我国社区药店药师参与儿童非处方药药学服务现状调研  

Investigation of the Current Status of Community Drugstore Pharmacists′Participation in Pharmaceutical Care of Children Taking Over-The-Counter Drugs in China

作　　者：鲁卓林[1] 陈蕾 刘绮 赵新悦 李欣[1] 李迎春 洪阁[2] 孙燕燕[1] LU Zhuolin;CHEN Lei;LIU Qi;ZHAO Xinyue;LI Xin;LI Yingchun;HONG Ge;SUN Yanyan(Tianjin Children′s Hospital·Children′s Hospital,Tianjin University,Tianjin,China 300134;Institute of Biomedical Engineering,Chinese Academy of Medical Sciences,Tianjin,China 300192)

机构地区：[1]天津市儿童医院·天津大学儿童医院,天津300134 [2]中国医学科学院生物医学工程研究所,天津300192

出　　处：《中国药业》2023年第20期1-5,共5页China Pharmaceuticals

基　　金：天津市科技计划项目[20YFZCSY00570];中国医学科学院医学与健康科技创新工程(重大协同创新项目)[2021-I2M-1-052]。

摘　　要：目的提升我国社区药店药师儿童非处方药药学服务水平。方法通过查阅万方医学网、中国知网、中华医学期刊全文数据库、PubMed数据库中国内外文献并咨询9位专家(国内部分医院药学部主任等)设计调查问卷,随机发放至我国31个省/自治区/直辖市(未纳入台湾省)的社区药店药师,调研其对儿童常用6类非处方药(解热镇痛药、感冒药、化痰止咳药、消化系统用药、抗组胺药、维生素与微量元素补充剂)的认知及其药学服务开展情况,分析调查结果及存在的问题。结果共发放3518份调查问卷,均有效回收,涉及药师3518人。“非常清楚”6类药物的适应证、注意事项、配伍禁忌、用法用量、适宜剂型的药师占比多在30%~40%之间;推荐用药前,能询问患儿症状、年龄、过敏史的药师占70%~81%,会提示药品用法用量及药品不良反应的药师占65%~72%。结论社区药店药师对儿童常用6类非处方药的各方面认知及药学服务开展水平均有待提高。应有的放矢设计儿童非处方药知识培训计划,提高社区药店药师该类药的药学服务水平,发展和完善我国社区药店服务体系。Objective To promote the community drugstore pharmacists'participation in the pharmaceutical care of children taking over-the-counter(OTC)drugs in China.Methods Based on domestic and foreign literature in the WanFang Med Online,CNKI,Full-Text Database of Chinese Medical Journals and PubMed,questionnaires were designed by consulting with nine experts(directors of pharmacy departments in some hospitals in China)and randomly distributed to community drugstore pharmacists in 31 provinces/autonomous regions/municipalities(Taiwan not included)in China to investigate their understanding of six commonly used OTC drugs for children(antipyretic and analgesic drugs,cold medicines,expectorant and antitussive drugs,digestive system drugs,antihistamines,vitamins and trace element supplements)and relevant pharmaceutical care level.Then,the survey results and existing problems were analyzed.Results A total of 3518 questionnaires were distributed,all of which were effectively recovered,involving 3518 pharmacists.The proportion of pharmacists who were″very clear″about the indications,notes,incompatibility,usage,dosage and appropriate dosage forms of six drugs was mostly in the range of 30%to 40%;the proportion of pharmacists who inquired about the symptoms,age and allergy history of children before recommendation was in the range of 70%to 81%;the proportion of pharmacists who prompted drug usage,dosage and adverse drug reactions was in the range of 65%to 72%.Conclusion Community drugstore pharmacists need to improve their understanding of the six commonly used OTC drugs for children and the pharmaceutical care level.We should design a targeted knowledge training plan for children's OTC drugs,improve the community drugstore pharmacists'pharmaceutical care level for children taking these drugs to develop and improve the community drugstore service system in China.

关 键 词：社区药店 药师 儿童用药 非处方药 药学服务 

分 类 号：R95[医药卫生—药学]