临床药师在先兆流产患者药学科普中的作用

The role of clinical pharmacists in the popularization of pharmaceutical science in patients with threatened abortion

目的探讨临床药师对先兆流产患者安全用药知信行(knowledge,attitude,practice,KAP)水平的影响。方法选取2020年3月至2020年8月在我院产科门诊因先兆流产就诊的患者作为基线组(386例),选取2021年3月至2021年8月在我院产科门诊因先兆流产就诊的患者作为科普干预组(321例)。科普干预组接受临床药师关于先兆流产科普及相关药品用药科普干预手册的用药教育和指导。以《围孕期妇女人群安全用药行为知信行测评问卷》评估两组患者的KAP水平。结果基线组及科普干预组问卷总得分分别为(87.75±8.65)和(101.29±12.69)。基线组知识平均得分为(24.63±4.42)分、态度平均得分为(29.68±4.65)分、行为平均得分(33.44±6.78)分,低于科普干预组的(27.65±5.44)、(34.15±6.22)及(39.49±7.00)分。结论科普干预组患者对药品认知度显著高于基线组,提示临床药师进行药学干预的综合管理模式可提高先兆流产患者的KAP水平。

Objective To explore the influence of clinical pharmacists on the level of knowledge,attitude,practice(KAP)in patients with threatened abortion.Methods Patients with threatened abortion in the obstetrics clinic of our hospital from March 2020 to August 2020 were selected as the baseline group(386 cases).Patients with threatened abortion in the obstetrics clinic of our hospital from March 2021 to August 2021 were selected as the popular science intervention group(321 cases).The intervention group received medication education and guidance from clinical pharmacists on the popularization of threatened abortion and related drug popularization intervention manuals.The KAP level of the two groups was evaluated by the questionnaire on knowledge,attitude and practice of safe medication behavior of pregnant women.The score difference between the two groups was compared,and the factor analysis was used to explore the key issues affecting the KAP level.Results The total questionnaire scores of baseline group and popular science intervention group were(87.75±8.65)pionts and(101.29±12.69)pionts,respectively.In the baseline group,the average score of knowledge was(24.63±4.42)pionts,the average score of attitude was(29.68±4.65)pionts,and the average score of behavior was(33.44±6.78)pionts,which was lower than the(27.65±5.44),(34.15±6.22)and(39.49±7.00)pionts of the popular science intervention group.Conclusion The awareness of drugs in the popular science intervention group was significantly higher than that in the baseline group,suggesting that the comprehensive management mode of pharmaceutical intervention by clinical pharmacists could improve the level of KAP in patients with threatened abortion.