西安市医疗机构临床药学工作开展现状调查

发布时间：2019-06-08 09:11

【摘要】：目的:调查西安市医疗机构临床药学工作开展状况,以促进临床药学工作的进一步发展。方法:分级分类抽取西安市24家二级以上医疗机构,对其临床药师现场进行问卷调查,内容包括医院基本信息、临床药师的基本情况、临床药学工作开展状况。结果:被调研医疗机构全职临床药师占60.2%,平均每位临床药师服务床位数为133.1±53.8(床/人)。各医疗机构中主要开展的临床药学工作有用药干预(95.8%)、药学咨询(91.7%)、细菌耐药监测(41.7%)、治疗药物监测(20.8%)。临床药师进行了查房(96.6%)、药品不良反应监测(95.8%)、合理用药培训(84.8%)、患者用药教育(80.5%)、重点患者药学监护(78.0%)、特殊管理药品药学监护(47.5%)、实习生和进修人员培训(61.9%)、疑难危重患者会诊(56.8%)、科研工作(42.4%)等临床药学工作。每天药学服务时间多为1~2 h(68.6%的临床药师)。三级医院、二级医院每日查房频次大于等于一次的分别为34.1%,3.5%。参与会诊的临床药师有67.1%认为"医师会参考临床药师提供的用药信息"。3.4%的临床药师认为"ADR监测工作开展很好且临床很支持"。三级医院临床药师更重视查房、ADR监测和科研工作(P0.05),二级医院临床药师与护士沟通较多(P0.05)。结论:西安市各级医疗机构临床药学工作已经普遍开展,但开展情况有差异,三级医院查房频次、ADR监测和科研工作重视程度较高,二级医院与护士沟通较多。
[Abstract]:Objective: to investigate the development of clinical pharmacy in Xi'an medical institutions in order to promote the further development of clinical pharmacy. Methods: 24 medical institutions above grade II in Xi'an were selected and investigated by questionnaire, including the basic information of hospital, the basic situation of clinical pharmacists and the development of clinical pharmacy. Results: the full-time clinical pharmacists in the investigated medical institutions accounted for 60.2%. The average number of beds served by each clinical pharmacist was 133.1 卤53.8 (bed / person). The main clinical pharmaceutical work in various medical institutions was drug intervention (95.8%), pharmaceutical consultation (91.7%), bacterial drug resistance monitoring (41.7%) and therapeutic drug monitoring (20.8%). Clinical pharmacists carried out house rounds (96.6%), medicines adverse reactions monitoring (95.8%), reasonable drug use training (84.8%), patient drug use education (80.5%), key patients' pharmaceutical care (78.0%). Special management medicines pharmaceutical care (47.5%), interns and refresher training (61.9%), consultation of difficult and critical patients (56.8%), scientific research work (42.4%) and other clinical pharmaceutical work. The daily pharmaceutical care time was 1 脳 2 hours (68.6% of clinical pharmacists). The frequency of daily rounds in tertiary hospitals and secondary hospitals was 34.1% and 3.5% respectively. 67.1% of the clinical pharmacists who participated in the consultation thought that "doctors would refer to the information provided by clinical pharmacists". 3.4% of clinical pharmacists thought that "ADR monitoring was carried out well and clinically supported". Clinical pharmacists in tertiary hospitals pay more attention to house rounds, ADR monitoring and scientific research (P 0.05), and clinical pharmacists in secondary hospitals communicate more with nurses (P 0.05). Conclusion: the clinical pharmaceutical work of medical institutions at all levels in Xi'an has been widely carried out, but there are differences in the development. The frequency of hospital rounds in tertiary hospitals, ADR monitoring and scientific research pay more attention to the work, and the secondary hospitals communicate more with nurses.
【作者单位】：西安市第一医院;西安交通大学第一附属医院药学部;西安交通大学医学部;
【分类号】：R95

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