广州越秀区基层医院肾上腺皮质激素使用情况的调查分析

Investigation and Analysis of the Application of Adrenal Cortex Hormones in Primary Hospital of the Guangzhou Yuexiu District

目的:为临床合理使用肾上腺皮质激素提供参考。方法:对广州市越秀区基层医院的医师、药师和患者进行问卷调查,并查阅国内、外文献,结合数据和文献进行分析,总结广州越秀区基层医院肾上腺皮质激素不合理使用的原因、表现及后果。结果:对肾上腺皮质激素类药物的认知方面,49.2%的患者缺少相关方面知识。其中,44.4%的患者不知道是在什么情况下被处方肾上腺皮质激素类药物。在使用肾上腺皮质激素类药物时,47.0%的药师会告知患者注意事项,64.0%的药师会交代患者服药的正确时间,65.4%的医师经常留意肾上腺皮质激素类药物的适应证和相关注意事项。结论:被调查的基层医院肾上腺皮质激素类药物应用情况不甚乐观,许多方面需要进一步加强。影响肾上腺皮质激素类药物合理应用的因素,主要包括患者对肾上腺皮质激素的了解程度,开具、审查处方的严谨程度等。

OBJECTIVE： To provide reference for the clinical use of adrenal cortex hormones. METHODS： A questionnaire survey was conducted among doctors, pharmacists and patients in the primary hospital of Guangzhou Yuexiu District, and then domestic and foreign literatures reviewed, to analyze the reasons, manifestations and consequences of irrational use of adrenal cortex hormone （ACH） in primary hospital of Guangzhou Yuexiu District. Questionnaires were analyzed on the basis of data and literature. RESULTS： The survey results showed that cognition on ACH, 49.2 % of the patients knew nothing about it, and 44.4% of patients did not know when they used ACH drugs. When using ACH drugs, 47.0% of the pharmacists would inform the patient notes, 64.0% of pharmacists would tell you took the drugs in the right time, 65.4% of the doctors often paid attention to indications and precautions of Ach drugs. CONCLUSIONS： The application of hormone drugs in primary hospital in our city is not very optimis- tic, and many aspects should be strengthened. The influencing factors of rational use of ACH drugs include the understanding level of patient to hormone and the stringent attitude of prescribing and reviewing prescription.