全程药学服务干预促进小儿慢性咳嗽临床合理用药效果观察

Observation on the effect of whole-course pharmaceutical care intervention on clinical rational drug use in children with chronic cough

目的观察全程药学服务干预促进小儿慢性咳嗽临床合理用药的效果。方法106例小儿慢性咳嗽患儿,随机分为对照组及观察组,各53例。对照组实施常规用药指导,观察组实施全程药学服务干预。对比两组的临床合理用药情况、患儿家长就医满意度及药费。结果3个月后回访时,观察组口服抗菌药物使用率、静脉注射抗菌药物使用率及吸入性糖皮质激素使用率分别0、0、0,低于对照组的13.21%、11.32%、22.64%,差异有统计学意义(P<0.05)。对照组患儿家长就医满意度评分为(81.07±5.93)分、药费为(4964.23±561.88)元;观察组患儿家长就医满意度评分为(91.34±6.54)分、药费为(2864.97±369.28)元。观察组患儿家长就医满意度评分高于对照组,药费低于对照组,差异有统计学意义(P<0.05)。结论小儿慢性咳嗽治疗期间实施全程药学服务干预的效果显著,值得在临床领域中使用及推广。

Objective To observe the effect of whole-course pharmaceutical care intervention on clinical rational drug use in children with chronic cough.Methods A total of 106 children with chronic cough were randomly divided into the control group and the observation group,with 53 cases in each group.The control group received conventional medication guidance,while the observation group received whole-course pharmaceutical care intervention.The clinical rational drug use,satisfaction of the parents with medical treatment,and drug costs of the two groups were compared.Results At the return visit 3 months later,the utilization rate of oral antibiotics,intravenous antibiotics and inhaled glucocorticoids of the observation group were 0,0,and 0,respectively,which were lower than 13.21%,11.32%,and 22.64%of the control group,and the difference was statistically significant(P<0.05).The satisfaction of the parents with medical treatment and drug costs of the control group were(81.07±5.93)points and(4964.23±561.88)yuan,which were(91.34±6.54)points and(2864.97±369.28)yuan of the observation group.The satisfaction of the parents with medical treatment of the observation group was higher than that of the control group,and the drug costs was lower than that of the control group.All the differences were statistically significant(P<0.05).Conclusion Whole-course pharmaceutical care intervention has significant effect on the treatment of chronic cough in children,and is worthy of clinical promotion and application.