药店药师药学服务质量能力提升需求调研及培训探索  

Survey on the Demands and Training of Improving Pharmaceutical Care of Pharmacists Worked in Retail Pharmacies

作　　者：张杨[1] 王维娜[1] 廖音[1] 李丹丹[1] 郭恒 殷诺雅 沈素[1] ZHANG Yang;WANG Weina;LIAO Yin;LI Dandan;GUO Heng;YIN Nuoya;SHEN Su(Department of Pharmacy,Beijing Friendship Hospital,Capital Medical University,Beijing,China 100050;State Key Laboratory of Environmental Chemistry and Ecotoxicology,Research Center for Eco-Environmental Sciences,Chinese Academy of Sciences,Beijing,China 100085;College of Resources and Environment,University of Chinese Academy of Sciences,Beijing,China 100049)

机构地区：[1]首都医科大学附属北京友谊医院药学部,北京100050 [2]中国科学院生态环境研究中心环境化学与生态毒理学国家重点实验室,北京100085 [3]中国科学院大学资源与环境学院,北京100049

出　　处：《中国药业》2020年第12期57-59,共3页China Pharmaceuticals

基　　金：国家自然科学基金青年科学基金项目[21707160]。

摘　　要：目的提升药店的药学服务质量。方法通过问卷调查的方式调查北京市西城区5家三甲综合医院周边1 km范围内零售药店的药师。对受访药师的个人基本信息,以及处方审核、用药交代、特殊剂型指导、不良反应宣教、慢病用药指导和与疾病相关的生活指导等药学服务需求进行汇总、分析,以排名前3位的需求为内容开展3次网络培训,培训前后考核。结果药师以女性(80.69%)、30~49岁年龄段(83.66%)为主,第一学历多为大专、中专或高中(78.22%),工作年限集中在6~20年(83.17%),执业药师占33.17%;慢病用药指导、药品不良反应宣教和与疾病相关的生活指导是受访药师较希望提升的3项药学服务能力,糖尿病、高血压和高脂血症用药为较受关注的3个专业方向,故选择糖尿病、高血压和血脂异常的药物治疗开展培训和考核,培训后,执业药师和非执业药师,以及不同培训内容的测试正确率均有提高。结论慢病用药管理是药店药师迫切希望提升的能力,以需求为导向的药学服务专业培训可更快提升药店药师的专业知识水平,医院药师与药店药师密切合作,更有利于药店药学服务的进一步提升。Objective To improve the quality of pharmaceutical care in pharmacies.Methods A questionnaire survey was conducted to investigate the pharmacists in retail pharmacies within 1 km of 5 grade-A tertiary hospitals in Xicheng District,Beijing.The information of pharmacists worked in retail pharmacies and the demands of pharmacists for improving pharmaceutical care,including prescription review,medication guidance,guidance on special dosage,education of adverse reactions,medication management for chronic diseases,education of disease-related life coaching skills were summarized and analyzed;3 online trainings were carried out according to the top 3 demands in the questionnaire survey;assessment was conducted before and after the trainings.Results The investigated pharmacists were mainly female(80.69%)and in the 30-49 years age group(83.66%),the education background of the pharmacists was mostly college,technical secondary school or high school(78.22%),the working years were concentrated in 6-20 years(83.17%),and the licensed pharmacists accounted for 33.17%;medication management for chronic diseases,education of adverse reactions,education of disease-related life coaching skills were the top 3 pharmaceutical care skills that the interviewed pharmacists hoped to improve;diabetes,hypertension and hyperlipidemia medicines were the top 3 professional directions that were more concerned,so we chose diabetes,hypertension and dyslipidemia drugs to carry out trainings and assessments.After the trainings,the accurate rate of the licensed and non-licensed pharmacists and in different training contents had increased.Conclusion Medication management for chronic diseases is the demand pharmacists worked in retail pharmacies mostly wanted to improve.Demand-oriented professional training and collaborate with the clinical pharmacists worked in grade-A tertiary hospitals could more effectively improve the pharmaceutical care ability of pharmacists worked in retail pharmacies.

关 键 词：零售药店 药学服务 药师 执业药师 药学培训 药学教育 

分 类 号：R95[医药卫生—药学]