天津药店员工指导消费者合理用药的调查分析

Investigation and Analysis of Rational Drug Use Guide by Retail Pharmacy Staff in Tianjin

目的了解天津市药店员工指导消费者合理用药现状以及存在问题,提高消费者的合理用药水平。方法 2014年12月-2015年3月对天津市215人药店店员随机进行问卷调查,运用描述性分析的方法,分析店员指导消费者合理用药的情况。结果零售药店店员女性占86.1%,非医药类中专及以上学历的店员占59.3%,而医药大专及以上学历仅占总数9.09%,24.3%的店员同时接受了三种以上内容的培训;94.7%的受访店员可以顺利回答消费者提出的关于用药的问题;9.5%的受访店员表示不清楚妊娠期和哺乳期用药安全;执业药师每天在岗比例为34.0%。结论受访零售药店店员学历偏低、从业年限较短,合理用药专业知识水平较低,专业知识培训缺乏系统规范,执业药师每天在岗比例低。因此,零售药店应通过多种途径提高店员学历和专业水平,提高店员指导合理用药的能力,并应根据条件建立药历,关注特殊人群用药和常见疾病的用药配伍禁忌。

Objective To investigate the current state of rational drug use guide by pharmacists and drugstore clerks, to propose solutions to existing problems and to promote rational drug use level. Methods A questionnaire survey was conducted from Dec. 2014 to Mar. 2015 on 215 drugstore clerks in Tianjin. Results Retail drugstore clerk women accounted for 86.1%, non pharmaceutical technical secondary school and above record of formal schooling clerk accounts for 59.3%, and medical college and above accounted for only 9.09% of the total, 24.3% of the clerk also received more than three training; 94.7% of the surveyed the clerk can successfully answer questions made consumers about medication ; 9.5% by interview with the clerk said not clear during pregnancy and lactation drug safety; licensed pharumcist day post proportion was 34.0%. Conclusions By visiting retail drugstore clerk low degree, working years shorter, rational drug use weak professional knowledge, professional knowledge training lack of system specification, the proportion of licensed pharmacists throughout the day in the post. Therefore, should improve the degree and professional level of the retail store clerk in a variety of ways, improve the ability of the staff to guide rational drug use, and should be based on the conditions to establish drug calendar, pay attention to the specific drug use and common diseases of the drug compatibility.