我院药学门诊的现状调研及影响因素分析

Investigation on the current situation and influencing factors of outpatient pharmaceutical care clinic in our hospital

目的探讨江汉大学附属湖北省第三人民医院(以下简称“我院”)药学门诊(OPC)现状及主要影响因素。方法通过查阅国内外文献、专家咨询编制出OPC知、信、行问卷量表,线上问卷和线下问卷两种方式于2020年8月至11月进行我院OPC的问卷调查,应用多元线性回归探讨其影响因素。结果本调查发放并回收问卷450份,其中有效问卷438份,问卷有效率为97.33%。不同年龄、职业受访者日常用药的体验(认知)得分比较,差异有统计学意义(P<0.05);不同学历受访者日常用药的体验(认知)、临床药师的个性化服务(态度)、OPC体验度(行为)得分比较,差异有统计学意义(P<0.05)。日常用药的体验、临床药师的个性化服务、OPC体验度与对OPC态度呈正相关(r=0.214、0.240、0.110,P<0.05或P<0.01)。多元线性回归分析,排除了性别、年龄、职业、学历指标后,临床药师的个性化服务可以显著正向影响OPC接受度,线性回归模型的残差服从正态分布(P<0.05)。结论文化程度和临床药师的个性化服务这两个方面是影响OPC的主要因素。

Objective To explore the current situation and main influencing factors of outpatient pharmaceutical care(OPC)in the Third People’s Hospital of Hubei Province of Jianghan University(hereinafter referred to as“our hospital”).Methods Through consulting domestic and foreign literature and expert consultation,a questionnaire on knowledge,belief,and behavior of OPC was compiled,using both online and offline questionnaires.This questionnaire survey was conducted in the OPC of our hospital from August to November 2020,and multiple linear regression was used to explore its influencing factors.Results In this survey,a total of 450 questionnaires were distributed and returned,of which 438 were valid questionnaires,and the questionnaire effectiveness rate was 97.33%.There were statistically significant differences in the scores of daily medication experience(cognition)of respondents in different age and occupations(P<0.05);there were statistically significant differences in the scores of daily medication experience(cognition),clinical pharmacists’personalized service(attitude),and OPC experience(behavior)among respondents with different educational backgrounds(P<0.05).Daily medication experience,personalized service from clinical pharmacists,and OPC experience were positively correlated with attitude toward OPC(r=0.214,0.240,0.110,P<0.05 or P<0.01).Multiple linear regression analysis showed that after excluding gender,age,occupation,and educational background,the personalized service of clinical pharmacists could significantly and positively affect the acceptance of OPC,and the residuals of the linear regression model obeyed a normal distribution(P<0.05).Conclusion Educational level and personalized service of clinical pharmacists are the main factors affecting OPC.