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时间:2018-04-18
《门诊患者服药依从性调查与门诊药师干预作用的分析》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、门诊患者服药依从性调查与门诊药师干预作用的分析彭静刘恒戈通讯作者中国人民解放军新疆军区卫生处北京830004?【】目的:通过调查了解门诊患者服药的依从性状况,分析门诊药师干预措施的影响。方法:从我院2013年1月份的门诊服药患者中随机选择360例作为此次调查的对象,参与调查的药学服务人员进行统一培训后,开展门诊患者服药依从性与影响因素的调查。结果:在360例调查患者中,依从性较好的患者(A组)220人,占比61.10%,依从性较差的患者(B组)140人,占38.90%。其中,依从性差的患者(A组)与依从性好的患者(B组)相比,表现
2、为年龄偏大,文化程度低,收入不高。造成服药依从性差的因素主要有:疗程复杂(药物品种多,服药次数频繁)62例次;不良反应27例次;药物外观和气味难以接受22例次;缺乏相应用药指导18例次;不能正确理解药物说明书内容15例次;片面相信广告宣传12例次。结论:影响门诊患者服药依从性的因素众多,需要门诊药师进一步加强对患者的用药指导,改善服务态度,简化治疗方案,从而是患者服药依从性得到有效提升。【关键词】门诊患者;服药依从性;影响因素;药师干预【】R195【】B【】1674-8999(2015)8-0151-02TheSurveyofOu
3、tpatients’MedicationComplianceandtheAnalysisofOutpatients’PharmacistIntervention【Abstract】Objective:Throughinvestigationtolearnoutpatients’medicationcompliancestatus,analysistheinfluenceofoutpatients’pharmacistinterventions.Methods:360caseswere
4、randomlyselectedastheobjectofthesurveytakingpatientsfromourhospitalinJanuary2013,pharmacyservicepersonnelinvolvedintheinvestigationofaunifiedtraining,conductinvestigationoffactorswithoutpatients’medicationcompliance.Results:In360casespatientsthatweinvestigated,P
5、atientswithgoodadherence(groupA)220,accountingfor61.10percent,poorpatientscompliance(groupB)140,accountingfor38.90%.Patientswithpoorcompliance(GroupB)patientscomparedwithgoodadherence(Agroup),performanceforolder,loweducationallevelandlessincome.Themainfactorsthatresul
6、tinginpoormedicationcomplianceinclude:Complexmedication(drugvarieties,thenumberoffrequentmedication)62cases;27casesofadversereactionstimes;Drugappearanceandodordifficulttoaccept22cases;18casesoflackofappropriatemedicationguidetimes;Couldnotcorrectlyunderstandtheconten
7、tsofthedrug15casesmanualtimes;12casestimesofunilateralbelieveadvertising.Conclusions:Therearemanyfactorsthataffectoutpatientmedications’adherence,outpatientpharmacistsneedtofurtherstrengthenthepatients’medicationguide,improveserviceattitude,simplifytreatme
8、ntregimens,sothattoenhancethepatients’medicationcompliance.【Keywords]Outpatients;Medicationcompliance;Influencefactors
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