广西玉林市4家三级甲等医院临床药学工作开展现状调查

发布时间：2018-05-02 08:46

本文选题：临床药学 + 临床药师　；参考：《中国药房》2017年03期

【摘要】：目的:了解广西玉林市三级甲等医院临床药学工作开展现状,为促进国内发展中城市及地区医疗卫生机构临床药学工作的开展提供参考。方法:采用问卷调查和访谈相结合的方式,对广西玉林市4家三级甲等医院的医护人员(部分)、临床药师和药学部门负责人进行调查,并对数据进行统计和分析。结果:共发放医护人员调查问卷242份,回收有效问卷238份,有效回收率为98.35%;发放临床药师调查问卷15份,回收有效问卷15份,有效回收率为100%;对4家医院药学部门负责人的访谈完成良好。4家受访医院均有临床药师,但仅其中2家医院人数符合要求;临床药师学历均为本科及以上,无高级职称者。在临床药师职能认知方面,对于处方调剂、静脉药物配置、医院制剂、医院药品供应与管理、药品质量检测五项,均有超过50%的受访医护人员认为是临床药师的职能,而认为是自身职能的受访临床药师比例最高也不超过20%。在临床药师服务能力方面,通过访谈得知目前仅1家医院能开展万古霉素治疗药物监测;受访医护人员对本科室的临床药师工作比较满意和非常满意的共占58.82%。在开展临床药学工作面临的困难方面,受访临床药师认为参与临床工作的困难主要为自身能力不足(93.33%)和医护人员、患者的不理解(均为60.00%);在面向医护人员的信息咨询中最突出的困难为信息查询资源限制(100%)。结论:广西玉林市三级甲等医院的临床药师在工作中基本能完成其任务,临床药学工作进展情况较好,但在临床药师数量与质量、医护人员对临床药师认知、硬件设施等方面仍有较大发展空间。
[Abstract]:Objective: to understand the present situation of clinical pharmacy in Grade 3A Hospital of Yulin City, Guangxi, and to provide a reference for promoting the development of clinical pharmacy in medical and health institutions in developing cities and regions in China. Methods: by means of questionnaire survey and interview, the medical and nursing staff (some of them, clinical pharmacists and the head of pharmaceutical department) of 4 Grade 3A hospitals in Yulin city of Guangxi were investigated, and the data were statistically analyzed. Results: a total of 242 questionnaires were distributed, 238 valid questionnaires were collected, and the effective recovery rate was 98.350.15 questionnaires were distributed to clinical pharmacists, and 15 valid questionnaires were collected. The effective recovery rate was 100. The interview with the heads of pharmaceutical departments in 4 hospitals was good. 4. 4 hospitals had clinical pharmacists, but only 2 of them met the requirements; the clinical pharmacists had bachelor's degree or above and no senior title. With regard to the functional cognition of clinical pharmacists, more than 50% of the medical and nursing personnel interviewed considered the functions of clinical pharmacists as those of prescription dispensing, intravenous drug allocation, hospital preparations, hospital drug supply and management, and drug quality testing. The highest proportion of clinical pharmacists who thought they were their own functions did not exceed 20. In the aspect of clinical pharmacist's service ability, only one hospital can carry out vancomycin drug monitoring, and 58.82 medical staff are satisfied and very satisfied with the clinical pharmacist's work in our department. In terms of the difficulties faced in the development of clinical pharmaceutical work, the clinical pharmacists interviewed believed that the difficulties in participating in the clinical work were mainly due to their own lack of ability and medical staff. The most prominent difficulty in information consultation for medical staff is the limitation of information query resources. Conclusion: the clinical pharmacists of Grade 3A Hospital in Yulin City of Guangxi can basically complete their tasks, and the progress of clinical pharmacy work is good, but the quantity and quality of clinical pharmacists and the cognition of medical staff to clinical pharmacists. Hardware facilities and other areas still have greater room for development.
【作者单位】：北京大学第三医院药剂科;北京大学医学部药学院;
【分类号】：R95

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