江西赣州二、三级医院医师抗菌药物使用认知情况调查与分析  

Investigation and Analysis on the Cognition of the Use of Antibiotics by Doctors in the Second-Class and Tertiary Hospitals of Ganzhou,Jiangxi Province

作　　者：吴珺[1] 李祚勇[1] 彭妍 严金玲[1] WU Jun;LI Zuoyong;PENG Yan;YAN Jinling(Department of Pharmacy,The Frst Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi,China 341000)

机构地区：[1]赣南医学院第一附属医院药学部,江西赣州341000

出　　处：《中国药业》2020年第10期75-78,共4页China Pharmaceuticals

基　　金：中国医药新闻信息协会儿童安全用药分会立项课题。

摘　　要：目的促进抗菌药物的合理使用。方法设计调查问卷,从抗菌药物国家战略、政策管理规定、处方行为习惯、抗菌药物应用知识和医师使用中的疑惑等多角度调查江西赣州二、三级医院医师抗菌药物使用认知情况,采用描述性分析和单因素分析认知方面答题准确率的差异。结果收到有效问卷287份,有效回收率99.31%;三级与二级医院的医师得分无显著差异(P=0.543>0.05),综合医院医师得分略高于专科医院;不同学历的医师得分无显著差异(P=0.166>0.05),技术职称较高医师的得分较高(P=0.015<0.05),高年龄的医师得分较高(P=0.020<0.05);医师对抗菌药物管理规定不完全清楚,对抗菌药物知识认知不理想;医师的疑惑问题中,排名前5的依次为药物品种选择、疗程、经验性用药的选择、明确感染灶及病原学、用药指征。结论不同类型的医院、不同职称和年龄的医师认知水平存在一定差异,应加强对非综合医院、年轻、初级职称医师的培训,促进抗菌药物合理使用,减少细菌耐药,保障患者用药安全。Objective To promote the rational use of antimicrobial drugs.Methods Questionnaires were designed to investigate physicians’knowledge of antimicrobial use in second-class and tertiary hospitals in Ganzhou,Jiangxi from multiple perspectives,including national strategies for antimicrobial drugs,policy management regulations,prescription behaviors,antimicrobial drug application knowledge,and doctors’doubts in use.Differences in the accuracy of answering questions were analyzed bydescriptive analysis and single factor analysis.Results A total of 287 valid questionnaires were received,with an efficiency of 99.31%;there is no significant difference in the scores of the doctors in the second-class hospitals and tertiary hospitals(P=0.543>0.05),and the scores of doctors in general hospitals are slightly higher than those in specialist hospitals;there is no significant difference in the scores of doctors with different educational backgrounds(P=0.166>0.05),doctors with higher technical titles scored higher(P=0.015<0.05),and senior doctors scored higher(P=0.020<0.05).Doctors did not fully understand the regulations of antibacterial drugs,and their knowledge of antibacterial drugs was not ideal;the top five questions in order were drug variety selection,treatment course,choice of empirical medication,clear infection focus and etiology,and medication indication.Conclusion Different types of hospitals,doctors with different titles and ages have different cognitive levels.The training of non-general hospitals,young and junior title doctors should be strengthened to promote the rational use of antibacterial drugs,reduce bacterial resistance and ensure the safety of patients.

关 键 词：医师 抗菌药物 合理用药 认知度 调查分析 药事管理 

分 类 号：R978.1[医药卫生—药品] R95[医药卫生—药学]