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中西药临床药师科普干预在儿童住院患者中的效果研究
舒文琳,陈雪梅1,杨一民1,郑重践1,黄建山1,林森林1,沈瑞2,郭瑶尝1,陈水钫1
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(1.厦门市中医院,福建厦门 361009;2.邢台市中医院,河北邢台 054000)
摘要:
目的:明确临床药师科普干预的重要性,探索儿科临床药师有效进行科普干预的方法,从而提高患者用药依从性,提升临床疗效,减少再住院率。方法:将儿科社区获得性肺炎住院患者随机分为对照组和科普干预组各50例,其中科普干预组又进一步分为西药临床药师科普干预组25例和中西药临床药师联合科普干预组25例,分别进行临床疗效、用药依从性、科普知识知晓率、再住院率评价。结果:在提高临床疗效方面,科普干预组与对照组比较差异均有统计学意义,西药科普干预组和中西药联合科普干预组比较差异无统计学意义。在提高患者用药依从性方面,中西药联合科普1次即有明显效果,单纯西药科普2次有明显效果。随访对照组半年内有2例患儿因肺炎再次入院,科普组无1例患儿因肺炎再次入院。结论:患儿的安全用药教育刻不容缓,临床药师的科普宣教对提升患者用药依从性、提高临床疗效方面成效显著。
关键词:  儿童  肺炎  科普干预  临床药师
DOI:doi:10.13407/ j.cnki.jpp.1672.108X.2022.04.007
基金项目:中国药学会全国医药经济信息网科技传播创新工程重点项目, 编号CMEI2020KPYJ00308。
Study on the Effect of Popular Science Intervention by Clinical Pharmacists of Traditional Chinese and Western Medicine in Hospitalized Children
Shu Wenlin1, Chen Xuemei1, Yang Yimin1, Zheng Zhongjian1, Huang Jianshan1, Lin Senlin1, Shen Rui2, Guo Yaochang1, Chen Shuifang1
(1. Xiamen Hospital of Traditional Chinese Medicine, Fujian Xiamen 361009, China; 2. Xingtai Hospital of Traditional Chinese Medicine, Hebei Xingtai 054000, China)
Abstract:
Objective: Objective to clarify the importance of popular science intervention by clinical pharmacists, and explore how to make the limited pediatric clinical pharmacists effectively carry out popular science intervention, including the content of popular science education and the appropriate frequency of popular science, etc., so as to improve the medication compliance of patients, improve the clinical efficacy, and reduce the readmission rate. Methods: The hospitalized patients with pediatric community-acquired pneumonia were randomly divided into two groups, 50 cases in the control group and 50 cases in the popular science intervention group. The popular science intervention group was further divided into the western medicine clinical pharmacist popular science intervention group (25 cases) and the Chinese and Western medicine clinical pharmacist joint popular science intervention group (25 cases). The clinical efficacy, medication compliance, awareness rate of popular science knowledge and readmission rate were evaluated. Results: In terms of improving the clinical efficacy, the differences between the popular science intervention group and the control group were statistically significant, but there was no statistical difference between the two popular science groups. In terms of improving patients' medication compliance, Chinese and Western medicine combined with popular science once has obvious effect, while simple western medicine popular science twice has obvious effect. During the follow-up period of half a year, two children in the control group were hospitalized again due to pneumonia, and none in the popular science group was hospitalized again due to pneumonia. Conclusion: The education of safe drug use for children is urgent, and the popularization of science and education of clinical pharmacists has a significant effect on improving the medication compliance and clinical efficacy of patients.
Key words:  children  pneumonia  popular science intervention  clinical pharmacist

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