236家医院儿科医务人员自身因素对儿童不良反应上报率影响的探讨

发布时间：2019-03-24 16:37

【摘要】：目的研究全国来我院进修的医务人员对药品不良反应相关知识的认知情况,为拓展不良反应监测和提高监测质量提供依据。方法选取236家1 400名进修人员作为样本进行问卷调查,包括对象的基本资料、不良反应基本知识及对不良反应呈报工作的认知度。结果汇总的有效问卷为1 116份,有效率为79.71%,对不良反应的发生率概念、不良反应呈报内容、WHO成员国不良反应呈报方式以及严重不良反应的概念这些知识的了解方面,正确认知度分别为23.14%、27.32%、21.59%和20.59%,一级医院在不良反应知晓度方面确实相对不足,而二级医院和三级医院之间未见这种显著性差异。不同专业进修的医务人员对不良反应基本知识有一定了解,但掌握并不一致,对上报工作的总体认知度不高。结论应加强对临床一线医师的宣传、教育和培训,提高药物不良反应判断水平以提升药物不良反应监测报告质量,促进临床合理用药,减少ADR发生。
[Abstract]:Objective to study the cognition of medical staff on adverse drug reactions (ADR) among medical staff who came to our hospital in order to provide basis for further monitoring and improving the quality of adverse drug reactions (ADR) monitoring. Methods A questionnaire survey was conducted among 1 400 trainees from 236 families, including the basic data of the subjects, the basic knowledge of adverse reactions and the recognition of the reporting work of adverse reactions. Results the total effective questionnaire was 1 116, with an effective rate of 79.71%. The knowledge about the concept of incidence of adverse reactions, the contents of reporting adverse reactions, the reporting methods of adverse reactions in WHO member countries and the concept of serious adverse reactions were discussed. The correct recognition rates were 23.14%, 27.32%, 21.59% and 20.59%, respectively. There was no significant difference between the level 2 hospital and the level 3 hospital in terms of the degree of awareness of adverse reactions. Medical staff with different professional studies have a certain understanding of the basic knowledge of adverse reactions, but their mastery is not consistent, and the overall recognition of the reporting work is not high. Conclusion it is necessary to strengthen the publicity, education and training of first-line clinicians, improve the judgement level of adverse drug reactions in order to improve the quality of monitoring and reporting of adverse drug reactions, promote the rational use of drugs in clinic, and reduce the occurrence of ADR.
【作者单位】：复旦大学附属儿科医院药剂科;
【分类号】：R952

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