儿科药师基于“问药师”平台开展互联网用药咨询服务的实践

Practice of pediatric pharmacists providing internet medication consultation services based on the platform of“Our Pharmacists”

目的分析儿科药师通过互联网用药咨询提供药学服务的实践效果。方法收集2020年7月-2022年6月通过“问药师”线上用药咨询平台(以下简称“问药师”)咨询的8356份儿童用药咨询案例的资料,对患儿的一般情况、病种、不合理用药情况进行统计分析。结果8356例儿童用药咨询案例中,男性4234例,女性4122例;患儿年龄以>12个月~3岁为主;咨询的病种类型以呼吸系统疾病为主(46.56%),其次为消化系统疾病(18.41%)和皮肤系统疾病(12.71%)。在呼吸系统疾病中,不合理用药比例高达92.30%,主要为无指征使用抗菌药物(83.59%)、中成药选择不适宜(61.14%)、复方感冒药选择不适宜(49.77%)等。在消化系统疾病中,不合理用药比例为71.15%,主要为未使用口服补液盐(48.85%)、益生菌使用不适宜(31.91%)、无指征使用抗菌药物(26.89%)等。共收到4273次患儿监护人对药师服务的评价,其中五星评价占99.88%。结论药师通过“问药师”提供儿童用药咨询服务,给予个体化循证用药建议,提高了儿童用药的安全性及药学服务的满意度,保障了患儿的用药安全。

OBJECTIVE To analyze the effect of pharmaceutical practice of pediatric pharmacists providing internet medication consultation services.METHODS A total of 8356 children’s medication cases through the“Our Pharmacists”online medication consultation platform(hereinafter referred to as“Our Pharmacists”)were collected from July 2020 to June 2022.The general information,disease type and irrational drug use were analyzed statistically.RESULTS Among 8356 cases,4234 were male and 4122 were female;the age of children was mainly from 12 months to 3 years old;the consulting diseases were mainly respiratory diseases(46.56%),followed by digestive system diseases(18.41%)and skin system diseases(12.71%).Among respiratory diseases,the proportion of irrational drug use was 92.30%,mainly including the use of antibiotics without indication(83.59%),inappropriate selection of Chinese patent medicines(61.14%)and compound cold medicines(49.77%),etc.Among digestive system diseases,the proportion of irrational drug use was 71.15%,mainly including not using oral rehydration salts(48.85%),inappropriate use of probiotics(31.19%),the use of antibiotics without indication(26.89%),etc.A total of 4273 evaluations of pharmacist services were received from child guardians,with a five-star rating of 99.88%.CONCLUSIONS Pharmacists provide pediatric medication consultation services through“Our Pharmacists”,providing individualized evidence-based medication suggestions,increasing the safety of drug use and satisfaction with pharmaceutical care,and ensuring the safety of children medication.