PCNE分类系统对社区开展医防融合用药项目的实践探索  

The practice and exploration of PCNE classification system in carrying out medical prevention and integrative medication project in community

作　　者：符方方[1] 周国波 廖朝峰[2] 曾冰清 FU Fangfang;ZHOU Guobo;LIAO Chaofeng;ZENG Bingqing(Pharmacy Department,The People's Hospital of ShiYan,Bao􀆳an District,Shenzhen 518108,China;Pharmacy Department,The People's Hospital of Baoan District,Shenzhen 518100,China)

机构地区：[1]深圳市宝安区石岩人民医院药剂科,广东深圳518108 [2]深圳市宝安区人民医院药剂科,广东深圳518100

出　　处：《广东药科大学学报》2022年第2期73-78,共6页Journal of Guangdong Pharmaceutical University

基　　金：2020年深圳市宝安区科技计划项目(2020JD442)。

摘　　要：目的将欧洲医药保健网(Pharmaceutical Care Network Europe,PCNE)分类系统引入医防融合社区药学工作中,为进一步促进社康患者合理用药,更好开展社区医防融合药学工作提供参考依据。方法回顾性收集2020年9月-2021年7月在深圳市宝安区医防融合试点社康进行用药咨询的患者,利用PCNE分类系统(V9.1版)评估咨询患者中出现的药物相关问题(drgh-related problems,DRPs),并对DRPs的数量、类型、发生原因等进行分析。结果共纳入393例存在用药疑问的患者,剔除无服药77例。服用药物有316例患者,其中178例(56.33%)患者共识别出188条DRPs。对188条DRPs类型分类,与治疗有效性相关的有124条(65.96%),与治疗安全性相关48条(25.53%),另有16例次(8.51%)与不必要的药物治疗及其他问题相关;对DRPs发生原因进行分析,共识别出282个相关原因,其中患者相关是最常见的原因类别(121例,42.91%),其次为药物选择(占比26.24%)。结论利用PCNE分类系统(V9.1版)可以评估社康患者DRPs,DRPs在一定程度上是可以发现和预防的。药学医防融合工作中,应以提高患者服药依从性和健康科普作为开展药学工作的切入点来针对性开展服务,保障社区居民用药安全。Objective The Pharmaceutical Care Network Europe(PCNE) classification system was introduced into the community pharmacy work of medical prevention integration, so as to provide a reference basis for further promoting the rational drug use of social health patients and better carrying out the community pharmacy work of medical prevention integration. Methods The patients who received medication consultation in shekang, the pilot of medical prevention integration in Bao′an District, Shenzhen were retrospectively collected from September2020 to July 2021, the drug-related problems(DRPs) in the consultation patients were evaluated by PCNE classification system(V9.1 version), and the number, type and causes of DRPs were analyzed. Results A total of393 patients with medication problems were included, and 77 patients without medication were excluded. There were 316 patients taking drugs, of which 178(56.33%) patients identified 188 drug-related problems(DRPs).According to the classification of 188 drug-related problems(DRPs), 124 were related to treatment effectiveness(65.96%), 48 were related to treatment safety(25.53%), and 16 cases(8.51%) were related to unnecessary drug treatment and other problems. The causes of drug-related problems(DRPs) were analyzed, and a total of 282related causes were identified. Among them, patient related was the most common cause category(121 cases,42.91%), followed by drug selection(26.24%). Conclusion PCNE classification system(V9.1) can be used to evaluate drug-related problems in patients with community health. Drug-related problems can be found and prevented to a certain extent. In the work of medical integration and prevention, we can take the improvement of patients′ compliance and health science popularization as the breakthrough point to carry out the medical integration and Prevention Pharmaceutical Service and ensure the safety of drug use in the community.

关 键 词：PCNE分类系统 医防融合 药物相关问题 合理用药 

分 类 号：R956[医药卫生—药学]