不同类别医务人员对中成药合理应用的认知现状调查与分析

Investigation and Analysis on Cognition for Rational Application of Chinese Patent Medicine Among Different Categories of Medical Personnel

目的:了解不同类别医务人员对中成药合理应用的认知现状,分析存在的问题,为进一步研究合理应用中成药对策提供依据。方法:通过专家采访与指导,制定调查问卷,以北京地区为主并面向全国医务人员进行中成药合理应用的认知现状调查,对调查结果进行统计分析。结果:共有791名医务人员参与本调查,包括中医师、中药师、西医师、西药师和护师。不同类别及工作年限的医务人员对中成药的用药认知存在差异,中药师的用药认知明显优于中医师、西医师、西药师和护师,差异均有统计学意义(P<0.001)。不同工作年限的医务人员在用药认知得分方面的差异有统计学意义(P<0.001),工作年限<5年的医务人员对中成药的用药认知相对较差。对中成药所含西药成分的认知方面,47.79%的医务人员(378名)认知度高,45.64%的医务人员(361名)认知度中等,6.57%的医务人员(52名)认知度低;药师的认知度明显优于医师和护师,差异均有统计学意义(P<0.001)。对中成药用药禁忌的认知方面,23.51%的医务人员(186名)认知度高,50.70%的医务人员(401名)认知度中等,25.79%的医务人员(204名)认知度低;中药师的认知度明显优于其他四类医务人员,差异均有统计学意义(P<0.05)。对辨证用药的认知方面,有40.08%的医务人员(317名)认知度高,44.37%的医务人员(351名)认知度中等,15.55%的医务人员(123名)认知度低;中医类医务人员的认知度明显优于非中医类医务人员,差异有统计学意义(P<0.001)。结论:不同类别的医务人员对中成药合理应用的认知存在差异,且低工作年限的医务人员认知较差。有必要根据工作年限和不同岗位类别对医务人员进行有针对性的中成药用药知识培训,发挥中药临床药师的专业优势,加强对临床中成药使用的指导作用。

OBJECTIVE:To investigate the cognition status for the rational application of Chinese patent medicine among different categories of medical personnel,analyze the existing problems,so as to provide reference for further research on the countermeasures of rational application of Chinese patent medicine.METHODS:Through interview and guidance by experts,a survey questionnaire was developed to investigate the cognition status on the rational application of Chinese patent medicine among medical personnel in Beijing and nationwide,the survey results were collected and analyzed.RESULTS:Totally 791 medical personnel participated into this survey,including physicians and pharmacists of traditional Chinese medicine,physicians and pharmacists of western medicine,and nurses.There were differences in the medication cognition on Chinese patent medicine among medical personnel with different categories and working time,the medication cognition of pharmacists of traditional Chinese medicine was significantly better than that of physicians of traditional Chinese medicine,physicians and pharmacists of western medicine,and nurses,with statistically significant differences(P<0.001).The differences in medication cognition scores among medical personnel with different working time were statistically significant(P<0.001),medical personnel with working time<5 years had relatively poor medication cognition on Chinese patent medicine.In terms of the cognition on western medicine ingredients contained in Chinese patent medicine,47.79%of medical personnel(378 cases)had high cognition degree,45.64%(361 cases)had moderate cognition degree and 6.57%(52 cases)had low cognition degree;the cognition of pharmacists was significantly better than that of physicians and nurses,with statistically significant differences(P<0.001).In terms of cognition on contraindications of Chinese patent medicine,23.51%of medical personnel(186 cases)had high cognition degree,50.70%(401 cases)had moderate cognition degree and 25.79%(204 cases)had low cognition degree;the cognition of pharmacists of traditional Chinese medicine was significantly better than that of the other four types of medical personnel,with statistically significant differences(P<0.05).In terms of cognition on evidence-based medication,40.08%of medical personnel(317 cases)had high cognition degree,44.37%(351 cases)had moderate cognition degree and 15.55%(123 cases)had low cognition degree;the cognition of medical personnel of Chinese patent medicine was significantly better than that of other medical personnel,with statistically significant differences(P<0.001).CONCLUSIONS:There are differences in cognition on the rational application of Chinese patent medicine among different categories of medical personnel,and the cognition is poorer among medical personnel with less working years.It is necessary to provide targeted training on the medication knowledge of Chinese patent medicine to medical personnel according to different working years and job categories,so as to give full play to the professional advantages of clinical pharmacists of traditional Chinese medicine and strengthen the guidance on clinical application of Chinese patent medicine.