临床药师在产科的药学咨询服务情况分析

Analysis of Pharmaceutical Care of Clinical Pharmacists in Obstetrics

目的:分析临床药师在产科药学服务工作开展情况,了解产科用药咨询的特点,提高药学服务质量。方法:汇总鼓楼医院临床药师接受产科临床和门诊的用药咨询363例,对基本情况、咨询内容、问题类型和药物种类进行统计,通过帕累托法则进行分析。结果:在363例用药咨询中,咨询人员以医生为主,共212例(占58.40%);咨询问题主要来自产科住院病区(229例,占63.09%);咨询内容中药物对妊娠的影响所占比例最大;问题类型中妊娠期用药(200例,占55.10%)和哺乳期用药(34例,占9.37%)数量最多;抗微生物药物、电解质、维生素及营养类药物、消化系统药物、中成药等为咨询药物种类的主要因素。结论:临床药师在产科接受的用药咨询所涉及的各分类有鲜明的规律及差异,在药学服务中宜重点把握主要因素,为产科提供更优质的药学服务。

Objective:To analyze the pharmaceutical care of obstetric clinical pharmacists,understand the characteristics of obstetric medication consultation,and improve the quality of pharmaceutical care.Methods:A total of 363 cases of obstetric consulting dealt by clinical pharmacists were collected,and the basic information,consultation content,problem type and drug type were classified and analyzed by the Pareto principle.Results:Among the 363 cases of medication consultation,doctors were the main consulters,accounted for 212 cases(58.40%);the consultation questions were mainly from the inpatient wards of obstetrics(229 cases,63.09%);the influence of drugs on pregnancy accounted for the largest proportion in the consultation contents;drugs use during pregnancy(200 cases,55.10%)and lactation(34 cases,9.37%)were the main type of questions;antimicrobial drugs,electrolytes,vitamins and nutritive drugs,digestive system drugs,Chinese patent medicine and so on were the main consulted drug types.Conclusion:There are distinct patterns in the classification of medication consultation received by clinical pharmacists in obstetrics.We should focus on the main factors to provide better pharmaceutical services for obstetrics.