门诊患者用药咨询调查

1-year Survey of Outpatient Consultation in Clinical Pharmaceutical Care Practice

目的:了解门诊患者对临床药学咨询服务的需求特点和规律。方法:对2006～2007年合理用药咨询门诊药历的内容进行统计分析。结果:咨询人群中位年龄为32岁(0.4～82岁),女性多于男性;疾病分布特征既有地区特征又受到医院技术特色的影响;药物过敏史、处方药品数量多少与咨询行为无特殊关系;如何正确使用处方药物是咨询人群关心的主要问题(72%)。结论:咨询药师应必备对不同年龄段、性别、时期的常见病多发病知识信息。咨询药师应考虑到药品使用过程的不同环节,并主动给予患者相关指导。

Objective： To understand the rules and features of consultation service of outpatients by examining the outpatient consultation in clinical pharmaceutical-care practice. Method： The 1-year clinical charts for outpatient consultation were monitored. The population and disease characteristics of outpatients, consulted problems and resolutions were reviewed. Result： The counseling patient＇s median age was 32. And 56.7% of the patients were females. The disease characteristics were influenced by the distribution of both regional diseases and hospital departments. Neither history of adverse drug reactions nor drug quantity of each prescription had any significant influence on the patient consultation behavior. The major problem （72%） concerned about was how to use drugs properly. Conclusion： The general disease information about different ages, genders, periods are indispensable for consultant pharmacists to acquire. More considerate and initiative service for drug uses should be provided for the outpatient counseling.