48095例儿童用药咨询工作的帕累托法则分析  

Pareto analysis of 48095 cases medication consultation for children

作　　者：刘洁 张建民[1] 宋远[1] 钟旭丽[1] 刘芳 李瑞雪 LIU Jie;ZHANG Jianmin;SONG Yuan;ZHONG Xuli;LIU Fang;LI Ruixue(Department of Pharmacy,Children′s Hospital Affiliated to Capital Institute of Pediatrics,Beijing100020,China)

机构地区：[1]首都儿科研究所附属儿童医院药学部,北京100020

出　　处：《中国妇幼健康研究》2023年第3期119-124,共6页Chinese Journal of Woman and Child Health Research

摘　　要：目的 分析首都儿科研究所附属儿童医院门诊用药咨询情况,发现儿科患者的用药问题,为儿科患者提供更安全有效的药学服务,进一步提高用药咨询服务质量。方法 收集首都儿科研究所附属儿童医院2014年4月至2021年12月31日的用药咨询记录,对用药咨询人群、患儿年龄、咨询例数、咨询药物涉及科室、药物种类和内容情况进行分类,通过帕累托法则进行分析。结果 共收集咨询记录48 095例,咨询的人群以患儿家属为主(99.35%);年龄分布以4~12岁儿童居多(49.10%);8年中2019年咨询问题的例数最多,高达11 375例(23.65%);咨询药物涉及科室排序前三位的分别是呼吸科(35.00%)、保健科(11.00%)和皮肤科(10.00%);咨询药物种类以呼吸系统用药(23.23%)和中成药(22.22%)居多;咨询内容以特殊剂型指导最多,占34.63%。结论 通过对门诊咨询记录的帕累托法则分析,发现儿科患者的需求和医院药学工作中的不足,药师在利用药物相关知识为患者提供用药咨询的同时,也需继续学习医学知识,同时注意与儿科患者的沟通技巧,为儿科患者提供安全、有效、经济的药学服务。Objective To analyze the medication consultation in outpatient department of the Children′s Hospital Affiliated to Capital Institute of Pediatrics, to find the medication problems in pediatric patients, so as to provide more safe and effective pharmaceutical care for pediatric patients, and make a further improve in the quality of medication consultation service.Methods The records of drug consultation in the Children′s Hospital Affiliated to Capital Institute of Pediatrics from April 2014 to December 31, 2021 were collected.The group of drug consultation, age of children, number of consultation cases, departments involved in medication consultation, drug types and contents were classified, and analyzed by Pareto principle.Results A total of 48095 consultation records were collected.The consulting group was mainly pediatric patients′ family members(99.35%), and the age distribution was mostly children group(49.10%).In the past eight years, the number of consultation problems in 2019 was the highest with 11,375 cases(23.65%).The top three departments involved in consulting drugs were respiratory department(35.00%), health care department(11.00%) and dermatology department(10.00%), respectively.The types of consulting drugs were mainly respiratory medicine(23.23%) and Chinese patent medicine(22.22%), and the consulting content was mainly special devices guidance, accounting for 34.63%.Conclusion Through the Pareto analysis of outpatient consultation records, the needs of pediatric patients and deficiencies in hospital pharmacy work were found.Pharmacists should continue to learn medical knowledge while providing medication consultation for patients with relevant knowledge of drugs.Meanwhile, attention should be paid to communication skills with pediatric patients, so as to provide safe, effective and economical pharmaceutical care for pediatric patients.

关 键 词：儿科 用药咨询 药学服务 帕累托法则分析 

分 类 号：R179[医药卫生—妇幼卫生保健]