新疆基层医务人员对国家基本药物认知情况调查研究

发布时间：2018-11-17 16:17

【摘要】：目的：了解新疆维吾尔自治区基层医务人员对国家基本药物的认知情况及影响因素,为我区进一步推广使用国家基本药物并制定符合我区实际情况的基本药物行动计划提供必要依据。方法：2011年8月-2012年8月对1842名新疆地区基层医务人员采用分层抽样法进行国家基本药物制度认知情况问卷调查,共发放问卷2000份。数据采用EpiData3.1双人录入并核对数据,应用SPSS17.0软件对数据进行构成比,χ2检验,Logistic回归分析处理等。结果：(1)基本药物概念在新疆基层医务人员范围内知晓率为72.1%,但分析发现大部分医务人员对于国家基本药物还需进一步的了解。(2)基层医务人员基本药物知晓主要来源是电视／广播、业务培训、报纸／专业期刊。(3)在所有被调查的医务人员中,719位医务人员(39.03%)属于认知度高。多因素Logistic回归结果表明,民族,学历,职业,职称,年龄,工作年限和科室都与认知度高低有统计学关联。(4)82.8%%的基层医生开处方时首选基本药物(5)基层医务人员中对进行基本药物方面的知识培训认为有必要的比例为76.8%。(6)79%的医生在开处方时经常向病人推荐使用基本药物。(7)47.9%的基层医生认为,基本药物在本地常见和多发病中基本适用。(8)52.3%医务人员认为认为使用基本药物在很大程度上能够促进合理用药。结论：国家基本药物概念在基层医务人员中已经在一定程度上得到普及,但是基层医务人员对于国家基本药物的认识水平仍然偏低。基层医务人员接受国家基本药物知识培训的次数偏少,时间较短。基层医务人员向患者宣传国家基本药物的力度不够,护士和药学人员在推广国家基本药物方面缺乏与医生的沟通。建议：进一步完善推行国家基本药物的政策措施,加大国家基本药物的宣传、培训和教育力度,注重更新基层医务人员的临床用药知识,制订标准治疗指南和良好处方集,完善药品流通体制,制订合理的医疗机构补偿政策,推动合理用药和基本药物的使用。
[Abstract]:Objective: to investigate the cognition and influencing factors of basic medical staff in Xinjiang Uygur Autonomous region on national essential drugs. It provides the necessary basis for further popularizing the use of national essential drugs and drawing up the action plan of essential drugs in accordance with the actual situation in our region. Methods: from August 2011 to August 2012, a total of 2000 questionnaires were distributed to 1842 primary medical personnel in Xinjiang using stratified sampling method. The data were input and checked by EpiData3.1, and the data were analyzed by SPSS17.0 software, 蠂 2 test, Logistic regression analysis and so on. Results: (1) the awareness rate of the concept of essential drugs was 72.1% among the basic medical personnel in Xinjiang. However, the analysis found that most medical personnel need to know more about national essential drugs. (2) the main sources of basic medical staff's knowledge of essential drugs are television / radio, business training. Newspapers / specialized periodicals. (3) of all the medical staff surveyed, 719 (39.03%) were highly recognized. The results of multivariate Logistic regression showed that nationality, education, occupation, professional title, age, (4) 82.8% of the doctors at the grass-roots level prescribe the first choice of essential drugs (5) basic medical personnel to carry out knowledge training on essential drugs. (6) 79% of doctors often recommend essential drugs to patients when prescribing them. (7) 47.9% of primary doctors believe, (8) 52.3% of the medical staff think that the use of essential drugs can promote rational use of drugs to a large extent. Conclusion: the concept of national essential drugs has been popularized to a certain extent among the basic medical personnel, but the level of understanding of the basic medical personnel about the national essential drugs is still on the low side. The number of basic medical personnel receiving national basic medicine knowledge training is on the low side and the time is short. Grass-roots medical personnel did not communicate with the doctors about the national essential drugs, and nurses and pharmacists did not communicate with the doctors in the promotion of the national essential drugs. Suggestions: to further improve the policies and measures for the implementation of national essential drugs, to increase the propaganda, training and education of national essential drugs, to pay attention to updating the clinical knowledge of medical personnel at the grass-roots level, to formulate standard treatment guidelines and good prescriptions, Improve the drug circulation system, formulate a reasonable compensation policy for medical institutions, and promote rational use of drugs and essential drugs.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R95

【参考文献】