药剂科开展药事管理对于合理用药的促进效果分析

Analysis of the promotion effect of pharmaceutical affairs management on rational drug use in pharmacy department

目的分析药剂科开展药事管理对于合理用药的促进效果。方法选取30例药剂师及1000张处方,随机将30例药剂师分为研究组和常规组,各15例;将1000张处方随机分为研究组与常规组,各500张处方。常规组行常规管理,研究组行药事管理。比较两组处方不合理用药发生率及药剂师干预前后工作质量、药学知识掌握程度。结果研究组处方不合理用药发生率4.00%显著低于常规组的18.00%,差异有统计学意义(P<0.05)。干预后,研究组药剂师实际操作、理论知识、处方审核以及服务态度评分分别为(83.58±1.23)、(85.57±1.31)、(82.31±1.23)、(86.34±1.21)分,均高于常规组的(72.26±1.24)、(73.08±1.22)、(77.76±1.15)、(71.31±1.22)分,差异有统计学意义(P<0.05)。干预后,研究组药剂师剂量调整、适应证、配伍禁忌以及用药禁忌评分分别为(96.43±1.31)、(85.34±1.22)、(95.34±1.25)、(88.34±1.21)分,均高于常规组的(91.21±1.32)、(75.34±1.21)、(86.34±1.25)、(75.31±1.23)分,差异有统计学意义(P<0.05)。结论对药剂科加强药事管理,不仅有助于降低不合理用药发生率,还能提升药剂师对药学知识的掌握程度以及工作质量,应用效果十分显著。

Objective To analyze the promotion effect of pharmaceutical affairs management on rational drug use in pharmacy department.Methods 30 pharmacists and 1000 prescriptions were randomly divided into study group and conventional group,with 15 pharmacists and 500 prescriptions in each group.The incidence of irrational drug use,the quality of pharmacists'work and pharmacist's grasp of pharmaceutical knowledge were compared between the two groups.Results The incidence of irrational drug use in the study group was 4.00%,which was significantly lower than that of 18.00%in the conventional group,and the difference was statistically significant(P<0.05).After the intervention,the scores of pharmacists'practical operation,theoretical knowledge,prescription review and service attitude in the study group were(83.58±1.23),(85.57±1.31),(82.31±1.23)and(86.34±1.21)points,which were higher than those of(72.26±1.24),(73.08±1.22),(77.76±1.15)and(71.31±1.22)points in the conventional group,and the differences were statistically significant(P<0.05).After intervention,the scores of pharmacists'dose adjustment,indication,incompatibility and drug contraindications in the study group were(96.43±1.31),(85.34±1.22),(95.34±1.25)and(88.34±1.21)points,which were higher than those of(91.21±1.32),(75.34±1.21),(86.34±1.25)and(75.31±1.23)points in the conventional group,and the differences were statistically significant(P<0.05).Conclusion Strengthening pharmaceutical affairs management in the pharmacy department can not only help to reduce the incidence of irrational drug use,but also improve the pharmacist's grasp of pharmaceutical knowledge and work quality,and the application effect is very significant.