社区居民用药现状及药学服务需求调查与分析  

Survey and Analysis of the Current Situation of Medication and Demand for Pharmaceutical Care Among Community Residents

作　　者：王琳 涂杰霞 袁瑕 WANG Lin;TU Jiexia;YUAN Xia(Department of Pharmacy,Sichuan Mianyang 404 Hospital,Mianyang,Sichuan,China 621000)

机构地区：[1]四川绵阳四○四医院药学部,四川绵阳621000

出　　处：《中国药业》2023年第2期14-18,共5页China Pharmaceuticals

基　　金：四川省基层卫生事业发展研究中心项目[SWFZ19-Y-40]。

摘　　要：目的提高社区药学服务质量。方法随机选取四川省绵阳市涪城区17个社区居民,对其家庭常备药品使用情况、用药常识知晓度、药品维护知识及社区药学服务需求,以性别、年龄及学历为人群分类特征进行问卷调查并分析。结果共发放问卷500份,回收有效问卷484份,有效回收率为96.80%。90.29%受访者家中常备药品,74.17%常备药品≥3种,常备药品数排名前5的为抗菌药物、复方感冒药、中成药、心血管用药及皮肤外用软膏。女性更倾向保留上次未服用完的药品(P<0.05)。>60岁者半年内有就医史或用药史的较多,更倾向于服用药品前阅读药品说明书,对多种药品的相互作用、所服用药品的不良反应不明确的较多,倾向保留上次未服用完的药品,也更倾向于收纳整理药品,更希望药师在社区药学服务中提供药品服用指导及帮助读懂药品说明书,更愿意在医院药学门诊或药学咨询窗口咨询药师,希望获得定期电话回访(P<0.05);≤60岁人群更常通过互联网药店购买药物(P<0.05);<30岁人群更倾向于通过微信或微信公众号联系药师(P<0.05)。大学本科及以上学历受访者倾向于服用药品前阅读药品说明书及通过互联网购买药品,可正确认识药品有效期、能明确所服用多种药品的相互作用,更倾向于使用微信或微信公众号联系药师(P<0.05)。高中及以上学历受访者可更好地区分保健品与药品及将药品系统分类(P<0.05),初中及以下学历受访者对提供药物服用指导的需求更大(P<0.05)。结论社区不同人群在药物的使用、认知常识、储存及药学服务需求方面均有差异,社区药学服务可参考此情况提供个体化精准化药学服务。Objective To improve the quality of community pharmaceutical care.Methods Residents in 17 communities in the Fucheng District of Mianyang City,Sichuan Province were randomly selected.With gender,age and educational background as the population classification characteristics,a questionnaire survey and analysis were carried out on their family's medication of standing medicines,knowledge of medication,knowledge of medicine maintenance and demand for community pharmaceutical care.Results A total of 500 questionnaires were distributed,and 484 valid questionnaires were returned with an effective recovery rate of 96.80%.Among the residents,90.29%of them had standing medicines at home,74.17%had three or more kinds of standing medicines,and the top five medicines were antimicrobial agents,compound cold medicines,Chinese patent medicines,cardiovascular medicines and skin ointments for external use.Female residents were more inclined to keep the medicines that were not taken completely the last time(P<0.05).Residents above 60 years old sought medical treatment and took more medications within half a year,they were more inclined to read the package insert before taking medicines,more uncertain about the interaction of multiple medicines and the adverse drug reactions of the medicines they took,more inclined to keep the medicines that were not taken completely last time,and more inclined to collect and sort out medicines,and those people hoped that the pharmacist could provide medication guidance and read the package insert during the community pharmaceutical care,and they were willing to consult the pharmacist at the hospital pharmacy clinic or pharmacy consultation window to get regular telephone follow-up calls(P<0.05).Residents with an age of 60 years old or below were more likely to buy medicines through Internet pharmacies(P<0.05),and residents under 30 years old were more likely to contact pharmacists through WeChat or WeChat Official-Accounts(P<0.05).Residents with bachelor's degree or above tended to read the packag

关 键 词：人群特征 社区居民 用药现状 精准化药学服务 调查 

分 类 号：R95[医药卫生—药学]