基于微信平台的儿科药学服务实践  

Practice of the Pediatric Pharmaceutical Services Based on WeChat Platform

作　　者：孟琳懿[1] 李志玲[1] 姜志虎[1] 邢文荣 胡文娟[1] 孙华君[1] MENG Linyi LI Zhiling JIANG Zhihu XING Wenrong HU Wenjuan SUN Huajun(Dept. of Pharmacy, Shang- hai Children＇ s Hospital/the Affiliated Children＇ s Hospital of Shanghai Jiaotong University, Shanghai 200040, Chin)

机构地区：[1]上海市儿童医院/上海交通大学附属儿童医院药剂科,上海200040

出　　处：《中国药房》2017年第29期4151-4153,共3页China Pharmacy

基　　金：上海市科学技术委员会科研计划项目(No.15dz2354300);上海交通大学医学院医院药学科研基金青年项目(No.JDYX2016QN018)

摘　　要：目的:探讨微信平台在线服务对儿童家庭安全用药及药学服务质量的影响。方法:汇总我院"儿童用药问答"微信平台(微信号:etyywd)2014年6月1日-2015年12月31日的在线咨询记录,对咨询时间段、有咨询需求的患儿的年龄段、用药咨询所涉及的系统以及差错类型等进行统计分析。结果:共收集到微信平台问答记录29 850条,其中与用药相关的有13 315条(占44.61%)。用药咨询的高峰时间段为上午9:00-10:00,累计咨询总量达1 840条(占13.82%);咨询最少的时间段为凌晨4:00-5:00,仅有13条(占0.10%)。有咨询需求的患儿以1~6岁年龄段居多,集中在学龄前期(占31.20%)和幼儿期(占26.32%)。涉及的系统主要包括呼吸系统、免疫系统、消化系统,其中呼吸系统最多(占60.28%)。已经发生和可能发生且被及时纠正的用药差错问答记录有1 508条(占11.33%),其中用药差错类型主要为不合理使用退烧药(占3.91%)、滥用抗菌药物(占3.14%)、随意联合或过度用药(占3.04%)、剂量过大或过小(占0.69%)、雾化吸入剂出院带药使用不当(占0.41%)、维生素类服用过量(占0.14%)等。结论:通过微信平台,可扩大临床药师的服务范围。作为医院药学服务的延伸,这可在一定程度上降低因患者或家属的错误认知而导致的儿童家庭用药差错风险;同时还可加强医患沟通,改善医疗服务体验。OBJECTIVE： To investigate the effects of WeChat platform online service on the safety of pediatric family medica- tion and the quality of pharmaceutical care. METHODS： The online consultation records of ＂Qs and As for pediatric medications＂ were collected and summarized from the WeChat platform （WeChat ID： etyywd） during Jun. 1st, 2014-Dec. 31st, 2015 in our hos- pital. Statistical analysis was performed on the consulting time periods, age of pediatric patients with consultation demands, and the systems and mistake types involved in medication consultations. RESULTS： A total of 29 850 dialogue records on WeChat were collected, and 13 315 of these were related to medications （44.61%）. The peak time of medication consultation was at 9： 00-10：00 in the morning, with an accumulative consultation number of 1 840 cases （13.82%）; while the least consultation time pe- riod was at 4：00-5：00 early in the morning, with only 13 cases （0.10 % ）. Pediatric patients in need of consultation were more with- in the age of 1-6 years old, and most of them were preschool children （31.20%） and toddlers （26.32%）. The systems consulted mainly involved the respiratory system, immune system and digestive system; in which respiratory system had the most cases （60.28%）. There were 1 508 Qs and As records for medication mistakes that were occured or may occure and were corrected in time （11.33%）, in which the mistake types were mainly the unsuitable use of antipyretics （3.91%）, antibiotics abuse （3.14%）, careless use of combination medication and excessive medication （3.04%）, excessively large or small doses （0.69%）, improper use of nebulized inhalant after discharge （0.41%）, and excessive use of vitamins （0.14%）. CONCLUSIONS： The WeChat plat- form expands the service scope of clinical pharmacists. As an extension of hospital pharmaceutical care, it reduces the risk of fami- ly medication mistakes due to a patient＇s or members＇wrong recognition to a certain deg

关 键 词：微信平台 儿科药学服务 家庭用药风险 用药差错 

分 类 号：R985[医药卫生—药品]