临床药师引导住院患者参与用药安全的模式及应用评价  

Assessment of a model and application of clinical pharmacist-led inpatient participation in medication safety

作　　者：张磊[1] 李浩[2] ZHANG Lei;LI Hao(Department of Pharmacy,the First People’s Hospital of Yibin,Sichuan,Yibin 644000,China;Department of Neurology,the First People’s Hospital of Yibin,Sichuan,Yibin 644000,China)

机构地区：[1]四川省宜宾市第一人民医院药学部,四川宜宾644000 [2]四川省宜宾市第一人民医院神经内科,四川宜宾644000

出　　处：《中国医药科学》2023年第8期126-128,145,共4页China Medicine And Pharmacy

摘　　要：目的调查宜宾市第一人民医院神经内科住院患者在参与用药安全行为的现况,明确住院患者参与用药安全行为的影响因素,帮助药师掌握患者需求,帮助临床医生制订个性化的治疗方案。方法发放调查问卷给患者填写,共访谈和问卷调查宜宾市第一人民医院2022年1—6月住院患者110例,按照随机数表法分成两组,其中对照组按照一般治疗流程,干预组加入临床药师帮助患者参与静脉输液用药安全,调查两组患者的积极度评分、自我管理效能评分及用药不良事件的差异。结果干预组积极度、自我管理效能评分显著高于对照组(P<0.05);口服给药的用药不良事件例数较对照组显著减少(P<0.05)。结论临床药师的参与可以提高患者对用药安全的自我管理,有效防范药物不良事件的发生,对确保患者住院期间的用药安全具有重要作用。Objective To investigate the current situation and clarify the influencing factors of inpatients’participation in medication safety in the Department of Neurology of the First People’s Hospital of Yibin,so as to provide reference for the development of personalized intervention plans on the premise of pharmacists’understanding of patients’needs.Methods A total of 110 inpatients at The First People’s Hospital of Yibin were interviewed and surveyed by a questionnaire from January to June 2022.These patients were randomly divided into a control group and an intervention group according to the randomized number method.The control group was treated with general treatment process,while the intervention group was added with clinical pharmacists to help patients improve medication safety management for intravenous infusion.The differences in positivity scores,self-management efficiency scores,and adverse drug events between two groups were investigated.Results The positivity and self-management efficiency scores in the intervention group were higher than those data in the control group(P<0.05).The adverse drug events for oral administration in the intervention group was much lower than those data in the control group(P<0.05).Conclusion The participation of clinical pharmacists improves patients’self-management for medication safety and effectively prevents adverse drug events,which greatly ensures inpatients’medication safety.

关 键 词：临床药师 评价 用药安全 用药模式 

分 类 号：R95[医药卫生—药学]