广西玉林市4家三级甲等医院临床药学工作开展现状调查

Investigation of Clinical Pharmacy Work Conditions of 4 Third-level First Class Hospital in Guangxi Yulin

目的:了解广西玉林市三级甲等医院临床药学工作开展现状,为促进国内发展中城市及地区医疗卫生机构临床药学工作的开展提供参考。方法:采用问卷调查和访谈相结合的方式,对广西玉林市4家三级甲等医院的医护人员(部分)、临床药师和药学部门负责人进行调查,并对数据进行统计和分析。结果:共发放医护人员调查问卷242份,回收有效问卷238份,有效回收率为98.35%;发放临床药师调查问卷15份,回收有效问卷15份,有效回收率为100%;对4家医院药学部门负责人的访谈完成良好。4家受访医院均有临床药师,但仅其中2家医院人数符合要求;临床药师学历均为本科及以上,无高级职称者。在临床药师职能认知方面,对于处方调剂、静脉药物配置、医院制剂、医院药品供应与管理、药品质量检测五项,均有超过50%的受访医护人员认为是临床药师的职能,而认为是自身职能的受访临床药师比例最高也不超过20%。在临床药师服务能力方面,通过访谈得知目前仅1家医院能开展万古霉素治疗药物监测;受访医护人员对本科室的临床药师工作比较满意和非常满意的共占58.82%。在开展临床药学工作面临的困难方面,受访临床药师认为参与临床工作的困难主要为自身能力不足(93.33%)和医护人员、患者的不理解(均为60.00%);在面向医护人员的信息咨询中最突出的困难为信息查询资源限制(100%)。结论:广西玉林市三级甲等医院的临床药师在工作中基本能完成其任务,临床药学工作进展情况较好,但在临床药师数量与质量、医护人员对临床药师认知、硬件设施等方面仍有较大发展空间。

OBJECTIVE： To investigate the clinical pharmacy status of partial third-level first class hospitals in Guangxi Yulin, and provide reference for promoting its development in medical and health institutions in domestic development cities and regions. METHODS： Questionnaire was combined with interviews to investigate the medical staff （part）, clinical pharmacists and directors in pharmacy department in 4 third-level first class hospitals in Yulin, and the data was statistically analyzed. RESULTS： Totally 242 questionnaires were sent out for the medical staff, 238 were effectively received, with effective recovery of 98.35% ; 15 for clinical pharmacists, 15 were effectively received, with effective rate of 100% ; the interview for directors in pharmacy department of 4 hospitals was done well. The 4 surveyed hospitals all had clinical pharmacists, while only 2 had met the requirement on amount of clinical pharmacists; the clinical pharmacists were all with the bachelor degree or above, no senior titles. In terms of cog- nitive functions of clinical pharmacists, the 5 items, including dispensing, pharmacy inlxavenous admixture services, hospital prepa- ration, hospital drug supply and drug quality testing, were considered to be the functions of clinical pharmacist by more than 50% surveyed medical staff, while only less than 20% clinical pharmacists agreed with this view. In terms of individualized administra- tion capacity, only one hospital can carry out vancomycin for therapeutic drug monitoring known from the interview; 58.82% sur- veyed medical staff were general satisfied and very satisfied to the work of clinical pharmacists. In terms of obstacles to the develop- ment of clinical pharmacy, surveyed clinical pharmacists considered that difficulties in clinical work included insufficient capacity （93.33%） and the misunderstanding of doctors and patients （were both 60.00% ） ; in the medical information consultation the most prominent difficulty was information query resource constraints （100%）. CONCLUSIONS： The clinical pharmacy in the third-level first class hospital of Guangxi Yulin can complete their task almost in the work, and the implementation of clinical pharmacist is good, however, there is still a great space for development in the quantity and quality of clinical pharmacists, the cognition of med- ical personnel on clinical pharmacists, hardware facilities, etc.