对某院门诊心血管用药临床咨询问题分析

Analysis on the clinical consultation of cardiovascular drugs in a hospital

目的整理心血管门诊处方,分析患者咨询资料,探讨临床用药咨询服务的临床干预效果。方法整理和分析2014年1—12月宁波市第一医院心血管门诊处方情况。临床用药咨询室的临床药师均经专门培训,均具备专业的药品相关知识、医学背景理论知识,按照专门的流程和专业的方法提供临床用药的咨询服务并记录患者咨询的具体信息。考察患者的依从性数据。结果 2014年全年到临床用药咨询室咨询的心血管门诊患者共3 640例,占心血管科门诊量的26.4%。年龄≥60岁、初中文化程度的患者咨询比例更高(P<0.05)。心血管门诊患者的咨询信息共计4 720条。咨询问题中87.6%涉及降脂药和降压药。其咨询内容针对降脂药,患者更多关注用法用量、药品价格、副作用方面(P<0.05);针对降压药,患者更多关注用法用量、副作用、医保比例方面(P<0.05)。96.2%心血管门诊患者能基本遵医嘱用药,与2014年之前的数据(53.9%)比较,患者依从性的差异有统计学意义(P<0.05)。结论临床用药咨询服务能让患者基本了解所用药物及其疾病背景知识,知晓服药后可能出现的副作用和不良反应情况,掌握合理用药的方法,形成严格按照医嘱服药的良好习惯。

Objective To analyze the data of patient counseling for drugs and cardiovascular outpatient prescription, explore the clinical intervention effect of clinical medication eonsuhation service. Methods The cardiovascular outpatient prescriptions in our situation during January to December in 2014 were collected. The clinical pharmacists in our hospital have been specially trained to provide consulting services for clinical medicine, have a specially knowledge of medicine, medical background and knowledge of medicine. They recorded the specific information of the patients aim at medicine consulting. Data on patient＇ s compliance had been evaluated. Results During 2014 in clinical consulting medicine clinics, a total of 3 640 patient＇s consulting in cardiovascular outpatient clinics, was accounting for 26.4% of the number of cardiovascular outpatient service patients. More patients with education of middle school or ages higher than 60 ＇years old had a much higher percentage in the rate of patients consuhing（P 〈 0.05 ）. Cardiovascular consulting information in out- patients was a total of 4 720. In consultation content ,87.6% of counseling problems involved the drugs of lipid-lowering and blood pressure. For lipid-lowering drugs, patients payed more attention to the usage and dosage, drug prices, side effects（P 〈0.05）;On blood pressure medication, patients pay more attention to the usage and dosage, side effects and coverage ratio（ P 〈 0.05 ）. Overall ,96.2% of cardiology clinic patients can basic prescribed medication in year of 2014. It was a statistically significant difference comparing with the data before 2010 which was 53.9% of patients with compliance （ P 〈 0.05 ）. Conclusion Clinical medication consultation service can provides medical and drug background knowledge to patients, also basic understanding of drug used, and it＇ s known possible side effects or unknown possible adverse reaction, and the methods of taking medicine, the rational use of drugs, to cultivate patients with a good habits and compliance with the doctor＇ s advice.