200例肾内科药物咨询分析  

Analysis of 200 Cases of Drug Consultation in Nephrology Department

作　　者：林晓霞[1] 杨成密[1] 黎规丰[1] 吴春桃[1] 陈银清[1] LIN Xiaoxia;YANG Chengmi;LI Guifeng;WU Chuntao;CHEN Yinqing(Dept.of Pharmacy, People’s Hospital of Maoming, Guangdong Maoming, 525000)

机构地区：[1]茂名市人民医院药剂科,广东茂名525000

出　　处：《中国医院用药评价与分析》2018年第12期1715-1716,1721,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨肾内科药物咨询特点,为促进临床合理用药提供更好的药学服务。方法:收集2015年8月至2018年8月茂名市人民医院肾内科临床药师接受肾内科临床医师的药物咨询200例,对药物咨询的人群与方式、咨询的反馈方式及结果、咨询内容和咨询药物种类进行分析;并在2015年8月、2018年8月随机选择咨询用药医师各10例,对其进行肾内科药物合理应用电话访谈,比较两次访谈评分的差异。结果:肾内科药物咨询的人群以中级职称医师为主;咨询方式以面对面咨询为主,90%的问题及时得到反馈;特殊人群用药、药物选用、药物的用法与用量咨询例数排序居前3位;咨询药物类别以抗感染药为主,其次为血液及造血系统用药;2018年8月医师访谈评分明显高于2015年8月,差异有统计学意义(P<0.05)。结论:药物咨询可以让临床医师获益,也是提高药学服务水平、促进合理用药的重要环节。OBJECTIVE: To probe into the characteristics of drug consultation in nephrology department, so as to provide better pharmaceutical service for promoting clinical rational drug application. METHODS: 200 cases of drug consultation in nephrology department in People’s Hospital of Maoming from Aug. 2015 to Aug. 2018 were collected and analyzed in terms of consultants, consulting ways, ways and results of feedback, contents of consultations and categories of drugs; in Aug. 2015 and Aug. 2018, 10 cases of medical consultation were randomly selected to conduct telephone interview on the rationality of application of nephrology drugs, in order to compare the difference of interview scores. RESULTS: Most consultants in nephrology department were clinicians with medium-grade professional title; the consulting ways were mainly face-to-face consultation, and 90% of questions had received feedback promptly; the number of consultation cases ranked the top 3 were respectively drug application for special crowd, drug selection, usage and dosage of drugs; the drug category was mainly for anti-infection, followed by blood and hematopoietic system; the interview score in Aug. 2018 was significantly higher than that of Aug. 2015, with statistically significant difference(P<0.05). CONCLUSIONS: Drug consultation can benefit clinicians, which is an important part of improving pharmaceutical services and promoting rational drug application.

关 键 词：药物咨询 合理用药 临床药学 

分 类 号：R97[医药卫生—药品]