陕西省医疗机构药师在抗菌药物规范化管理中的参与度及感知障碍研究  

Antimicrobial stewardship programs:a cross-sectional survey of involvement and perceived barriers among hospital pharmacists in health institutions of Shaanxi Province,China

作　　者：叶丹 朱珊 闫抗抗 常捷[2] 方宇[2] 计文婧[2] YE Dan;ZHU Shan;YAN Kangkang;CHANG Jie;FANG Yu;JI Wenjing(Department of Pharmacy,Xi'an NO.3 Hospital,Xi'an,Shaanxi 710018,China;School of Pharmacy,Xi'an Jiaotong University,Xi'an,Shaanxi 710061,China)

机构地区：[1]西安市第三医院药剂科,陕西西安710018 [2]西安交通大学药学院,陕西西安710061

出　　处：《安徽医药》2023年第1期179-184,共6页Anhui Medical and Pharmaceutical Journal

基　　金：国家自然科学基金项目(71974156);陕西省重点研发计划项目(2019SF-198)。

摘　　要：目的旨在明确陕西省医疗机构药师在抗菌药物规范化管理工作中的参与现状以及障碍因素。方法于2020年6—7月采用横断面、匿名、问卷星设计的在线调查方法,对陕西省的医疗机构药师开展问卷调查。主要通过省医疗机构细菌耐药监测网、抗菌药物使用监测网、省/市药学会以及医疗机构内药师的微信群邀请药师填写问卷。结果在423名调查对象中,超过90%认为实施抗菌药物规范化管理非常重要,可以促进抗菌药物处方更加合理,有助于控制细菌耐药,可减少抗菌药物过度使用。近一半的药师主要参与了抗菌药物处方、问题处方干预,以及对处方及医嘱的点评。主要的障碍因素包括工作的时间有限(57.92%)、药师和临床医生缺乏有效沟通(57.21%),以及药师对抗菌药物治疗方案掌握有限(48.94%)。药师参与度得分与性别,年龄,受教育程度,职称水平以及工作年限均存在相关。结论医疗机构药师普遍认为抗菌药物规范化管理工作非常重要,未来研究和策略制定应考虑如何克服时间有限、缺乏沟通等障碍因素,提升药师参与度。Objective To clarify the status quo and obstacle factors of pharmacists'participation in antimicrobial stewardship(AMS)programs in health institutions of Shaanxi Province.Methods A cross-sectional,anonymous,online questionnaire survey was carried out among pharmacists in health institutions ofShaanxi province in June and July 2020.Participants completed the survey by using the antimicrobial resistance surveillance network,antimicrobial consumption surveillance network,provincial and city pharmaceutical associations,and WeChat groups.Results Out of 423 respondents,more than 90%believed that AMS was very important,which could promote more rational prescriptions of antimicrobials,help in the control of bacterial resistance,and reduce the overuse of antimicrobials.Around 50%of the pharmacists were involved in AMS through reviewing prescriptions of antimicrobials,intervening in inappropriate prescriptions,and providing feedback on antimicrobial prescriptions and medical orders.Barriers to participating in AMS included limited working hours(57.92%),ineffective communication between pharmacists and doctors(57.21%),and inadequate knowledge of AMS(48.94%).An association was found between median involvement scores with gender,age,educational background,professional title,and years of working.Conclusions Pharmacists perceived that AMS programs are important.Further studies and strategy making should take how to overcome the identified barriers into consideration in order to optimize the participation of pharmacists in AMS programs.

关 键 词：抗菌药 药物疗法管理 药学服务 药师 参与度 感知障碍 

分 类 号：R954[医药卫生—药学]