互联网药学服务模式在儿童癫痫管理中的应用  

Application of Internet⁃Based Pharmaceutical Service Model for the Management of Epilepsy in Children

作　　者：余春飞[1] 李听松[1] 樊鑫 吴青[1] Yu Chunfei;Li Tingsong;Fan Xin;Wu Qing(Children’s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,National Clinical Research Center for Child Health and Disorders,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院,儿童发育疾病研究教育部重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室,重庆400014

出　　处：《儿科药学杂志》2022年第5期10-14,共5页Journal of Pediatric Pharmacy

基　　金：重庆市2021年科卫联合医学科研项目,编号2021MSXM234;儿童医疗保障创新研究项目,编号NCRCCHD⁃2019⁃HP⁃15。

摘　　要：目的:探讨互联网药学服务模式在儿童癫痫管理中的应用效果。方法:采用临床随机对照研究方法,选取2020年1月1日至2022年1月31日就诊于我院的190例癫痫患儿加入互联网药学服务平台为研究组,同期就诊未加入互联网药学服务平台的190例癫痫患儿为对照组。通过Morisky用药依从性问卷调查,自主设计癫痫患儿药学服务管理评估表,了解患儿一般资料、药物治疗信息和癫痫控制情况。结果:问卷调查结果显示,研究组患儿监护人对癫痫相关知识的了解、癫痫发作的判断、患儿用药管理水平等优于对照组(P<0.05)。研究组患儿癫痫有效控制187例(98.42%),优于对照组的168例(88.42%),差异有统计学意义(χ^(2)=15.457,P<0.01)。研究组患儿治疗依从性好48例(25.26%),对照组为19例(10.00%),差异有统计学意义(χ^(2)=145.207,P<0.01)。结论:在儿童癫痫管理过程中,互联网药学服务模式可有效提高患儿用药依从性,改善患儿癫痫控制率,且管理规范、操作简单、易被接受,可作为慢病管理的一种手段。Objective:To probe into the application status of internet⁃based pharmaceutical service model for the management of epilepsy in children.Methods:The clinical randomized controlled study method was used to extract 190 children with epilepsy admitted into our hospital from Jan.1^(st),2020 to Jan.31^(st),2022,and participated into the internet pharmacy service platform as the research group.And 190 children with epilepsy who attended the same period without joining the internet pharmacy service platform were extracted as the control group.Morisky medication compliance questionnaire was used to independently design pharmaceutical care management evaluation form for children with epilepsy to investigate the general information,drug treatment information and epilepsy control of children.Results:The questionnaire survey data showed that the guardians of the children in the research group were better than those in the control group in the understanding of epilepsy⁃related knowledge,judgment of epilepsy seizures,and medication management of children(P<0.05).The effective control of epilepsy in the research group was 187 cases(98.42%),better than 168 cases(88.42%)in the control group,the difference was statistically significant(χ^(2)=15.457,P<0.01).Totally 48 cases(25.26%)in the research group had good compliance,and 19 cases(10.00%)in the control group had good compliance,with statistically significant difference(χ^(2)=145.207,P<0.01).Conclusion:In the management of epilepsy in children,the internet⁃based pharmaceutical service model can effectively improve the compliance of children and improve the control rate of epilepsy in children.The management is standardized,the operation is simple,and it is easy to be accepted,which can be used as a means of chronic disease management.

关 键 词：癫痫 药学服务 互联网 疾病管理 儿童 

分 类 号：R969.3[医药卫生—药理学]