骨科医院药学门诊患者用药情况分析及药学门诊对疾病管理的作用探讨

Analysis on Drug Application in Pharmaceutical Outpatient in Orthopaedic Hospital and its Effect on Disease Management

目的:探讨内蒙古医科大学第二附属医院(以下简称“我院”)药学门诊患者用药情况,以期为患者提供更加合理的治疗方案。方法:为2016—2018年于我院药学门诊就诊的患者建立健康档案,分析其所患疾病种类、用药情况和咨询内容,分别于第3、6和12个月对患者进行回访,了解其治疗情况以及服药过程中是否发生不良反应,并对各阶段患者用药依从性进行评分。结果:于我院药学门诊就诊的腰椎间盘突出症患者数呈逐年减少趋势,骨质疏松症患者数呈逐年增长趋势。门诊医师多为患者开具镇痛药、抗炎药和活血化瘀类中成药,治疗骨质疏松症药物的使用率逐年升高,抗菌药物使用率显著降低。患者在服药过程中最关心的问题是药品的用法与用量、疗程和服药过程中需要注意的事项。经过对患者提供个体化的用药指导服务,3年来,患者于药学门诊就诊后第3、6和12个月的用药依从性评分均明显高于首次评分,差异均有统计学意义(P<0.05);同时,患者的药品不良反应发生率也呈降低趋势。结论:临床药师对患者进行合理用药指导,提高了医师工作效率,加快了患者疾病的好转,提高了患者满意度。

OBJECTIVE:To probe into the drug application in pharmaceutical outpatient in the Second Affiliated Hospital of Inner Mongolia Medical University(hereinafter referred to as“our hospital”),so as to provide more reasonable therapeutic regimens.METHODS:Establish health files for patients who visited the pharmacy clinic in our hospital from 2016 to 2018,analyze the types of diseases,medications and consultation contents,conduct return visit to the patients at the 3rd,6th and 12th months to investigate treatment condition and adverse drug reactions,and grade medication compliance for patients each stage.RESULTS:The number of patients with lumbar disc herniation in the pharmacy clinic of our hospital showed a decreasing trend year by year,while the number of patients with osteoporosis showed a trend of increasing year by year.Most of the outpatients were prescribed analgesics,anti-inflammatory drugs and Chinese medicines for promoting blood circulation and removing blood stasis,the use rate of drugs for osteoporosis was increasing year by year,and the use rate of antibiotics was significantly reduced.The most concerned issues of patient were the usage and dosage of the drug,course of treatment,matters needing attention during medication.After providing individualized medication guidance services to patients,the grades of medication compliance of patients at 3rd,6th and 12th months after pharmacy outpatient visits were significantly higher than the first scores in the past 3 years,with statistically significant differences(P<0.05);besides,the incidence of adverse drug reactions in patients also showed a downward trend.CONCLUSIONS:Clinical pharmacists provide guidance of rational drug application for patients,which has promoted work efficiency for physicians,accelerated the improvement of patients'diseases and improved patient satisfaction.