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眼科门诊患者用药依从性多中心调查 被引量:5

Multicenter investigation on outpatients' compliance in department of ophthalmology
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摘要 目的:调查眼科门诊患者的用药依从性及其影响因素,并提出相应对策,提高眼科门诊药房的药学服务水平。方法:在北京大学第三医院、北京协和医院、浙江大学附属第二医院、浙江大学邵逸夫医院的眼科门诊患者中,随机发放610份调查问卷,将收回的问卷汇总,应用Primer软件对相关因素进行统计学分析。结果:依从性好的眼科患者占82.55%。用药依从性与性别、年龄、教育程度、医生和药师是否告知、是否会正确使用滴眼剂、用药前是否认真阅读说明书等因素有显著的相关性。造成患者不依从的原因,按患者感觉已痊愈、经常忘记用药、害怕药物不良反应、药价太贵及用药后出现药物不良反应降次排序。结论:四所医院眼科门诊患者总体用药依从性良好,影响患者不依从性的主要原因是患者感觉已痊愈和药物的不良反应。 Objective:To investigate related factors contributed to the outpatients' compliance in department of ophthalmology, and find effective intervention to improve compliance.Methods:From Peking University Third Hospital, Peking Union Medical College Hospital, Second Affiliated Hospital Zhejiang University College of Medicine, Sir Run Run Shaw Hospital Zhejiang University College of Medicine, 610 outpatients were selected randomly and questionaired.The collected data were processed statistically,Resuits:82.55% outpatients had good compliance in department of ophthalmology.Tendency chi square test indicated that compliance was correlated significantly with the following factors of the patients: sex, age, education, information obtained from doctors or pharmacists, knowledge of eye drop as well as whether having read the drug instructions before taking drugs. Factors related to poor compliance included mistaken self-judgment of their states by the patients themselves, bad memory, worrying about adverse reactions, high cost and side ettects.Conclusion:Compliance was good in most outpatients in the department of ophthalmology.Main factors contributed to poor compliance are mistaken self-judgment of illness state by the patients and adverse drug reactions.
出处 《中国药物应用与监测》 CAS 2007年第5期41-43,共3页 Chinese Journal of Drug Application and Monitoring
关键词 用药依从性 药学服务 Compliance Pharmacy service
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