PCNE分类法联合回授法在住院患儿雾化吸入药物中的应用  

Application of PCNE classification method combined with feedback method in aerosol inhalation drugs of hospitalized children

作　　者：蒋俊杰 王利媛 王法财 聂松柳 王涛 沈炳香 JIANG Junjie;WANG Liyuan;WANG Facai;NIE Songliu;WANG Tao;SHEN Bingxiang(Department of Pharmacy,Lu'an Hospital Affiliated of Anhui Medical University,Lu'an 237005,China)

机构地区：[1]安徽医科大学附属六安医院药学部,六安237005

出　　处：《中国临床药学杂志》2023年第8期594-599,共6页Chinese Journal of Clinical Pharmacy

基　　金：六安市人民医院新技术新项目(编号2022XJS72);皖南医学院校级科研项目(编号JXYY202277);安徽高校自然科学研究项目(编号KJ2021A0342);安徽医科大学校科研基金项目(编号2020xkj231)。

摘　　要：目的采用PCNE分类法联合回授法分析和解决住院患儿雾化吸入药物相关问题(DRPs),为临床合理和规范地使用雾化吸入药物提供参考。方法选择2022年6至11月使用雾化吸入药物的住院患儿,参考药品说明书、专家共识等相关资料,运用欧洲医药保健网(PCNE)分类系统识别和分析住院患儿雾化吸入药物的DRPs问题类别、原因类别,干预类别和接受情况,使用回授法对患儿家属进行用药教育并对干预前后用药依从性进行评估。结果共纳入166例患儿,其中49例(29.44%)患儿中发现了DRPs,累计共发生58例次DRPs,依据PCNE分类系统,问题类别包括治疗效果、治疗安全性和其他方面,占总DRPs例次数分别为50%、24.14%和25.86%;原因分类中“剂量选择”和“药物选择”分别占总DRPs例数的48.28%和32.76%;临床药师对医师、患者和药物层面共进行了75次干预,总体接受干预并执行率为88%,其中对患儿家属回授法干预前后用药依从性评估分别为(3.17±0.21)分和(7.34±0.15)分,差异有高度统计学意义(P<0.01);出院1个月后对接受干预的患儿再次评估用药依从性为(7.01±0.23)分,与干预后比较差异无统计学意义(P<0.05)。结论依托PCNE分类系统可识别和发现住院患儿雾化吸入药物的DRPs并进行目标干预,运用回授法进行用药教育可明显提高患儿的用药依从性。临床药师应加强与医师协作,促进雾化吸入药物在住院患儿中的合理应用。AIM To analyze and resolve the drug-related problems(DRPs)of aerosol inhalation drugs in hospitalized children by using PCNE classification method combined with feedback method,and to provide reference for the rational and standardized clinical use of aerosol inhalation drugs.METHODS The hospitalized children who used aerosol inhalation drugs from June to November 2022 were selected.Referring to the drug instructions,expert consensus and other relevant informations to analyze the problem category,cause category,intervention category and acceptance of aerosol inhalation drugs DRPs in hospitalized children by using the Pharmaceutical Care Network Europe(PCNE).Family members of the patients were given medication education and medication compliance was evaluated before and after the intervention.RESULTS A total of 166 children were included,of which DRPs were found in 49 children(29.44%),and 58 DRPs occurred in total.According to the PCNE classification system,the problem categories included treatment effect,treatment safety and other aspects,accounting for 50%,24.14%and 25.86%,respectively,"dose selection"and"drug selection"in the cause category accounted for 48.28%and 32.76%of the total DRPs cases respectively,clinical pharmacists conducted a total of 75 interventions,and the overall acceptance and implementation rate was 88%.Among them,the evaluation of medication compliance before and after the intervention of the teaching-back method for children's family members was(3.17±0.21)points and(7.34±0.15)points respectively,and the difference was statistically significant.1 month after discharge,the medication compliance of the children who received the intervention was(7.01±0.23)points,and there was no statistically significant difference compared with that after intervention(P>0.05).CONCLUSION Relying on the PCNE classification system,the DRPs of aerosol inhalation drugs in hospitalized children can be identified and discovered,targeted interventions can be carried out.The use of teach-back method for medication e

关 键 词：雾化吸入药物 儿童 药物相关问题 回授法 合理用药 

分 类 号：R95[医药卫生—药学]