老年骨质疏松患者药学服务方案的制定及影响因素分析

Formulation and Analysis of Influencing Factors of Pharmaceutical Care for Elderly Patients with Osteoporosis

目的:探讨老年骨质疏松症(OP)患者的用药教育需求点和影响因素,为不同人群制定针对性的OP药学服务方案。方法:对2019年5—6月在北京市丰盛中医骨伤专科医院住院治疗的OP骨折患者和金融街社区卫生服务中心确诊OP的门诊取药患者共50例进行横断面调查,了解不同人群对OP用药具体知识的掌握情况及对OP药学服务的需求。结果:城市患者整体知晓情况优于农村,高中及以上学历患者知晓情况优于初中及以下学历,差异有统计学意义(P<0.05)。患者对骨吸收抑制剂类的药物知晓率偏低;92%的患者希望获得有关OP的相关知识,但现阶段获得指导比例低。结论:临床应加强整体人群对OP的认识,对于城市和农村两类人群,分别制订不同侧重点的特性化药学服务方案,提高患者的服药依从性,降低不良后果发生率。

Objective:To explore the demand points and influencing factors of drug education in elderly patients with osteoporosis(OP),and develop targeted OP pharmaceutical care programs for different populations.Methods:A cross-sectional survey was conducted on fifty patients with OP fracture who were hospitalized in Beijing Fengsheng Traditional Chinese Medicine Bone Injury Specialty Hospital and fifty patients who were diagnosed with OP in Financial Street Community Health Service Center from May 2019 to June 2019,to understand the specific knowledge of OP drugs in different populations and their needs for OP pharmaceutical care.Results:The overall knowledge of urban patients was better than that of rural patients,and the knowledge of patients with high school education or above was better than that of patients with middle school education or below,the difference was statistically significant(P<0.05).The awareness rate of bone resorption inhibitors was low;92%of patients want to obtain relevant knowledge about OP,but the proportion of guidance was low at this stage.Conclusion:Clinical understanding of OP among the whole population should be strengthened,and specific pharmaceutical care programs with different focuses should be formulated for urban and rural populations respectively,so as to improve patients'medication compliance and reduce the incidence of adverse consequences.