保山市药品零售经营企业药品不良反应认知度情况调查  

Survey on the awareness of adverse drug reactions in Baoshan drug retail business enterprises

作　　者：李婵娟[1] 陈玲玲[1] LI Chan-juan;CHEN Ling-ling(Baoshan College of Traditional Chinese Medicine,Baoshan678000,P.R.China)

机构地区：[1]保山中医药高等专科学校中医药系,云南保山678000

出　　处：《社区医学杂志》2020年第19期1321-1324,共4页Journal Of Community Medicine

基　　金：云南省教育厅科学研究基金(2018JS656);云南省高等职业教育高水平骨干专业建设项目(2018)。

摘　　要：目的药品不良反应(adverse drug reaction,ADR)认识不足与ADR事件发生时应对及上报措施缺失,将增加ADR死亡率。本研究分析保山市药品零售经营企业药学服务工作人员ADR认知度和ADR上报情况,对存在问题进行总结分析,为当地做好ADR监测工作提供依据。方法2018年12月-2019年11月随机选择保山市隆阳区、腾冲、施甸县、龙陵县和昌宁县的药品零售经营企业的工作人员为调查对象,采用自制问卷调查其基本情况、药品专业知识、药品不良反应认知度情况。结果对462份有效问卷进行分析,在药品基本知识认知情况中,中药学得分最高,为(2.86±0.82)分,其次为药学(2.53±0.71)分,其他人员最低(1.83±0.87)分,各类人员得分差异有统计学意义,F=26.250,P<0.001。不同专业人员ADR相关知识得分中药学最高,为(7.62±0.59)分,药学次之,为(7.32±0.73)分,其他人员最低,为(6.49±0.99)分,各类人员间差异有统计学意义,F=32.217,P<0.001。考察受访者监测与呈报药品不良反应的经历与态度中,只有54.5%的受访者参加过ADR培训;89.2%的受访者会接待顾客来店反映ADR信息并登记;69.5%的受访者遇到过新的ADR案例,其中,67.3%的受访者遇到可疑的ADR不敢判断,缺乏自信、2.2%能结合其他同类药物反应症状、疾病变化经验等对严重的ADR进行判断、没有受访者能够马上判断或识别新的ADR。结论调查对象积累的药学专业知识不够,特别是非专业人员;对药品不良反应的认知度较好,但ADR的上报与监测制度的认知还存在误区。OBJECTIVE Adverse drug reaction(ADR)inadequate understanding and lack of response and reporting measures when ADR events occur will increase ADR mortality.This study analyzed the ADR recognition and ADR reporting status of pharmaceutical service workers in Baoshan City’s pharmaceutical retail business enterprises,summarized and analyzed the existing problems,and provided a basis for local ADR monitoring work.METHODS From December 2018 to November 2019,the staff of drug retail business enterprises in Longyang District,Tengchong,Shidian County,Longling County,and Changning County of Baoshan City were randomly selected as survey subjects.A self-made questionnaire was used to investigate the basic information,drug expertise,and awareness of adverse drug reactions.RESULTS Analysis of 462 valid questionnaires,among the basic knowledge of drugs,the score of traditional Chinese medicine was the highest(2.86±0.82),followed by pharmacy(2.53±0.71),the lowest was of other personnel(1.83±0.87),F=26.250,P<0.001.In terms of awareness of adverse drug reactions,the knowledge scores of different professionals on adverse drug reactions were still the highest in traditional Chinese medicine(7.62±0.59),followed by pharmaceuticals(7.32±0.73),the lowest was of other personnel(6.49±0.99),and there was a statistically significant difference in scores among various personnel,F=32.217,P<0.001.Among the interviewees’experience and attitudes in monitoring and reporting adverse drug reactions,only 54.5%of the respondents had participated in ADR training,89.2%of the respondents will receive customers to visit the store to reflect the ADR information and register,69.5%of the respondents encountered new ADR cases,of which 67.3%of the respondents did not dare to judge suspicious ADR,lacked self-confidence,2.2%could judge severe ADR by combining with the symptoms of other similar drugs,disease change experience,etc.The interviewee can immediately judge or recognize the new ADR.CONCLUSION The survey subjects accumulated insufficient profe

关 键 词：药品零售经营企业 药学服务工作人员 药品不良反应 认知度 

分 类 号：R195[医药卫生—卫生统计学]