开展呼吸科患儿用药指导的药学服务实践  

Pharmaceutical Care of Medication Guidance for Children in the Respiratory Department

作　　者：韩望 王绚[1] 王敏[1] Han Wang;Wang Xuan;Wang Min(Children's Hospital of Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]南京医科大学附属儿童医院,南京210008

出　　处：《儿科药学杂志》2022年第4期12-15,共4页Journal of Pediatric Pharmacy

基　　金：“十三五”南京市卫生青年人才培养工程,编号QRX17173。

摘　　要：目的:探讨呼吸科患儿用药指导的药学服务模式。方法:收集2020年9-12月在我院呼吸科门诊用药指导接受吸入剂使用教育的患儿120例,由药师对其开展吸入剂的用药指导以及评估,并于1个月后进行二次评估,从而考察药师干预行为的效果。结果:经过药师的指导与纠正后,患儿错误操作步骤的条数明显下降。布地奈德福莫特罗粉吸入剂(信必可·都保)由用药指导前的人均3.44条错误降低为0.78条,沙美特罗替卡松粉吸入剂(舒利迭)由人均3.11条错误降低至0.71条,差异均有统计学意义。结论:门诊药师结合多种形式和途径帮助患儿正确掌握吸入装置的使用,有助于患儿和家长接受长期规律的吸入剂治疗,是一次主动、持续提供药学服务的有效尝试。Objective: To probe into the pharmaceutical care of medication guidance for children in the respiratory department. Methods: A total of 120 children received inhalant use education under the medication guidance in the respiratory department of our hospital from Sept. to Dec. 2020 were collected. The medication guidance and evaluation of inhalant were carried out by pharmacists, then a second evaluation was performed one month later, therefore, the effects of pharmaceutical intervention were evaluated. Results: After the guidance and correction of pharmacists, the number of incorrect steps in children decreased significantly. The number of errors per capita for budesonide and formoterol powder inhalation(Symbicol·Turbule) decreased from 3.44 before medication guidance to 0.78 after medication guidance, and the number of errors per capita for salmeterol ticasone powder inhalation(Sullide) decreased from 3.11 before medication guidance to 0.71 after medication guidance, with statistically significant differences. Conclusion: Outpatient pharmacists integrate various forms and approaches to help children correctly master the use of inhalation devices, and help children and parents to accept long-term regular inhalation treatment, which is an effective attempt to actively and continuously provide pharmaceutical care.

关 键 词：门诊药师 吸入剂 药学服务 

分 类 号：R969.3[医药卫生—药理学]