基于微信平台的儿童药学服务  

Pharmaceutical Care for Children Based on WeChat

作　　者：邢文荣 李志玲[1] 孟琳懿[1] 沈阳[1] 孙华君[1] 

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学部,上海200062

出　　处：《医药导报》2017年第10期1198-1201,共4页Herald of Medicine

基　　金：上海市卫生计生系统重要薄弱学科建设计划(2016ZB0305-01)

摘　　要：目的提升儿童专科医院药学服务质量,方便患儿家长实时在线咨询用药,建设临床药师全程化药学服务专业品牌。方法申请开通上海首家上海市儿童医院用药问答微信平台,家长搜索微信号或扫二维码添加为微信好友,以远程在线形式提问,临床药师每天轮流在线值班实时解答家长用药咨询。结果 2014年6月—2016年1月,拥有微信好友逾8 000人,用药咨询总量为13 315人次,日均有效用药咨询量26人次(高峰期逾60人次),发布原创用药科普文章20篇,转发用药科普知识100篇。咨询高峰日期为星期二,咨询低谷为星期六。咨询高峰段为9:00—10:00,咨询低谷段为4:00—5:00。排名前10位疾病或症状依次为咳嗽、发热、流鼻涕、咽喉疼痛、咳痰或有痰、腹泻、感染、肺炎、皮肤湿疹、药品不良反应。排名前10位药品依次为布洛芬混悬液或滴剂、氨溴特罗口服液、酚麻美敏混悬液、小儿伪麻美沙芬滴剂、阿奇霉素片或干混悬剂、维生素类、枯草杆菌二联活菌颗粒、盐酸氨溴索口服溶液、蒙脱石散、氯雷他定片或糖浆。结论互联网+药学服务新模式得到大众官方一致认可,临床药师通过微信与家长实时在线互动,有效保障院内外儿童用药安全,成功打造临床药师全程化药学服务专业品牌。Objective To improve the quality of pharmaceutical care in specialized children＇s hospital, provide convenient on-line medical consultation to parents, create the professional brand of whole-ranged pharmaceutical care by clinical pharmacist. Methods The First WeChat platform named ＂ drugs consultation of Shanghai Children ＇s Hospital＂ was inaugurated in Shanghai. Parents of children could search WeChat code or scan the QR code to join in WeChat friends, and asked questions online. Clinical pharmacists took turns on duty to answer questions online every day. Results During June 2014 to January 2016, number of WeChat friends was more than 8000, total number of medication consultation was 13315, average number of daily effective medication consultation was 26 （the peak was more than 60）, 20 original medical articles of popular science were released, 100 other medical articles of popular science were reposted. Peak date of consulting was Tuesday, trough date of consulting was Saturday. Peak time of consulting was 9：00-10：00, while trough time of consulting was 4：00-5：00. For consultation, top ten diseases or symptoms was cough, fever, runny nose, sore throat, coughing phlegm, diarrhea, infection, pneumonia, skin eczema, adverse drug reactions; Top ten drugs was ibuprofen suspension or suspension drops, ambroxol hydrochloride and clenbuterol hydrochloride oral solution, paracetemol, pseudoephedrine hyrochleride, dextromethorphan hyorobromode and chlorpheniramine maleate suspension, pediatric pseudoephedrine hydrochloride and dextromethorphan hydrobromide drops, azithromycin tablets or suspension, vitamin, combined bacillus subtilis and enterococcus faecium granules with multivitamines, live, ambroxol hydrochloride oral solution, montmorillonite powder, loratadine tablets or syrup. Conclusion New mode of internet＋pharmaceutical care is recognized by public and official. Clinical pharmacist can ensure the safety of pharmacy in children inside and outside of hospital effectively through WeChat real-

关 键 词：药学服务 临床药师 微信 

分 类 号：R951[医药卫生—药学]