医务人员对药品安全性监测知信行(知识、态度、行为)的调查分析  

Investigation and analysis of medical staffs'knowledge,attitude,and practice of drug safety monitoring

作　　者：葛书怡 旷吉琳 陶孟瑶[2] 李文元 何燕[2] 高天[2] 兰姗 唐健元 GE Shu-yi;KUANG Ji-lin;TAO Meng-yao;LI Wen-yuan;HE Yan;GAO Tian;LAN Shan;TANG Jian-yuan(School of Clinical Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu 610072,Sichuan;TCM Regulating Metabolic Diseases Key Laboratory of Sichuan Province,The Afiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan;Sichuan Center for Food and Drug Evaluation,Inspection and Monitoring,Chengdu 610000,Sichuan)

机构地区：[1]成都中医药大学临床医学院,四川成都610072 [2]成都中医药大学附属医院,代谢性疾病中医药调控四川省重点实验室,四川成都610075 [3]四川省食品药品审查评价及安全监测中心,四川成都610000

出　　处：《中药与临床》2024年第1期69-74,共6页Pharmacy and Clinics of Chinese Materia Medica

基　　金：国家药品监督管理局中国药品监管科学行动计划-第二批重点项目-药品、医疗器械警戒技术和方法研究(药品部分);成都中医药大学附属医院科技发展基金(21ZS09):中医药调控代谢性疾病药物发现评价与转化的产品与技术研究。

摘　　要：目的:调查四川省各级医院的医务人员对药品安全性监测知信行(知识、态度、行为)情况,为促进和完善四川省ADR报告和监测工作提供参考。方法:采用调查问卷的方式,对四川省各级医院的医务人员进行抽样调查,采用SAS9.4软件进行统计分析。结果:93.26%的医务人员了解ADR的概念,其中药剂人员认知度较高,达95.45%。在了解新的和严重的ADR的报告时限(53.86%)、ADR报告内容和统计资料是否可作为医疗事故/医疗诉讼的依据(35.81%)、报告药品不良反应遵循原则(55.62%)、药物不良反应表现形式(59.34%)等方面的认知度都较低。Logistic回归分析显示,调查对象问卷知识得分与工作岗位是否是药师、是否接受过用药相关安全性方面的培训、职称及学历有关,其中职称和学历越高,得分越高,药剂师岗位较非药剂师岗位得分高,接受过用药相关安全性方面的培训较未接受过用药相关安全性培训的调查对象得分高。结论:应加强有关药品安全性知识的宣传与培训,增强医务人员的报告意识;同时,应加强和完善医疗机构安全性监测体系的建设,提高ADR监测和合理用药水平,保障公众用药安全。Objective:To investigate the knowledge,attitude and practice(KAP)of drug safety monitoring among medical staff of hospitals at all levels in Sichuan province,and to provide reference for promoting and improving adverse drug reaction(ADR)reporting and monitoring in Sichuan province.Method:A questionnaire survey was conducted among medical staff at all levels of hospitals in Sichuan Province and SAS9.4 software was used for statistical analysis.Result:93.26%of medical staff understood the concept of ADR,with pharmaceutical staff having a higher awareness rate of 95.45%.The awareness of the current and serious ADR report time limit(53.86%),ADR report content and statistical data can be used as the basis of medical accident/medical lawsuit(35.81%),the principle of reporting adverse drug reaction(55.62%),and the form of adverse drug reaction(59.34%)were low.Logistic regression analysis showed that respondents'questionnaire scores were correlated with whether they were working as a pharmacist,whether they had received training in medication safety,and their professional title and level of education.Among them,the staff with higher the professional title and educational background got higher score.The personnel in the pharmacist position got higher the score than the non-pharmacist position.Those received training on medication safety scored higher than those who did not.Conclusion:There is a need to strengthen the promotion and training of drug safety knowledge and enhance the reporting awareness of medical staff.At the same time,it is necessary to strengthen and improve the construction of safety monitoring systems in medical institutions,raise the level of ADR monitoring and rational drug use,and ensure the safety of publicdrugs.

关 键 词：药品不良反应 医务人员 认知 行为态度 调查分析 

分 类 号：R95[医药卫生—药学]