药学 

分 类 号：R563[医药卫生—呼吸系统] R197[医药卫生—内科学]