| 摘要: |
| 目的:探讨临床药师用药管理在促进儿科合理用药的临床价值。方法:选取2019 年7 月至2020 年12 月在西部战区总
医院儿科住院治疗的213 例患儿,采用随机数表法分成对照组和研究组,对照组105 例患儿行常规用药管理,研究组108 例患
儿由临床药师用药全过程进行管理,比较两组患儿不合理用药情况(用法用量不适宜、药物选择不适宜、重复给药、超适应证用
药)、抗菌药物使用情况(抗菌药物使用种类、用药时间、用药费用及抗菌药物联合用药种类)、用药满意度。结果:研究组用法
用量不适宜(1. 85%)、药物选择不适宜(0. 93%)、重复给药(0. 93%)、超适应证用药发生率(1. 85%) 均低于对照组(9. 52%、
8. 57%、10. 48%、10. 48%)(P 均<0. 05);研究组的抗菌药物使用种类、用药时间、用药费用及抗菌药物联合用药种类均低于对
照组(P 均<0. 05);观察组患者总体满意率(98. 15%)高于对照组(87. 62%)(P<0. 05);研究组不良反应总发生率为3. 70%,低
于对照组的20. 95%(P<0. 05);研究组用药依从率为87. 96%,高于对照组的75. 24%(P<0. 05)。结论:临床药师用药管理有利
于提升儿科用药合理性,增加用药满意度,降低用药不良反应发生率,提升患儿用药依从性,具有重要的临床意义。 |
| 关键词: 临床药师 用药管理 儿科 合理用药 抗菌药物 满意度 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2023.04.009 |
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| 基金项目: |
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| Study on the Clinical Value of Clinical Pharmacist’s Medication Management in Promoting the RationalUse of Pediatric Drugs |
| Wang Qingping, Zheng Jiali, Hu Wenjing, Wu Xuechai |
| ((Western Theater General Hospital, Chengdu 610083, China)) |
| Abstract: |
| Objective: To explore the clinical value of clinical pharmacists’ medication management in promoting the rational use of
pediatric drugs. Methods: A total of 213 children who were hospitalized in the Western Theater General Hospital from July 2019 to
December 2020 were selected and randomized into control group and study group. The control group (105 cases) were administered
conventional medication management, and the study group (108 cases) were administered the whole process of medication by clinical
pharmacists. The irrational medication use (irrational usage and dosage unreasonable drug, unreasonable selection, repeated dosing,
and over-indication medication), antimicrobial use ( type of antimicrobial use, medication time, medication costs and types of
antibacterial drug combination), and medication satisfaction were compared between the two groups. Results: The incidence of irrational
usage and dosage (1. 85%), unreasonable drug selection (0. 93%), repeated administration (0. 93%), and the over-indication drug
use (1. 85%) was lower than those of the control group (9. 52%, 8. 57%, 10. 48%, 10. 48%), with a statistically significant difference
(P<0. 05). The types of used antibacterial drugs, medication time, medication costs and types of antibacterial drug combination in the
study group were lower than those of the control group, and the differences were statistically significant (P < 0. 05). The overall
satisfaction rate of patients in the observation group (98. 15%) was higher than that of the control group (87. 62%), and the difference
was statistically significant (P<0. 05). The total incidence of adverse reactions in the study group was 3. 70%, which was lower than
20. 95% in the control group, and the difference was statistically significant (P<0. 05). The medication compliance rate in the study
group was 87. 96%, which was significantly higher than that in the control group (75. 24%), and the difference was statistically
significant (P<0. 05). Conclusion: The clinical pharmacist’s medication management is helpful to improve the rationality of pediatric
medication, increase medication satisfaction, reduce the incidence of adverse drug reactions, and improve the medication compliance of
children, with important guiding significance. |
| Key words: clinical pharmacist medication management pediatrics rational drug use antibacterial drug satisfaction |
