慢性病患者用药特点的药学服务模式研究  

Study on Pharmaceutical care mode of the patients with chronic disease

作　　者：龚磊[1] 龚其海[2] 许洁[3] 黄怡[1] 孔晶[1] 陈灵[1] 周小爽[1] 夏培元[4] 宗楠[2] 李明刚[2] 

机构地区：[1]遵义医学院附属医院药剂科,贵州遵义563003 [2]遵义医学院药学院,贵州遵义563003 [3]遵义医学院公共卫生学院,贵州遵义563003 [4]第三军医大学西南医院药剂科,重庆400038

出　　处：《重庆医学》2014年第29期3941-3943,3947,共4页Chongqing medicine

基　　金：教育部长江学者和创新团队发展计划项目基金支持(IRT1197)

摘　　要：目的调查慢性病患者用药情况和药学知识知晓情况,分析影响患者合理用药的因素,为慢性病患者药学服务模式建立提供数据支持。方法通过调查问卷对门诊和社区386例慢性病患者的用药情况和用药知识掌握情况进行调查,合理用药相关影响因素采用单因素和多因素Logistic回归分析。结果 386例患者中,心、脑血管疾病构成比最高52.37%,呼吸系统疾病、肌肉骨骼系统疾病分别为13.80%、11.50%;386例患者平均得分(1.76±0.78)分,用药知识掌握情况属于较差水平;单因素分析结果显示,合理用药患者与未合理用药患者在疾病种数、病程、费用支付形式、婚姻状态、月收入、学历水平、参加药物知识讲座、联合用药方面比较差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,学历水平、参加药物知识讲座、联合用药、疾病种数对慢性病患者合理用药有显著影响(P<0.05)。结论慢性病患者用药知识掌握情况欠佳,用药不合理行为较多。学历水平、参加药物知识讲座、联合用药、疾病种数对慢性病患者合理用药有较大影响。临床药师应根据慢性病患者的用药特点建立有效的药学服务模式。Objective To investigate the medical and pharmaceutical knowledge of patients with chronic diseases and analyse the influence factors of rational administration in patients ,to provid data to support the establishment of pharmaceutical service mode . Methods 386 cases of patients with chronic diseases were asked to finish the questionnaires for the medical and pharmaceutical knowledge ,and factors affecting the rational drug were analyzed by single factor and multiple factors Logistic regression analysis . Results Among the 386 patients ,cardiovascular and celebralvascular disease ratio was the highest（53 .3% ） ,followed by respiratory system diseases（13 .8% ） and the musculoskeletal system diseases （11 .50% ）;The averaged score of 386 patients was 1 .76 ± 0 .78 , medication knowledge was at a general level;single factor analysis results showed that there was significant difference（P＆lt;0 .05） between rational drug-use and abuse of drugs among patients in number ,form of payment ,marital status ,income ,education level , taking drug knowledge lectures ,combined treatment .Multivariate Logistic regression analysis showed that education level ,partici-pation in lectures ,drug combination ,disease species had a significant impact on the rational drug use among patients with chronic disease（P＆lt;0 .05） .Conclusion The pharmaceutical knowledge that patients with chronic disease mastered is unsatisfactory ;and unreasonable behavior of medication is common scence .Education level ,participation in lectures ,drug combination ,the number of diseases have great influence on the rational use of drugs in patients with chronic diseases .A kind of effective pharmaceutical service mode should be established for patients with chronic diseases by clinical pharmacists .This is a very meaningful work for rational ad-ministration .

关 键 词：慢性病 药物疗法 药学服务 模式 

分 类 号：R95[医药卫生—药学]