不同年龄人群门诊用药咨询问题调查与分析

Investigation and Analysis of Medication Consultation Problems of Different Age Groups in the Outpatient Department

目的:分析我院不同年龄门诊患者在用药中存在的问题及需求,为针对不同年龄患者的个体化药学服务提供依据。方法:收集整理我院2004年1月～2006年12月门诊用药咨询记录,按年龄分组,对不同年龄组患者的用药问题进行统计分析。结果:在咨询人群的年龄分布上,60～75岁人群所占比例最高,占44.93%。不同年龄段人群主要咨询的问题存在差别:14岁以下人群咨询药物作用机制和用法与用量最多,各占31.03%;15～44岁人群咨询药物用法与用量最多,占25.60%;45～59岁人群咨询药物不良反应与相关问题最多,占29.39%;60～75岁人群咨询药物不良反应与相关问题最多,占24.74%;75岁以上人群咨询与疾病治疗相关的问题最多,占24.27%。结论:不同年龄段患者的用药咨询问题有所不同,咨询药师应根据其特点,有针对性地进行药学服务。

OBJECTIVE： To analyze the problems and needs of outpatients of different age groups in our hospital existing in medication consultation, and to provide a basis for individualized pharmaceutical care for the patients in different age. METHODS： The outpatient consultation records from January 2004 to December 2006 were collected from our hospital with the medication problems of different age groups analyzed statistically. RESULTS： In terms of age distribution, the patients aged at 60 -75 took the highest proportion at 44.93 %. There were differences as for the concern of medication consultation among different age groups： those aged below 14 cared more about the mechanism of action of drugs, administration and dosage of the drug, accounting for 31.03 % respectively; those aged at 15 - 44 cared more about the administration and dosage, accounting for 25.60% ; those aged at 45- 59 and 60 - 75 cared more about the adverse drug reaction-related issues, accounting for 29.39 % and 24.74 %, respectively, and the patients over 75 years old had more concern on treatment-related issues, accounting for 24.27 %. CONCLUSION： Patients of different age groups had different concerns in medication consultation. Pharmacists should provide tailored pharmaceutical care aimed at different age groups＇ needs.