湖州地区慢性病患者合理用药的影响因素及预防措施  

Influential factors and preventive measures for rational drug use in patients with chronic diseases in Huzhou area

作　　者：钟静梅[1] 袁玉梅[1] ZHONG Jingmei;YUAN Yumei(Department of Pharmacy,Huzhou Central Hospital in Zhejiang Province,Huzhou 313000,China)

机构地区：[1]浙江省湖州市中心医院药学部,浙江湖州313000

出　　处：《中国现代医生》2020年第12期118-121,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2015KYB374)。

摘　　要：目的分析湖州地区慢性病患者合理用药的影响因素,并制定预防措施。方法采取系统抽样与典型抽样结合法对本院2018年4月~2019年4月门诊部收治的1283例慢性病患者基本情况及处方药相关资料进行调查研究。本院每个月4、14及24号作为样本取样日,在患者接受门诊后采用系统抽样法,随机选择门诊患者1283例进行问卷调查,根据问卷调查相关资料及用药合理性相关依据将其分为合理用药组和不合理用药组,记录两组患者基本资料,分析影响合理用药的相关因素,并制定相应的预防措施。结果1283例慢性病患者中,合理用药1040例(81.06%),不合理用药243例(18.94%);合理用药组与不合理用药组医师工作年限、医师职称、药师是否参加合理用药培训及拿药地点比较,差异有统计学意义(P<0.05);医师工作年限、医师职称、药师是否参加合理用药培训及拿药地点均为用药合理性的保护因素(OR<1,P<0.05)。结论医师工作年限≥10年、医师职称为副主任医师及以上、药师参加合理用药培训、拿药地点为院内处方药房均可促进合理用药,因此临床中应严格规范医师在职继续教育,针对工作年限较短及职称较低医生积极开展专业性培训,严格要求患者在院内处方药房拿药,以提高临床合理用药率。Objective To analyze the influencing factors of rational drug use in patients with chronic diseases in Huzhou area and to develop preventive measures.Methods The systemic and typical sampling methods were used to investigate the basic situation and prescription drug related data of 1283 patients with chronic diseases admitted to the Outpatient Department from April 2018 to April 2019.The hospital used the 4th,14th and 24th of each month as the sample sampling day.After the patients received the outpatient clinic,the system sampling method was used,and 1283 outpatients were randomly selected to conduct a questionnaire survey.According to the relevant data of the questionnaire survey and the relevant basis for rationality of medication.The patients were divided into the rational use group and the irrational use group.The basic data of the two groups of patients were recorded.The relevant factors affecting the rational use of drugs were analyzed,and the corresponding preventive measures were developed.Results Among 1283 patients with chronic diseases,1040 cases(81.06%)were rationally administered,and there were 243 cases of unreasonable medication(18.94%).There were significant differences in the working period,the doctor's title,whether the pharmacist participated in the rational drug training and the location of drugs between the rational use group and the irrational use group(P<0.05).The physician's working years,the doctor's title,whether the pharmacist participated in the rational drug training and the location of drugs were the protective factors for the rationality of the drug(OR<1,P<0.05).Conclusion Doctors’working life≥10 years,the doctors with deputy chief physicians and above,the pharmacists participate in the rational drug training,and the location of drugs in the prescription pharmacy in the hospital can promote the rational use of drugs.Therefore,the doctors’continuing on-the-job education should be strictly regulated.For the shorter working years and lower-ranking doctors,actively professional t

关 键 词：慢性病 合理用药 影响因素 预防措施 

分 类 号：R969.3[医药卫生—药理学]