临床药师对我院沙美特罗氟替卡松吸入剂用药患者调查及宣教  

Investigation and Education for Patients Using Salmeterol Fluticasone Inhalation in Our Hospital Organized by Clinical Pharmacists

作　　者：孔毅[1] 张小影[1] 何敏[1] 翁建华[1] 

机构地区：[1]杭州市萧山区第一人民医院药剂科,杭州311200

出　　处：《中国药房》2014年第42期4030-4032,共3页China Pharmacy

摘　　要：目的:提高沙美特罗氟替卡松吸入剂用药患者的用药规范程度,提升药师用药宣教能力,缓解医护人员宣教压力。方法:对药学宣教人员完成吸入制剂的规范化操作和沟通技巧培训,以调查表的形式,对2013年第4季度呼吸内科使用沙美特罗氟替卡松吸入剂的63例住院患者使用情况进行调查,同时完成用药宣教。结果:宣教人员均能正确掌握宣教内容;按照评分表未宣教前7分以上21人,第2次宣教后57人,相比提高57.14%;操作错误率在50%以上的有3个步骤分别为:吸入前未能尽量呼出肺内空气占73.81%,未能深漱口并吐去漱口水占69.05%,吸入药粉时未能平稳深长吸气占57.14%;在宣教后,2次评分均有不同程度提升,并与文化和年龄显著相关。结论:沙美特罗氟替卡松吸入剂用药患者普遍年龄偏大、学历偏低,药师主动准确的宣教,可使吸入制剂操作准确性得到很大程度的提升。OBJECTIVE： To improve the standardization degree of the patients using Salmeterol fluticasone inhalation and pharmacist＇ s medical education ability, and reduce the pressure on education by medical staff. METHODS： Pharmaceutical staff completed the training of standard operation and communication skill. Questionnaire survey was conducted among 63 inpatients using Salmeterol fluticasone inhalation in respiration department in the fourth quarter of 2013. Pharmaceutical staff completed the education at the same time. RESULTS： All the pharmacists can master education content correctly; according to the questionnaire, 21 patients obtained 7 points above before education and 57 obtained 7 points above after secondary education, increasing by 57.14%. The rate of operation error was above 50% ： 73.81% failed to exhale air in lung before inhalation; 69.05% failed to deep gargle and spit out mouth wash; 57.14% failed to inhale deeply and smoothly. After education, the score had been improved to different extent after 2 times of education, and was associated with culture and age significantly. CONCLUSIONS ： Most of the patients using Salmeterol fluticasone inhalation are in elder group and have low education degree. The active and accurate education by pharmacist can elevate the operating accuracy of inhalation substantially.

关 键 词：沙美特罗氟替卡松 吸入剂 药师 宣教 

分 类 号：R974[医药卫生—药品] R969.3[医药卫生—药学]