社区慢性病患者药学服务需求调查与分析

Investigation and Analysis of the Needs of Pharmacy Services for Chronic Diseases

目的调查社区慢性病患者现状及药学服务需求,为探索社区药学服务模式提供依据。方法采用便利抽样法,选择2016年8月~2017年2月大屯地区421例患有慢性病患者为调查对象,分析慢性病患者情况、药品说明书的理解、用药知识和用药指导的需求。结果共421例慢性病患者,女性多于男性,年龄主要集中60~74岁,已婚及大专以上学历患者居多。患病率居前3位的是高血压(87.61%)、糖尿病(46.12%)和血脂异常(35.22%)。323例患者有2种以上的慢性病,355例患者服用1~6种药物。对说明书的理解中仅有1.66%能达到80%以上,77.91%的患者并不了解药品包装上OTC的意思。用药知识途径主要是来自医生,占50.59%;用药指导中有57.72%的患者希望每月1次。有76.25%的患者需要用药指导,84.80%的患者想了解用药知识,主要为用法用量、注意事项和不良反应与副作用。患者更希望通过当面询问、电话咨询和发放资料的形式获得。结论社区慢性病患者迫切需要药学服务,但社区药学服务较为欠缺,临床可通过开展讲座、咨询服务、发放宣传手册等方式,进行面对面咨询或电话咨询,以满足患者的需求。

Objective To investigate the current situation of the patients with chronic diseases in the community and the demand for pharmaceutical services,so as to provide a basis for exploring the model of community pharmaceutical services.Methods Convenience sampling method was used to select 421 patients with chronic diseases from August 2016 to February 2017 in Datun area to investigate the situation of patients with chronic diseases,the understanding of drug instructions,medication knowledge and medication guidance needs.Results A total of 421 patients with chronic diseases,more women than men,mainly aged 60 to 74 years old,mostly married and college degree patients.The top three prevalence rates are hypertension(87.61%),diabetes(46.12%)and dyslipidemia(35.22%).323 patients have more than 2 kinds of chronic diseases,355 patients take 1 to 6 kinds of drugs.In the understanding of the instructions,only 1.66% can reach more than 80%,and 77.91% of patients do not understand the meaning of OTC on drug packaging.The way of knowledge of medication is mainly from doctors,accounting for 50.59%;57.72% of patients in the medication guidance want to take it once a month.76.25%of patients need medication guidance,84.80% of patients want to understand the knowledge of medication,mainly for usage and dosage,precautions and adverse reactions and side effects.Patients prefer to obtain it through face-to-face inquiries,telephone consultation and distribution of information.Conclusion Patients with chronic diseases in the community are in urgent need of pharmacy services,but community pharmacy services are lacking.The clinic can conduct face-to-face consultations or telephone consultations by conducting lectures,consulting services,and issuing brochures to meet the needs of patients.