用药咨询案例分析及改进意见

发布时间：2018-04-28 12:40

本文选题：用药咨询 + 案例分析　；参考：《海峡药学》2016年12期

【摘要】：目的寻找大众用药疑问所在,寻找与临床契合点,提出改进建议,更好地发挥药师作用,更好地让医学服务于社会。方法通过对2015年6月~2016年7月咨询记录1832份进行分析,按照咨询人群、咨询方式、问题种类等进行分类,归纳及典型案例解析。结果前来咨询人群中患者及家属占79.37%,医生1.36%,药师17.19%,护士2.08%;咨询的方式有现场咨询97.81%,电话咨询2.19%;咨询内容包括药品用法用量23.53%、药品基本内容占19.16%、中西药合用占14.40%、处方合理性占12.88%、不良反应占9.83%,特殊人群用药、特殊剂型、药品储存、注意事项、药品机制及适应症、漏服处理、其他分别占5.73%、4.91%、3.55%、3.11%、1.42%、0.66%、0.82%。结论用药咨询是药学服务的突破口,是合理用药的关键,需要硬软件相结合并不断完善,让医、药、护协力合作共同为患者健康保驾护航。
[Abstract]:Objective to find out the problem of drug use in the public, to find out the fit point with clinical practice, to put forward suggestions for improvement, to give full play to the role of pharmacist, and to make medicine serve the society better. Methods 1832 consultation records from June 2015 to July 2016 were analyzed and classified according to the consultation population, consultation methods and problem types, and the typical cases were analyzed. Results the patients and their families accounted for 79.37 in the consultation group, the doctor was 1.36 and the pharmacist was 17.19 and the nurse was 2.08. The way of consultation was 97.81 on the spot and 2.19 on the telephone. The consultation included the usage of the drug 23.53, the basic content of the drug 19.1616, the combination of Chinese and western medicine 14.40. The rationality of the prescription was 12.88 and the adverse reaction was 9.83. Special dosage form, drug storage, precautions, drug mechanism and indications, leakage treatment, and others accounted for 5.734.91and 3.553.113.111.42 0.660.66and 0.82 respectively. Conclusion Drug consultation is the breakthrough of pharmaceutical care and the key to rational use of drugs. It needs the combination of hardware and software and continuous improvement, so that doctors, drugs and nurses can cooperate to protect the patients' health together.
【作者单位】：福建省宁德市医院;福建省厦门大学附属第一医院;
【分类号】：R95

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